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.
Course Content
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