tci Medicare Compliance & Reimbursement - 2019 Issue 3

Compliance: Apply This Expert Input To Factor Your Audit Odds

Check Medicare utilization data by specialty to see where you fit in. Medicare audits are on the uptick as CMS tries to rein in fraud and abuse. And what’s more, recovery audit contractors (RACs) have said a significant focus this year is going to be on physician practices — but there are ways you can find out exactly what your risk of an audit (or repayment) could be. That was the word from Frank D. Cohen, director of analytics and business intelligence with Doctors Management, LLC, during the Jan. 24 webinar “Building a Risk-Based Audit Plan,&rdquo...

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