The chances that your practice will face a Medicare audit are higher than ever. In fact, the latest stats show that payer audits quadrupled last year. The reason? Medicare insurers are trying to claw back every dime possible.
The uptick in Medicare audit requests isn’t just restricted to Part B. In fact, Medicare Advantage auditors are looking for errors in claims that go back through 2018. If they find any issues during that “look back” period, you’ll have to pay back reimbursement you received six years ago, along with potential fines, penalties, and program exclusions.
The key to navigating, responding to, and surviving a Medicare audit is to have an expert in your corner. This is where healthcare attorney Osato F. Chitou, Esq., MPH, can help. In her upcoming 90-minute online training on Tuesday, June 4th at 1:00pm ET, she will share proven, straightforward strategies to help you ensure your practice is audit-ready, and if an issue is identified, that you’ll know how optimize your response.
Here are just a few of the step-by-step Medicare audit preparation and response strategies you’ll receive by attending this 90-minute online training:
- Discover the most common Medicare audit triggers and how to avoid them
- Dig into what auditors want you to produce before they arrive
- Pin down masterful response strategies you must deploy after getting an audit notice
- Shape your Medicare audit defense strategy with time-tested tips
- Untangle the differences between RADV, RAC, CERT, TPE, UPIC, and other audit types
- Uncover vocabulary you should use in your responses — and what to avoid
- Deploy a time-tested audit preparation response program that reduces recoupment demands
- Identify red flags in your auditor’s language to evaluate what they’re really looking for
- Customize your response to each audit type request for the highest odds of a positive outcome
- Recognize the signs indicating you need to call an attorney and when you can go it alone
- And much, much more…
Even if you’re confident you’re doing everything right, you remain at high risk of a Medicare audit, and preparation is the best way to ensure you can triumph over these audits.
If you accept Medicare or Medicare Advantage, you can’t afford to miss this upcoming online training. Sign up today to make sure you’re prepared to handle Medicare audit investigations and the red tape that comes with them. Register today!
Osato F. Chitou, Esq., MPH is the Founder and Principal Consultant of NMOC Healthcare Compliance Consulting, LLC, d/b/a Compli by Osato which provides legal and compliance advisory services to Payors and Providers in receipt of Government Healthcare Funds. Ms. Chitou has a deep understanding of Government Healthcare Programs and focuses her services on Medicare and Medicaid Conditions of Participation, Private Equity backed Physician Groups, Payor Contracting, and Effective Compliance Programs.
She is a subject matter expert in Medicare DSNP, CSNP, ISNP, MMP, and PACE regulatory requirements. She presents nationally on issues related to Medicare Advantage risk adjustment, compliance requirements, and best practices related to operationalizing compliance. Ms. Chitou received her BA in Biological Anthropology from Boston University, her MPH from the University of North Carolina – Greensboro and her JD from Rutgers School of Law. Ms. Chitou is admitted to practice Law in New York, New Jersey, and the Supreme Court of the United States.
