Are You Ready for an Audit?

The Federal Government continually audits healthcare entities. The recent Michigan settlement resulted in prison terms and hefty payments for violations of the False Claims Act.

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If your compliance plan needs updating, now is the time.

You want to make sure that your practice is protected so you don’t end up in the same situation as a vascular surgeon from Bay City, Michigan.

A vascular surgeon was sentenced 80 months in prison for defrauding a health care program by submitting a claim for vascular stent placement and thrombectomy that he did not perform. He was also ordered to pay $19.5 million in restitution and up to $43,419,000 to the government to settle civil charges.

If you want to avoid prison terms and hefty fines and payments, you need to make sure your compliance plan is up to date and working properly.

Your compliance program should work daily to help you detect potential discrepancies or billing-related issues.

If you’re not sure whether your compliance plan is up to date, be sure to do so internal audits.

View records, payment mixes, and providers when auditing your bills.

It’s also important for carefully review your policies and procedures to ensure that they reflect your actual practice.

Let your staff know that you take compliance seriously regularly train and investigate whatever their worries.

If you are unsure whether your compliance program is running smoothly, ask for help.

We help our clients update their compliance plans and policies and procedures, train their staff, audit records and much more.

If you need help, contact us today.

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The post Are You Ready for an Audit? first appeared in Rickard & Associates.