Preparing for and preventing a provider payor audit
When it comes to medical and health care reimbursements, there are key issues that are often overlooked. Knowing what these issues are and how you can prepare for them can be instrumental in saving your organizations thousands in reimbursements and potentially avoiding other sanctions such as revocation, contract termination, payment suspensions or exclusion from the plan. This enlightening webinar will help organizations know what to look for, before making major decisions.
Many audits can be prevented, but when they do arrive, organizations can be prepared. Courtney Tito, a Member of McDonald Hopkins Health Care Group who specializes in payor audits, and Jeff Howard, President of Ray Howard & Associates, who has extensive experience in medical practice management, consulting and representing providers in various types of audits inclusive of internal audits, prepayment audits and post-payment audits, will provide attendees with their unique insights into these complex issues.
• Types of audits
• Fraud and abuse
• Documentation requirements
• Common denial reasons and appeals process
• Obligations of the 60-Day Rule
• COVID-19 considerations