RUG Reviews: Signing Documents Provided by the Reviewers

http://www.youtube.com/watch?v=gAJV7FsoXkg   During the exit interview of a RUG review, you will be asked to sign and initial documents.  It is very important that you understand what you are initialing or signing.  Carefully review the document that you are asked to sign and ask questions if you don’t understand it before you sign or initial.  These documents create a record that may become relevant in a Reconsideration or Appeal.  Let us discuss the details by first reviewing the … [Read more...]

YOUR RIGHTS DURING A RUG REVIEW

http://youtu.be/0My7cUQgW_w   What are your rights during a RUG Review?  It may be an overstatement to say that you have rights as the deck is so stacked against the provider and in favor of the OIG.  But, there are a few things to which you are entitled as part of the process of which you should be aware. First, the OIG is required to give you a letter upon entrance into your facility.  This is the signal that the review is beginning.  The letter will explain the procedures of the … [Read more...]

Never Talk to the Police

I've been wanting to post this video for a while. With the ramping up of fraud investigations and investigations of abuse and neglect, there is a chance that some of you might be subjected to an investigation by law enforcement. Additionally, there are investigators in the AG's office whose background is law enforcement. This is a great video about how these people work and why you should jealously guard your 5th Amendment rights. Here is part 2. … [Read more...]