Post-Pay Audit

Why This Topic Matters

Post-payment audits can require practices to locate records, review documentation, and respond under time pressure. Understanding the article helps practices assess whether their internal processes support compliant billing and organized recordkeeping.

Article Sections

1. Preparation key to post-pay audit survival

   Introduces the post-payment audit process and why advance preparation matters. Covers the general timeline and the need to organize records before the auditor arrives.

2. Plan of action

   Outlines broad operational steps for assembling requested documentation, coordinating staff, and preparing copies of records. Emphasizes organization and communication across offices and departments.

3. Pre-audits can help you prepare

   Describes the role of internal review before the payer visit. Focuses on identifying patterns in claims handling, preparing staff, and distinguishing documentation issues from other process problems.

4. Decipher your doctors

   Discusses how physician documentation habits can affect record review. Covers shorthand, abbreviations, dictation practices, and maintaining reference materials for staff and reviewers.

5. Perception key – What does your carrier think of you?

   Addresses how an audit may shape the payer’s view of the practice. Highlights education, consistency, and the importance of overall compliance behavior over time.

6. Addenda: You can do them, but …

   Reviews the article’s discussion of medical record addenda in the audit context. Explains the general concerns about timing, review, and how later additions may be viewed during post-payment review.