Home Health & Hospice Week

Regulations:

What The New Informal Dispute Resolution Provision Means For You

Keep these factors in mind when pursuing this alternative sanction. Along with a myriad of new civil money penalties and alternative sanctions, you also have a new informal dispute resolution (IDR) option. Although the new process sounds "friendly" enough, the terms of this provision aren’t all peaches-and-cream. According to the 2013 Prospective Payment System final rule, you now have the opportunity to request an IDR to dispute any condition-level survey findings following your receipt of an official statement of deficiencies (see §488.645). You would receive the notification of your opportunity to request an IDR along with the Statement of Deficiencies. The IDR can change the outcome of your survey, even spurring a revised Statement of Deficiencies. Be Prepared -- Do This Beforehand As with any agency audit, the work you do beforehand can make or break the entire process. So before you even have a survey -- much less request an IDR -- [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All