decisionhealth Newsletters, Part B News - 2014 Issue 9 (September)
CMS hasn’t done enough to reduce duplicative post-payment audits
Subscribe or sign in to view the full article.
Article Overview
This article covers a Government Accountability Office review of CMS post-payment audit oversight in Medicare. It explains the contractor types involved, the use of a CMS database intended to track review activity, and the broader issue of inconsistent reporting and coordination across audit contractors. The piece is relevant to compliance, audit management, and Medicare program integrity stakeholders who need to understand how CMS is handling post-payment review processes.
Why This Topic Matters
Duplicative post-payment audits can create administrative burden and complicate provider compliance efforts, so issues in contractor coordination and data reliability are important for organizations affected by Medicare review activity.
What You Will Learn
- Which Medicare contractor groups are involved in post-payment audit oversight
- Why CMS uses a tracking database for audit coordination
- What GAO found about reporting consistency and oversight differences
- How coordination challenges affect post-payment review processes
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance officers
- Revenue cycle managers
- Healthcare administrators
- Medicare providers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com