While compliance may not seem like the most exciting thing in the world, it can help you avoid some hassle. You need to make sure that you’re doing things the right way, based on the coverage criteria policy for that payer. And if you accept government programs like Medicare, Medicaid, or Tricare, then you need to navigate their rules, as well. The payers also expect compliance within the state scope of practice and other state laws. All this can be tricky for a neighborhood physician, so when you find yourself falling short, talk to a trusted name in the field.
Here at Medical Auditing Solutions, you have a guide to the world of compliance, audits, and with our partners. We work alongside medical professionals and their teams to help them become a more effective, efficient office. We also understand that, sometimes, government programs and private payers perform audits to root out fraud, waste, and abuse. Show them you’re doing things the right way.
Let’s talk about ways to improve your approach. Call MAS today.
Best Way To Handle An Audit? Avoid It Entirely
You help patients to fight back against health problems once they occur; you also know that prevention can be a positive way to avoid issues before they even start. Compliance and auditing are similar, meaning that your actions now could lead to a simpler time process and less findings and overpayments down the line. But when you’re sloppy with your filing, it could make things tougher than they need to be.
Private payers and government programs both want to know that you are following all the rules. Now, there is a very good reason for this, as they need to prevent fraud, waste, and abuse as early as possible. But if you’ve not taken the time to brush up on your compliance training, your paperwork could have deficiencies. When this happens, it’s their duty to ask some more questions, so make sure you’ve filed claims in an accurate and correct way.
We Can Help Before, During, And After An Audit
It’s not if but when will an audit happen. Even with the right compliance training and dedication, it can be difficult to do everything exactly as these companies and agencies want. But when they come to you for more information, you need to be ready, organized, and know how they want to see the response data.
Our team works alongside medical healthcare professionals at every step of the way to ensure that teams have what they need. From keeping an eye on practice management companies to navigating the complex world of payer and government audits, we’re here to help.
Find Your Way Forward With MAS
If you’ve been contacted by a government agency or private insurance company, it’s time to talk to our team. To find out more about what to do during an audit, call Medical Auditing Solutions at (972) 459-1508 today!