Monitoring and Tracking - DoctorsManagement Monitoring and Tracking - DoctorsManagement

Monitoring and Tracking: Are You Tracking Your Audits?

By Shannon DeConda, CPC, CPC-I, CPMA, CEMC, CMSCS | August 12, 2014

EDITOR’S NOTE: A call-in by a listener to Monitor Mondays last Monday has prompted this special bulletin.

So you know you are audited, you even know they are RAC audits, but what are you doing about it? How are you tracking what is audited, recouped, overturned, etc.? It is imperative that you are tracking every facet of every audit.

When you receive a request for records from a carrier, the concern should not be how quickly can you pull the records and get them back out of the door until you first do your due diligence of the request. Let’s break down the audit review process and what procedures should be in place for each process. Every audit, even every record request, should be handled the same way, as they all affect the practice reimbursement on some level.

So let’s start at the beginning and work our way through.

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