Part 3: Learn how to appeal appropriately. By  Dennis Mihale, MD, MBA; Jeremy P. Burnette, JD, MA; and Sidney Summers Welch, JD, MPH Being audited is serious business. If you think there is an error with the payer’s findings, you have a right to appeal the decision and should do so, as appropriate. But you’ll need to ...
In Audit
Jan 1st, 2014
Part 1: Handle private payer audits effectively and limit future risk. Editor’s Note: This is the first in a series of articles to give you practical advice on how to handle payer audits, minimize your exposure, and limit future audits. This month, we discuss private payer audits. In upcoming months, we’ll cover audits by federal, ...