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How to survive a billing audit: consider retaining an attorney.


CHICAGO -- The first rule of a billing audit, according to Dr. Brent Moody: "Don't take it personally."

Audits are about money, and "there's always going to be a winner and a loser," he said at the American Academy of Dermatology summer meeting.

To raise the odds of winding up on the winning side of an audit or billing investigation, Dr. Moody advised taking the following steps:

* Consider retaining legal counsel. The need for an attorney depends on the size, scope, and seriousness of the audit, said Dr. Moody, a Nashville dermatologist and chair of the public policy committee for the American College of Mohs Surgery.

* Decide whether to fight or pay. Complying with a recoupment will reduce hassle and more quickly resolve an audit.

* Do your audit homework. Audit resources and information are available from the American Medical Association and state medical societies.

* Be civil to your auditor. While challenging, remaining cordial and respectful to auditors during the audit process can ultimately work in the physician's favor.

"At the end of the day, they are just people doing a job," Dr. Moody said. "Talk to them and try to figure out exactly what they are looking for. You don't want to fight the wrong battle."

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Author:Gallegos, Alicia
Publication:Clinical Psychiatry News
Date:Oct 1, 2014
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