BREAKING: CMS to Resume Medicare Audits

The Centers for Medicare and Medicaid Services (“CMS”) will resume Medicare audits on August 3, 2020.

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Due to the Coronavirus pandemic, CMS suspended most Medicare Fee-For-Service audits beginning in March of this year.

Regardless of the status of the public health emergency, CMS has stated that it will resume audits starting on August 3, 2020.

The audits will be conducted in accordance with all regulatory provisions and all billing and coding requirements.

What does this mean for your practice?

If COVID-19 derailed your compliance plan, now is the time to get back on track.

Make sure that you are reviewing and monitoring your coding and billing. If you aren’t sure if everything is in order, have your healthcare attorney perform an audit now.

Starting an internal or third-party audit now may allow you time to get feedback and make necessary changes before you get audited by CMS.

Showing an attempt to get your practice compliant is important.

If there are issues, make sure to fix them. Train your staff on reoccurring or significant issues.

CMS advises physicians to discuss any COVID-19-related hardships that could impact response timeliness with their auditor.

If you would like to read the full text of CMS’s FAQ document, CLICK HERE.

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