Audit Zone

Payor Disputes and Audits: Observations & Strategies

Catherine Short speaks with Courtney Tito, Esq., Member of the Health Law group at McDonald Hopkins, LLC in its West Palm Beach office about “Payor Disputes and Audits: Observations & Strategies.” Our discussion will help listeners better understand the payor audit process and prepare the organization to respond. We will talk about the payor audit process from the government perspective and compare and contrast typical government audits with typical commercial audits. Finally, we will identify some best practices that providers can implement now to prepare for payor audits.

Healthcare Regulatory Compliance Solutions

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Performance Improvement Plan

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Healthcare Compliance -Claims and Procedures

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Healthcare Compliance - Medicare

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The treatment of family members falls under General Exclusions from Coverage under Medicare. No payment will be made for items or services for a family member when the charge is…
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