Communication is essential to a smooth appeals process. Your practice was the subject of a special investigation unit (SIU) audit, and now the payer is asking for a refund. You have two choices: pay or appeal. If you disagree with the findings, the smart choice is to meet with the payer, appeal the findings, and ...
Keep calm, know your responsibilities and risks, have a plan, and carry on. If your physician office receives a request for records from a health plan’s special investigations unit (SIU), your best defense is knowing the options, responsibilities, and duties attached to the request. Understand the SIU and FWA The SIU is part of the ...
Understand what being part of this unique team entails, and if it’s right for you.  By Lisa Jensen, MHBL, FACMPE, CPC If you have a passion for medical auditing, you may have obtained, or thought about obtaining, a credential such as Certified Professional Coder (CPC®), Certified Professional Coder-Payer (CPC-P®), Certified Medical Auditor (CPMA®), or other ...