Dear list,
Seeking advice from NHIC Region A folks for a Medicare C-leg audit. I’ve
successfully passed a few audits through Region C, but this is my first
through Region A and I hear they are tougher. I am not seeking general
advice on the audit process. Unfortunately, I am all too experienced. I am
looking for anything specific that Region A does differently or looks at
more diligently in the C-leg audits. Any specific denial areas to focus on
or additional documentation suggestions to provide in addition to what is
requested on their form? I have excellent Opie internal documentation, I am
ALL OVER that delivery receipt and we proactively get good physician
documentation. I am just not familiar at all with Region A as it
incorporates a very low percentage of our overall claim volume. Any advice
is appreciated.
Joan K. Cestaro, C.P.
RPI- Virginia
