Target Audience: This activity is designed for Physicians, Healthcare Providers, Practice Managers, Human Resources, Employees Learning Objectives: At the end of this activity, physicians should be able to:
  • Describe the government audit process – from initial correspondence through the various stages of appeal and share speakers’ experience with respect to commercial payor audits – what is similar and what is different from government audits.
  • Discuss the provider’s responsibilities with respect to the medical necessity of testing for which it is submitting claims.
  • Identify steps providers can take to prepare for audits prior to an audit being initiated.
Faculty: Courtney Tito, Esq., Member of McDonald Hopkins, LLC. Courtney Tito counsels and represents clients in the health law industry, including, federal and private payor audits and disputes, reimbursement, contract, corporate, enrollment revocations, payment suspensions, internal investigations, compliance and regulatory, and in responding to federal subpoenas and civil investigative demands. She advises clients in both federal and state matters. She has counseled clients on regulatory, licensing, compliance, reimbursement, corporate, CLIA standards, state and federal fraud and abuse rules and regulations and telehealth matters. She has also advised clients regarding direct to consumer issues. Hardware/Software Requirements: Mac or Windows For technical questions/difficulties, please contact info@1sthcc.com or call 888-543-4778.

Course Content