tci Medicare Compliance & Reimbursement - 2012 Issue 6

Audits: This MAC Shares the Dirt on 4 Common Audit Types

Chinese restaurant menu didn't cut it as documentation for one hospital. Does it sometimes seem like various Medicare auditors are coming at you from all directions? That's because there are four different types of auditors that can request Medicare records from you. Trailblazer Health, a Part B MAC in five states, cleared up the issue during its Feb. 8 webinar, "Medicare Documentation and Audits." Four types of audits exist for Medicare practices, said Trailblazer's Sherrie Varner during the Trailblazer session. Read on for the scoop about each type. 1. Medicare Administrative Contractor (MAC) Your MAC processes claims and...

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