BC Advantage - 2021 Issue 2

The Year of the Audit: Stand Your Ground with Payers

Welcome to 2021, "y'all" - as we say down yonder in the beautiful South! Let me begin by making it clear that the issues discussed in this article are not specific to any particular commercial or federal healthcare payer or program. Nor do I intend to disparage those payers that utilize third-party contractors to do their audit reviews. Over the years I have worked with so many wonderful and talented auditors and professionals at Blue Cross Blue Shield payers, UHC, Aetna, CIGNA, Humana, Medicare carriers, etc. and the ability to reason and collaborate with them has always been something...

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