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 beginning with a request for medical records. The healthcare provider submits […]
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Healthcare audits are common. Most healthcare providers know someone who has been audited or they themselves have been audited. Audits often reveal issues or concerns with regards to a provider’s billing, coding or documentation. If the payer determines that a problem exists, then the payer will usually request a refund of the overpayment which was
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