BC Advantage - 2013 Issue 12

Audits: What's the Big Deal?

"How Medical Necessity Impacts the Outcome"As we approach the holiday season I can tell you that government auditors and those contracted to audit on behalf of our government are going to be in a very giving mood... they will be handing out lots of Post Payment Reviews resulting in Determinations of Overpayments. Every year around this time I write about the state of our industry and what we have dealt with and what I believe we will be dealing with come the New Year.I do not have good news here for several reasons. First is that our system...

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