Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs

0 avg rating
( 0 ratings by Goodreads )
 
9781601467164: Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs
View all copies of this ISBN edition:
 
 

Cutting-edge strategies to prepare and respond to Medicare audits

Know what to expect during a long-term care Medicare audit

The book Medicare Audits in Long-Term Care: A Guide to MACs, RACs, and ZPICs describes the different types of Medicare audits that nursing homes face and helps you take a proactive approach to audit preparedness. You also receive detailed descriptions of what you can expect during the different types of Medicare audits, how to conduct an internal audit, specific ways to prepare for an audit, and what to do once you have been audited.

This resource helps you:

- Gain a comprehensive understanding of the agencies responsible for conducting Medicare audits
- Grasp the processes and steps an auditor takes so you know what to expect and can be prepared
- Conduct an internal audit with the internal audit checklists provided
- Learn specific risk areas and vulnerabilities that may be present in your facility
- Understand where to focus internal efforts and controls as is relates to compliance

Table of Contents

Chapter 1: Medicare Oversight of Skilled Nursing Facilities
Chapter 2: Medical Review Audits
Chapter 3: Recovery Audit Contractor Audits
Chapter 4: Benefit Integrity Audits
Chapter 5: Comprehensive Error Rate Testing Program
Chapter 6: Department of Health and Human Services / Office of Inspector General
Chapter 7: Medicare Advantage Plans
Chapter 8: Audit Case Examples
Chapter 9: Preparing your Facility for an Audit
Chapter 10: Post Audit Processes
Tools & Checklists

"synopsis" may belong to another edition of this title.

About the Author:

Wayne van Halem, AHFI, CFE, President, The van Halem Group, has worked in various leadership roles at multiple Medicare contractors. Throughout his tenure, he served as a Fraud Analyst, Medicare Fraud Information Specialist, Investigator, Supervisor, Appeals Manager, and Consultant. He is an Accredited Healthcare Fraud Investigator and a Certified Fraud Examiner.

"About this title" may belong to another edition of this title.

Top Search Results from the AbeBooks Marketplace

1.

HCPro, Wayne van Halem AHFI CFE Presiden
Published by HCPro (2010)
ISBN 10: 1601467168 ISBN 13: 9781601467164
New Perfect Paperback Quantity Available: 1
Seller:
Murray Media
(NORTH MIAMI BEACH, FL, U.S.A.)
Rating
[?]

Book Description HCPro, 2010. Perfect Paperback. Condition: New. Never used!. Seller Inventory # P111601467168

More information about this seller | Contact this seller

Buy New
US$ 403.73
Convert currency

Add to Basket

Shipping: FREE
Within U.S.A.
Destination, rates & speeds

2.

HCPro; Wayne van Halem AHFI CFE President
Published by HCPro (2010)
ISBN 10: 1601467168 ISBN 13: 9781601467164
New Softcover Quantity Available: 1
Seller:
Irish Booksellers
(Portland, ME, U.S.A.)
Rating
[?]

Book Description HCPro, 2010. Condition: New. book. Seller Inventory # MB00ZY93C1Q

More information about this seller | Contact this seller

Buy New
US$ 965.57
Convert currency

Add to Basket

Shipping: US$ 3.27
Within U.S.A.
Destination, rates & speeds