Advanced Search

Practice Management Alert

Payer Pointers:

Learn the Ropes of 5 Common Audits Your Practice May Face

Published on Tue Sep 18, 2012

Understanding several types of audits can help your practice prepare.If you are getting confused by all the different types of audits you hear that may be coming your practice's way, you aren't alone. There are multiple auditors that may ask to review your records for a variety of reasons. So how can you keep it all straight?Read on for the scoop on getting ready for five types of audits: four Medicare audits and Health Insurance Portability and Accountability Act (HIPAA) audits 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 both the front and back of the [...]
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 Revenue Cycle Insider
  • 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

Other Articles in this issue of

Practice Management Alert

View All