Uncategorized

Random Medicare audit via correspondence or a visit. Random Medicare audit may be conducted via correspondence or a visit by Medicare officer. The rules are the same – prepare and give the answers strictly according to the item descriptor.  Do not argue for the Medicare officer. Ask for help and Read more

Random Medicare audit. Usually, there is an invitation for a telephone interview. The invitation states the topic of conversation, e.g. item 23. During the interview, the Medicare officer asks questions about GP’s billing practices. The questions are very similar to the item descriptor from Medicare Schedule. For as long as Read more

How GPs become the subject of Medicare audit? There are three reasons to get audited: Random audit by Medicare. This happens regardless of your billing practices, the number of items billed and the number of patients seen. GP’s billing practices are significantly different from those of his /her peers, GP Read more

What is Medicare audit? Medicare audit is an action taken by Medicare to find some wrongdoing on the part of the practitioner. This wrongdoing must be about the billing of Medicare items or the number of patients seen.  The result of the finding of any wrongdoing may differ. It can Read more

Table of contents What is a Medicare audit? How GPs become a subject of Medicare audit? Random Medicare audit via telephone interview. Random Medicare audit via correspondence or a visit. Peer review. Medicare audit due to suspicion of any areas of concern by Medicare. Examples of what can be seen Read more

Foreword In many years of dealing with audits, I have not seen any unfair treatment by Medicare. Mostly, the officers handling audits were intelligent, reasonable and supportive. They accepted our arguments whenever they were appropriate and made sense. If this workshop was run by Medicare and available to every GP Read more