Tips to ensure that payers' audits are fair and equitable
Payers may insist upon the right to audit providers' books and records in a number of contexts and for various reasons. Scrupulous providers should have no objection to this in principle. Payers should not be required merely to accept a provider's word that things are exactly as presented and pay the provider without any question.
All too often, however, audits become an excuse to delay payments, render short payments, increase the costs and administrative burdens of contracts, and justify improper offsets or other payment recoupment long after the payer reimbursed the provider.
Most Viewed
Most Emailed
- Urologists 'Outraged' Over PSA Test Challenge
- Luxury Hospital Facilities Put Patient Experience First
- Mapping Out Revenue-Cycle Solutions
- Will Maryland's Rate Shift Send Tremors Around the Country?
- E-book Revolution Changes, Challenges Healthcare
- How Rivals Built an ACO
- New Facebook Page Gathers Stories of Medical Harm
- ICD-10 Coding Uncovers Higher Rate of Fatal Falls Among Seniors
- FL Hospital Vendors Sentenced in Bribery Scheme
- Health Insurance Exchanges Put Defined Benefits to the Test

