How to Prepare for a Post-Payment Medicare Audit
- Increasing Audit Risk: Audits in the Medicare program are becoming more analytical and targeted.
- Undiscovered Risk: Poor coding, lack of documentation, and problems with medical necessity could trigger an audit.
- Audit Preparedness: Ensure proper record keeping, revenue cycle management visibility, and periodic internal audits.
- Audit Compliance: Provide necessary documents and keep communications regular.
- Technology and Knowledge: Employ analytics, automation, and revenue cycle management solutions to mitigate audit risk.
- Revenue Cycle Efficiency: Ensure efficiency in the revenue cycle process to get fewer denials and faster payments.
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- Increasing Audit Risk: Audits in the Medicare program are becoming more analytical and targeted.
- Undiscovered Risk: Poor coding, lack of documentation, and problems with medical necessity could trigger an audit.
- Audit Preparedness: Ensure proper record keeping, revenue cycle management visibility, and periodic internal audits.
- Audit Compliance: Provide necessary documents and keep communications regular.
- Technology and Knowledge: Employ analytics, automation, and revenue cycle management solutions to mitigate audit risk.
- Revenue Cycle Efficiency: Ensure efficiency in the revenue cycle process to get fewer denials and faster payments.