The word “audit” can bring up uneasy feelings and sighs among those who work in health care. As this article highlights, with the right preparation, audits can become routine.
Depending on which types of patients you serve, your health plan may be audited by many regulatory entities. These can include the Centers for Medicare and Medicaid Services (CMS), your state’s Medicaid department, managed care agencies and more. Your compliance department should be notified when an audit will be conducted. If you do not have a compliance department, your point of contact will typically be in your C-Suite, such as your CEO or CFO.
Your preparation for your audit can be broken into three distinct areas:
- Pre-Onsite Visit
- On-site Visit
- Post-On-site Visit