The Dos and Don’ts of Medical Payer Audits: How to Identify and Respond to Them

Guillermo Beades, Partner, Frier Levitt, and Jim Tudor, Director of Coding & Billing Compliance, HealthCare Compliance Network, discuss considerations related to medical payer audits, from both the provider and payer perspectives. They cover why audits occur; how to avoid an audit; and best practices for handling post-payment audits, pre-payment audits, and pre-payment reviews. Guillermo and Jim recently authored an article for AHLA’s Journal of Health and Life Sciences Law about this issue.