How to Handle a Medicare Audit
- Contact your attorney immediately. . Your attorney can advise you on the audit’s level of seriousness and how best to...
- Read the audit letter carefully. . Make sure to provide all of the requested information when responding.
- Submit a copy of the complete record. . This includes not just records from the date of service in the audit...
What are the two types of Medicare audits?
The two types. Medicare audits fall loosely into two types: a prepayment review and an analysis of claims after payment. Prepayment claims are the most common type, and are typically random reviews by carriers that look at just one or two of each physician’s claims. The primary purpose of such a focused review is to educate a physician about ...
What to include in a patient's medical records?
If the records aren’t clearly readable, have the illegible record transcribed and included with the copies of the original records. Make sure no information has been cut off. Include related X-rays or other diagnostic studies. It’s important to include everything that’s part of the patient’s records.
