Medicare Audit Assistance

With the passage of the Health Insurance Portability and Accountability Act of 1996 and The Balanced Budget Act of 1997, money has been specifically budgeted to increase the work force allocated to auditing for fraud and/or abuse. Is your practice prepared? Do you know what measures to take when you receive a letter from Medicare demanding a large amount of money?

Measures can be taken to decrease the amount of money owed and reduce the impact of future audits. Our experienced Certified Professional Coders can assist you in the following areas:

• Evaluate the accuracy of the Medicare audit.
• Prepare reports providing supporting documentation for situations where Medicare's results should be challenged.
• Discuss coding issue(s) with the assigned Medicare representative.
• Explain the options available to the practice to resolve the audit.
• Educate physicians and billing staff of any issues that should be avoided in the future.