Medicare Compliance & Reimbursement - 2014 Issue 33
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Article Overview
This brief article covers a trade association’s appeal to federal health leadership about Medicare audit practices and the use of extrapolation in calculating audit findings. It is relevant to hospital compliance, revenue cycle, and coding/audit professionals who track Medicare oversight policy and reimbursement-related enforcement trends.
Why This Topic Matters
Changes to Medicare audit methodology can affect hospitals’ compliance exposure, financial recoveries, and how organizations prepare for audits and appeals.
What You Will Learn
- What issue the American Hospital Association raised with federal health officials
- How Medicare audit methodology is being challenged at a policy level
- Why hospitals and audit/compliance teams may care about this topic
- What broader compliance and reimbursement concerns are associated with audit extrapolation
Who Should Read This
- Hospital compliance teams
- Revenue cycle professionals
- Medical coders
- Coding auditors
- Healthcare administrators
- Provider organizations
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