tci Medicare Compliance & Reimbursement - 2010 Issue 6

AUDITING 202: Stave Off Allegations That You've Wronged Medicare: Use This 3-Pronged Approach to Self-Audits

Consider using this individualized method for doing retrospective reviews. Audit not and your claims will be fair game for government entities and whistleblowers trolling for Medicare overpayments. You can, however, cast an effective compliance net with these expert tips for policing your own claims and managing scenarios where you may have billed Medicare improperly.1. Bulletproof your operations with prepayment reviews. That's the tack that cardiology consultant Jim Collins, CCC, CPC, recommends his clients take. To perform a prospective audit, you place "charges on hold for the audit sample," conduct the audit and correct any inappropriately coded services...

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