Are Audits Increasing?

The short answer is yes, audits are increasing following the COVID-19 pandemic.

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Given the flexibility that was put into place during the COVID-19 pandemic, it’s not surprising that the government is now increasing its reviews.

Many of the upcoming audits will relate to COVID-19. Providers should be prepared for the uptick in audits and potential inquiries.

Providers using telehealth or providers who utilized telehealth during the pandemic should be especially vigilant.

The Centers for Medicare & Medicaid Services (CMS) has indicated they are closely monitoring the use of the modifier for telehealth.

We have already seen a shift to post-payment audits and increased scrutiny for managed care payers.

How can you protect your practice in light of the increased audits?

First, perform your own audit. Utilize legal counsel to help with your audit to make sure that your records are in order.

If training is required, make sure to thoroughly train staff and document the training.

If you have any questions about waivers, ask your healthcare attorney today.

Let us know if your practice has already been audited by commenting below.

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