Medicare Compliance & Reimbursement

Use all the resources at your fingertips, including any applicable worksheets that your MAC offers. With all the attention lately on fraud and abuse issues in Medicare, many practices are ready to plan for their first self-audit but aren't sure where they should begin. We've got six important tips that can help you get on your way. What it means: When you perform a self-audit,you're comparing your physician's billing records, claims,and medical records to verify expected treatment outcomes and medical necessity of services. In addition, you'll look for appropriate documentation to support fees and reasonable charges for services your surgeons rendered. The plus here is that you'll discover any problems before an outside auditor does. 1. Involve the whole staff. Let every member of your practice know what you're doing and why, and remind them that you aren't trying to get anyone in trouble. Instead, you want to determine whether [...]