Successfully Navigating Third Party Audits
This is a unique presentation brought to you by a long-time coder turned healthcare reimbursement lawyer. This is not another run-of-the-mill audit session to show how to respond to an audit. This is a whole lot more! This presentation will teach attendees how not to fall into the trap of responding in a transactional fashion without knowing the details.
Often, third party audits can be successful in knowing the details. The details are not just the codes or billing for a service or procedure. You need to know the details which the auditor or payer relied on to determine their findings. Too frequently third-party audits are performed in a vacuum, which is the wrong approach for a variety of reasons. This session will take a close look behind a third-party audit and provide you with the knowledge and tools to be successful.
Participants in this session will learn:
• How to gather pertinent facts prior to responding to an audit.
• How and why provider contracts are important.
• Where to look for authoritative sources.
• Where and how to look at technical aspects which can turn the audit in your favor.
Joe Rivet, Esq., CCS-P, CPC, CEMC, CPMA, CICA, CHRC, CHPC, CHC, CCEP, CAC, CACO
Lakeshore Health Law, PLLC Grand Haven, MI