10 Tips for Facing a Medicare Audit

In a KevinMD blog post, George F. Indest, III, president and managing partner of The Health Law Firm, shares tips for facing a Medicare audit.

Ten of the important tips are:

1. All correspondence from Medicare, or the Medicare contractor, should be taken seriously.
2. Read the audit letter carefully and provide all the information requested in the letter.
3. Make sure all the medical records are legible and legibly copied.
4. If your practice involves taking or interpreting x-rays or other diagnostic studies, include these studies.
5. Include a brief summary of the care provided to the patient with each record — these will assist an auditor that may not be experienced in a particular specialty or practice area.
6. Any telephone communication with the auditor should be followed up with a letter confirming the telephone conference.
7. Keep complete, legible copies of all correspondence and every document you provide.
8. Properly label each copy of each medical record you provide and page number of everything you provide the auditors, by hand, if necessary.
9. Include a copy of the complete record and not just those from the dates of service requested in the audit letter.
10. Be sure to calendar the date that the records need to be in to the auditor and have the records there by that date.

More Articles on Practice Management:

Clinical Trial Data Sharing: What Models Are Most Responsible?
10 Ways to Become More Confident in Roles of Power
10 Ways to Improve Patient Satisfaction Without Incurring Costs

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