Why am I being audited?

• It’s your turn!• Irregularities in billing• Member and HIPPA complaints• Lack of clinical standards

What are the implications?

• Time and resources lost• Time sensitive• Onsite visits• Discontinuation of referrals or a shift in referral profile • Return of previous payments• Fines

Audit Readiness

• Clean claims and billing submission: Timely and Accurate • Know what information you should be collecting at every appointment• Standardization

Internal Auditing

• Develop an auditing tool• Calculate a credible auditing scope and calculate a confidence intervals • Regularly perform internal audits• Know what each funding source will want to see

Thank you!

CentralReach ClientsTo receive more information or additional training on any of the items on today’s call please submit a support ticket and a representative will reach out.

Interested Clients800-939-5414 or cplante@centralreach.com

Interested ObiGobi Solutions Clientsmcameron@obigobi.com