Medicare Claims After Repayment Analysis

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They review claims before Medicare pays the physician, and an analysis of claims after repayment. They identify and correct Medicare improper payments through the efficient detection and collection of overpayments made on claims of healthcare services. Every practice should be prepared to be audited at some point. The auditor basically goes around to see if any fraud is being committed. There are different kinds of audits such as Recovery Audit Contractor, Certified Error Rate Testing, and Probe Audits. Some things you can do to prepare your staff is avoid coding mistakes, accurately document patient charts, perform random mock audits, prepare implement policies and procedures, and review audited claims. I should also educate my staff the importance
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