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Physician, Audit Thyself

in Documentation
By Team KMCU

It’s Not if You’ll Get Audited — It’s When

Physician, Audit ThyselfYou’ve probably been told more than once that it’s better to audit yourself and make sure you’re in compliance with HIPAA, the OIG and on issues like documentation, instead of waiting to be audited later by an outside source that uncovers big problems. Let us be clear: in today’s highly regulated and highly scrutinized environment, it’s not if you’ll get audited — it’s when.

Non-compliance can cost you in more ways than one. Not only can it affect your reimbursement from third-party payers, it can also — and more importantly — be a factor in your licensure. The OIG is on the hunt for poor documentation, and so are other third-party payers.

Reporting is on the rise. Currently, insurance carriers are filing complaints with examining boards with more frequency when the doctor’s documentation is poor and doesn’t meet the contract’s requirements. If you get reported, your state’s board of examiners is then compelled to investigate the allegation. Don’t find out the hard way that your documentation is lacking. Perform internal audits of your own documentation, and look for trouble spots that could affect your compliance.

Next Steps:

  1. Could you face an audit without flinching? Call us at (855) 832-6562.
  2. Is your practice compliant? Take our free Compliance Self-Assessment survey and see!
  3. Let us help you determine your level of risk with our expert Analysis Services. We’ll complete a Three-Chart Review and you will know you are safe, or exactly what you need to do to get safe. We’re here to help you succeed.