Payer Audit Increases: Avoid Getting Targeted

Length: 60 minutes Expert: Kelly Grahovac, MBA
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Payers have made it clear that they’ll be pushing harder than ever to reclaim reimbursement that they believe has been paid to you in error. Both Medicare and private payers have added increased audit activities to their work plan to accomplish this.

Getting selected for an audit can significantly decrease your reimbursement due to delayed payments. And failed audits can lead to large recoupments from years of claims or even referrals to law enforcement agencies. The only way for you to avoid and/or survive a costly audit nightmare is to master these new requirements.

Remember, that ignorance of billing and coverage requirements will not prevent you from paying hefty fines.

Fortunately, audit expert, Kelly Grahovac, MBA, can help. Simply register for her upcoming online training on to get EXACTLY what you need to protect your practice from impending payer audits. During this 60-minute training, you’ll receive step-by-step advice to help you significantly reduce your chances of being audited. And if you do get an audit notification, Kelly will show you how to respond and comply with audit requirements to make the process go as quickly and painlessly as possible.

*Access to this online training is limited to ensure you have the time to get your specific questions answered. Don’t wait, sign up today!

Here are just a few of the proven, plain-English payer audit survival strategies you’ll receive by attending Kelly’s limited-access live training:

  • Fly under auditor radars to avoid the hassle and expense of a payer audit
  • Don’t let an audit dry up your reimbursement, find out how to keep your cash flowing
  • Pin down the correct way to respond to each audit contractor to improve your outcomes
  • Avoid common audit risk areas that can cost you thousands
  • Don’t be bullied by auditors, know your rights and the best way to voice them
  • How to challenge audit findings and get the results you want
  • Don’t let your lack of or incorrect response land you in legal hot water
  • Successfully pass an audit, and learn how to avoid getting selected in the future
  • Identify how to significantly reduce the financial impact of an audit on your practice
  • And so much more…

IMPORTANT: This training is perfect for ALL medical practices/clinics that bill Federal payor programs, regardless of their size and specialty. If you are interested in how to avoid and survive an audit for any of the payers/agencies listed, this session is a must-attend for you: RAC, MAC, UPIC, SMRC, CERT, Medicare Managed Care/HMO, and Medicaid.

Payer audits are expected to reach an all-time high this year, and only those practices that are prepared will survive. By investing just 60 minutes of your time, you can get the expert advice you need to overcome, or altogether avoid, an audit.

Meet Your Expert

Kelly Grahovac
MBAGeneral Manager for the van Halem Group

Kelly Grahovac serves as the General Manager for The van Halem Group where she focuses on audits, appeals, education and training across multiple lines of business and various specialties. Kelly is a known lecturer in the DME and HHH industries, speaking at national conferences, state associations, and for private events.

Kelly has nearly 10 years of experience at one of the nation’s leading Medicare contractors where she worked for the DMERC, QIC, and A/B MAC. She has since brought this knowledge and experience over to The van Halem Group, where she has been working since 2013 to assist providers as they navigate the ever changing healthcare payor landscape.

Reviews

It was great!!!
Alexandra Contini
 SHM, Auditor
Very professional.
Julie Forrest
Greenville Dermatology, Billing
I thought it was good. I now have a better understanding of the different types of audits that we could go through, and how to handle them. 
Vicki Funk
BMI Surgery SC, Practice Manager
Very informative, useful information.
Jodi Jacobs
Varicose to Perfect, Practice Manager
Lots of good information, good to have contact information to reach out with questions.
Cerena Warner
Alaska Internal Medicine & Pediatrics, Office/Billing Manager