Medicare can choose to audit any practice at random but they also can target certain specialties from time to time.
You need to answer their queries by the date they have told you to. This is a drop everything and get it done urgent goal to accomplish.
If they suspect that you have overbilled there is no mercy. You have to be able to substantiate everything you have claimed.
This can take a LOT of time and staff are usually pushed to their limit just keeping their head above water on a day to day basis.
I have specialised skills in undertaking Medicare and Clinical Audits on a case by case basis. This entails access to your clinical software and an email directly to you without staff access. Then I need to go through each query line by line to make sure all the paperwork is there to substantiate the claim.
If you’re doing everything the way it should be, there is nothing to worry about. Even if there are errors, these are allowed. We just have to find them and advise of them.
Let’s have a chat about you have to provide Medicare.
