decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 10 (October)
GAO: CMS hasn’t done enough to reduce duplicative post-payment audits
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Article Overview
This article summarizes a Government Accountability Office report examining CMS oversight of Medicare post-payment audit activity. It focuses on coordination challenges among different contractor types, the reliability of tracking data, and the broader issue of duplicative review processes. The piece is relevant to coding, compliance, audit management, and revenue cycle teams working with Medicare post-payment review programs.
Why This Topic Matters
Audit duplication and inconsistent contractor coordination can affect compliance workload, documentation review burden, and administrative efficiency for organizations subject to Medicare post-payment audits.
What You Will Learn
- Which Medicare post-payment audit contractors were reviewed by GAO
- Why CMS tracking and coordination efforts were found to be incomplete
- What general oversight and process issues were identified in the report
- How the report relates to audit compliance and administrative review processes
Who Should Read This
- Medical coders
- Coding auditors
- Compliance officers
- Revenue cycle managers
- Healthcare administrators
- Medicare billing teams
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