tci General Surgery Coding Alert - 2012 Issue 5

Audits: Prepare Your Practice for 5 Common Audit Types

Avoid RAC trap for bilateral surgeries.If it seems like audits are coming at your general surgery practice from all directions, it's because they are. You need to have your records ready for any of the different auditors who can request them for various purposes.Read on for the scoop on getting ready for four types of Medicare audits, as well as Health Insurance Portability and accountability Act (HIPAA) audits under the Office for Civil Rights (OCR) program to assess privacy and security.1. Medicare Administrative Contractor (MAC)Your MAC processes claims and can perform pre-payment and post-payment reviews. If...

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