Home Health Care Delivery

Reimbursement Advocate Alert for June 12, 2012

Private Payer Audits: What You Need to Know

In 2012, physician practices may be subject to as many as 20 different types of payer audits, including federal, state and private payer reviews. Join the AMA for the first webinar in its audit series, "Private payer audits: What you need to know," on Wednesday, June 13, at 12:00 p.m.  This presentation reviews the various types of private payer audits, how to minimize your risk of being audited, what to do if you are audited and what actions to take if the audit results in recovery dollars.

In this webinar, you get answers to these questions:
• Which organizations are conducting audits?
• Why did they choose you? How did they choose the claims?
• What is the difference between automated and comprehensive reviews?
• What should you do if you receive an audit notice?
• How can you appeal an adverse finding?
• What can you do to prevent new audits?

Space is limited so register now! If you are unable to attend the live webinar on June 13, this webinar will also be archived for your convenience.

Presenter information: Dennis Mihale MD, MBA – Doctor Mihale is a recognized thought leader in the health care industry and the medical community. He is a Partner and Chief Medical Officer with Sunera, a health care auditing firm that focuses on medical records, technology audit, and HIPAA compliance. He has led a team of medical records auditing professionals for over 10 years, with a focus on compliance and recovery.

For more information about reimbursement issues, contact Stacie Saylor, CPC, at MSMS at 517-336-5722 or ssaylor@msms.org. For more news and information, visit www.msms.org where you can read Medigram and Michigan Medicine online.