Targeted Probe and Educate: Two Years and Counting -- Results and How to Help Your Agency

$30.00


[W3420] Targeted Probe and Educate: Two Years and Counting -- Results and How to Help Your Agency
The the steps involved in a TPE audit, how to respond and steps you can take to minimize your exposure.


Presentation Info:

  • TAHC&H Monthly Webinar | Recorded for On-Demand Access
  • Presentation Date | September 9, 2020

Education-Training Credits:

  • TX HCSSA Administrator/Alternate Continuing Education
    • 1.0 Clock Hrs
  • Continuing Education for Nurses
    • 1.0 Contact Hr(s)
    • This program awards CNE until 09/09/2022

CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities
  • §97.260[a][3]basic principles of management in a licensed health-related setting
  • §97.260[a][6]risk assessment and management

Program Description: CMS believes results of the Home Health Targeted Probe and Educate program have been favorable based on the decrease in claim errors after providers received education. In this webinar, Lorraine Rosado and Richard Pecore will discuss the steps involved in a TPE audit, how to respond and steps you can take to minimize your exposure. This webinar is 60 minutes and includes a brief Q & A session.

Program Learning Outcome: Participants will actively engage in a discussion of the process for the Targeted Probe and Educate Program and apply theses lessons learned from the first round of audits to their daily practice to improve agency compliance and documentation and avoid denials and errors related to the TPE record reviews.

TAHC&H Faculty/Presenter(s): Loraine Rosado, JD and Richard Pecore, JD | Liles Parker Attorneys & Counselors at Law

About the Presenter:
Lorraine Rosado
is a key member of Liles Parker’s healthcare team and has been an attorney at the firm for nearly six years. She defends healthcare providers facing overpayment claims and counsels clients nationwide on compliance with healthcare statutes, regulations, and contract matters. She has represented providers in panel qualification and termination matters. She has extensive experience working on complex cases involving both Federal and State violations of the False Claims Act, including whistleblower cases. She is skilled in administrative litigation and appeals.

Lorraine has handled claims disputes involving most major healthcare payors, including Medicare, Medicaid, TRICARE, various BlueCross BlueShield entities, and UnitedHealthcare. She is experienced working on large, complex administrative appeals of extrapolated alleged overpayments assessed by Centers for Medicare and Medicaid Services (CMS) contractors, including Zone Program Integrity Contractors (ZPICs), Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), and Medicaid Integrity Contractors (MICs).

About the Presenter:
Richard Pecore
is a licensed Texas attorney with over 20 years of experience. Mr. Pecore is a graduate of the University of Texas and South Texas College of Law Houston. Mr. Pecore joined Liles Parker as an associate attorney in January 2012 and became a partner with the firm in February 2016. Mr. Pecore has worked on a variety of health care related matters, and the past 6 years focusing on Medicare and Medicaid administrative provider appeals and creating provider regulatory compliance plans. Since joining Liles Parker, Mr. Pecore has focused on “big box” Medicare and Medicaid overpayments. He has successfully defended overpayment cases ranging in value from $15,000 to $6 million dollars. Mr. Pecore is a Certified Medical Compliance Officer with PMI, is a member of the American Health Lawyers Association. Mr. Pecore lives in Kingwood, Texas.


[W3420] Targeted Probe and Educate: Two Years and Counting -- Results and How to Help Your Agency

Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.

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