Audits

Post-Payment Insurance Audits – Top 10 Areas of Risk

Post-Payment Insurance Audits – Top 10 Areas of Risk

Health insurance payers monitor the billing, coding and documentation practices of health care providers in order to prevent fraud and abuse within the health payment system. A common process that insurers utilize is the post-payment audit or retroactive review of...
Preparing for an Office Site Visit

Preparing for an Office Site Visit

The Centers for Medicare and Medicaid Services (CMS), through its contractors, often perform medical record reviews and audits for new and existing providers and suppliers. These audits are conducted to detect potential fraud and abuse within the healthcare payment...
How Much Does A Healthcare Audit Cost Your Office

How Much Does A Healthcare Audit Cost Your Office

By now, most, if not all healthcare providers have been audited by either a health insurance payer or the Centers for Medicare and Medicaid Services, or both. The healthcare audit process can vary depending on the payer; however, most audits follow a general process...
HIPAA Audits Have Begun

HIPAA Audits Have Begun

The American Recovery and Reinvestment Act of 2009, in Section 13411 of the HITECH Act, requires the Department of Health and Human Services (HHS) to provide for periodic audits to ensure covered entities and business associates are complying with the HIPAA Privacy...