What happens in a medicare audit
What happens in a Medicare audit A Medicare audit is a review process conducted to ensure that healthcare providers comply with Medicare’s rules and regulations, including billing practices, patient care, and documentation standards. Here’s what typically happens during a Medicare audit: Notification: The provider receives a notice from Medicare or a Medicare contractor (such as […]
Healthcare practice tax audit
Healthcare practice tax audit When auditing a healthcare practice, the IRS typically looks for several key elements to ensure compliance with tax laws and regulations. Here are the primary areas of focus: 1. Income Reporting:Accuracy of Revenue Reporting: Ensuring that all income, including patient fees, insurance payments, and other sources, is accurately reported.Unreported Income: Identifying […]
Defending a Pharmacy Benefit Manager (PBM) audit
Defending a Pharmacy Benefit Manager (PBM) audit involves several key steps to ensure compliance, accuracy, and proper documentation. Here are the steps to effectively defend a PBM audit: 1. Preparation and OrganizationDocument Management: Ensure all pharmacy records, including prescriptions, invoices, and patient information, are well-organized and easily accessible.Audit Guidelines: Familiarize yourself with the audit guidelines […]