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Kelly Grahovac

Audits: Use two-tier approach

Q. We received our audit results, which include a large amount of money owed to Medicare based on an extrapolated overpayment! What do we do now?
 - 
04/20/2016

A. To reduce or remove the extrapolation, you will need to appeal the overpayment determination, addressing both the individual claims reviewed in the audit and the extrapolation itself. Consider this a two-tier appeal process.

Audits: Get your strategy

Q. Help! I just received an audit request. What should I do to make this go smoothly?
 - 
03/21/2016

A. From the moment an audit letter lands in your mailbox, to the day the files are organized and ready to go out the door, it is important to have an audit response strategy.

Audits: Be a bit of a sleuth

Q. Is there any way to know what types of equipment/supplies are being audited before I get the dreaded audit notice?
 - 
02/22/2016

A. Believe it or not, you don’t have to be a fortune teller to predict what Medicare and its auditors have on their radar, but being a bit of a sleuth won’t hurt. Let me explain.

Audits: Audits on the rise

Q. Is it my imagination or have the last few months brought an influx of audits?
 - 
01/25/2016

A. It is not your imagination! Aside from your standard DME MAC prepay and postpay audits, three contractors in particular have “upped their game,” so to speak, and the DMEPOS community is certainly feeling the pressure. 

Knowledge is your sword

 - 
09/26/2014

ATLANTA – “Know the rules!” They seem pretty straightforward words to live by, but when it comes to DME that’s often a lot easier said than done.

Knowledge is your sword

 - 
09/26/2014

ATLANTA – “Know the rules!” They seem pretty straightforward words to live by, but when it comes to DME that’s often a lot easier said than done.