How to Effectively Respond to an Audit Request
Presented by Michael Ragone, Fitch & Associates Senior Associate
Sponsored by TriTech Software Systems
Recorded Presentation:
Thursday, May 12, 2011
2 pm ET | 1 pm CT | Noon MT | 11 am PT
Description:
Topics cover being successful in responding to any audit request but the focus is on Medicare and Medicaid.
Learning Objectives Include:
- Understanding the importance of providing an accurate and timely response to any type of audit request from the government.
- Identifying Best Practices in how to respond to an audit request. For example, the value of a cover sheet explaining how and why the claim was coded the way it was.
- Understanding, articulating and identifying the "core" criteria to highlight in your response so as to avoid further action/sanctions.
Target audience:
billers, coders, billing supervisor's and management and operations management
SPEAKER BIO:
V. Matthew Marchese is the founder and managing member of HEALTHCARE COMPLIANCE ON-CALL, LLC, a consulting firm whose mission is to assist in the prevention, detection and mitigation of fraud and abuse in the healthcare industry, specializing in EMS providers.
Mr. Marchese has been in the EMS industry for over 20 years. He spent his first four years in EMS as an EMT working in and around the suburbs of Boston, Massachusetts. During the next five years he worked in the billing office as a liaison to Operations, a billing manager and a regional documentation and training coordinator. He has worked directly in ambulance compliance programs for over ten years and most recently served as Chief Compliance Officer for American Medical Response for two plus years. Mr. Marchese provides comprehensive ambulance compliance consulting services, with such services as: assistance with his clients in the development, evaluation and ongoing monitoring of ambulance compliance programs, ambulance chart auditing that focuses on billing compliance with Medicare, Medicaid and other government and non-government payors; customized billing department work flow applications designed to maximize revenue opportunities and efficiencies while minimizing exposure to fraud and abuse issues; accounts receivable analysis specializing in revenue recovery; due diligence auditing and the implementation of Corporate Integrity Agreements.
