With Every New Year, a New Lookback Period for Medicare Claims Audits
Intended for healthcare compliance professionals, the article goes into detail on the various self-audit standards for identifying potential Medicare overpayments and proposes a way to integrate the various standards.
Raja explains why voluntary self-audits of Medicare claims should be part of any provider's compliance program. Additionally, he discusses recommended lengths of lookback periods for overpayments that resulted from errors versus false claims, and how inadequate auditing can implicate additional liability under the False Claims Act. This article contains crucial information for any provider that submits Medicare claims.
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Copyright 2019 Compliance Today Magazine, a publication of the Health Care Compliance Association (HCCA).