2021 Fall Conference - Compliant Audits: Best Practices for Successful Outcomes and High Reliability - HBMA Store

Compliant Audits: Best Practices for Successful Outcomes and High Reliability Presented by Paul Kim & Christina Krueckeberg

Event Date: September 8th, 2021
This program is valid for 1 CHBME credit

Description
Many health insurance plans, especially Medicare, have deployed an army of auditors, such as Ciox, Inovalon, Recovery Audit Contractors, Optum, and Unified Program Integrity Contractors, to claw back as much of the prior payments as possible. Through both legal requirements and practical tips, this session will address not only how to conduct a comprehensive and compliant audit but also why such an audit is important and required. The two presenters will share their experiences from both an internal and external as well as a legal and best-practice perspectives.