Do You Have the Right Stuff: Tales From the Audit Trail
They’re Back! Have you received an audit lately? To the surprise of some, audits of various levels are back. Most of these are post-payment audits, and the reinstatement of pre-payment Target Probe & Educate (TPE) audits is yet to come. TPE audits are intended to increase billing accuracy in very specific areas. The Medical Administrative Contractors (MAC’s) use data analysis to identify providers and suppliers who report unusually high error rates or unusual billing practices and items and services with high national error rates which present a financial risk to Medicare.
Continue Reading