Medicare Compliance & Reimbursement - 2010 Issue 15
AUDITS: Take These Steps if You Find Out You'll Soon Be Paid a Visit From an Auditor
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Article Overview
This article discusses how medical practices can prepare when an audit is expected from a payer, MAC, or other oversight entity. It focuses on general compliance readiness, staff training, internal review, involving legal counsel when appropriate, and preserving documentation integrity. The piece is aimed at practice leaders, compliance staff, and billing personnel who need to understand the broad steps involved before and during an audit.
Why This Topic Matters
Audits can affect compliance exposure, staff handling of requests, and how records are managed during a review. Understanding the article helps practices recognize the importance of advance preparation and careful response procedures.
What You Will Learn
- How to approach audit preparedness as part of routine compliance planning
- Why internal auditing and staff education are emphasized before an external audit
- How practices can organize their response after receiving notice of an audit
- When legal counsel or an external reviewer may be involved in the process
- Why record integrity and accurate documentation matter during an audit
Who Should Read This
- Medical practice administrators
- Compliance officers
- Billing and coding staff
- Physicians and other providers
- Healthcare office managers
- Practice attorneys
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