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Medicare Compliance & Reimbursement

Audit Preparedness:

Prep For These Common Audits Your Practice Could Soon Face

Published on Wed Oct 10, 2012

Expert pointers offer insight on how to face the auditors.With multiple kinds of audits underway, you could find multiple auditors asking to review your records for a variety of reasons. It's enough to keep you up at night. Understand what these audits relate to and how your practice or facility should gear up to face them and avoid sleepless nights. Read on for the scoop on getting ready for five types of audits: four Medicare audits as well as Health Insurance Portability and Accountability Act (HIPAA) audits conducted under the Office for Civil Rights (OCR) program to assess privacy and security.1. Watch for ADS Letter From Your MACYour Medicare Administrative Contractor (MAC) processes claims and can perform pre-payment and post-payment reviews. If your MAC identifies you for an audit, it will send you an Automated Development System (ADS) letter, typically asking you to submit specific documentation.Important: Be sure to review [...]
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