Hospice Insights: The Law and Beyond

David v. Goliath: Taking on Payment Suspension and Extrapolation

Episode Summary

Payment suspension and overpayment extrapolation are among the most extreme and effective enforcement tools available to the Centers for Medicare and Medicaid Services (CMS) and its auditors. However, even these measures can be overcome. In this episode, Husch Blackwell’s Meg Pekarske, Bryan Nowicki, and Emily Solum talk about our hospice team’s latest encounter with payment suspension and extrapolation. Spoiler alert—it has a happy ending!

Episode Notes

Payment suspension and overpayment extrapolation are among the most extreme and effective enforcement tools available to the Centers for Medicare and Medicaid Services (CMS) and its auditors. However, even these measures can be overcome. In this episode, Husch Blackwell’s Meg Pekarske, Bryan Nowicki, and Emily Solum talk about our hospice team’s latest encounter with payment suspension and extrapolation. Spoiler alert—it has a happy ending!