If you receive a letter from Medicare about an audit, call your Attorney first....then call us!
A Performance Audit involves a series reviews in four (4) general areas billing data entry, documentation, coding, and charge capture. Other areas of the practice affect reimbursement too. Personnel from appointments, front desk, clinical assistants, check-out, and payment posting all contribute to financial success of any practice. The Performance Audit attempts to evaluate where omissions and errors occur in daily procedures that result in delayed and/or denial of requests for payment of services rendered.
Audits should be performed on a regular basis and made a part of the practice's Compliance program. A Consultant will start out by selecting areas that are the most at risk in your specific practice.
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