tci Medicare Compliance & Reimbursement - 2017 Issue 7
Compliance: Check Audit Worries at the Door With These 7 Steps
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Article Overview
This article explains practical compliance preparation for a Medicare audit or audit site visit and outlines what to do after auditors leave. It is written for provider leadership, compliance staff, and practice administrators who need a general understanding of audit readiness, office organization, communication with auditors, and post-audit response processes.
Why This Topic Matters
Audit activity can affect billing operations, documentation handling, and organizational compliance. The article helps readers understand the broad operational steps involved in audit preparedness and the internal follow-up process after an audit review.
Article Sections
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Immediate steps after receiving an audit notice
Covers the initial response to an audit letter, including address verification, communication with auditors, attorney involvement, office readiness, staff coordination, identification procedures, and document handling.
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When auditors leave
Describes the general post-audit response process, including internal review of findings and planning for corrective follow-up.
What You Will Learn
- How audit readiness is addressed in a Medicare compliance context
- What operational preparations are emphasized before an audit or site visit
- How practices can organize their response during an auditor visit
- What general follow-up actions may be considered after audit findings
- Why internal compliance processes and staff engagement matter after an audit
Who Should Read This
- Provider leadership
- Practice administrators
- Compliance staff
- Health information management staff
- Medical office managers
- Billing and revenue cycle teams
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