NatRevMD

#155 That Certified Letter Just Arrived. Now What?


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Free Guides Mentioned in This Episode: 

  • Margin Protection Playbook: https://natrevmd.com/margin-playbook 
  • Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/ 

Your stomach drops. You check the mail and there it is: a certified letter from your biggest payer demanding medical records. You have 30 days to respond. Where do you even start? 

If this is the first time you’re thinking about an audit, it’s already too late to fix the charts they want. The practices that survive audits—and avoid six-figure paybacks—are the ones that live in a state of constant readiness. 

In this episode, Dr. Heather Signorelli walks you through the different types of audits (Payer, RAC, TPE) and explains why the old "wait and see" approach is financial suicide in an era of data-mining payers. 

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