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Richard S. Cooper. Esq., Member, McDonald Hopkins LLC

Audit Preparedness for Provider Organizations

By Richard S. Cooper, Esq.
McDonald Hopkins LLC

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Original Publish Date: March 8, 2016

Current Payor Audit Activities/Trends

Audits are increasing in frequency and payors are using more aggressive tactics. Amounts sought in recoupment actions are increasing significantly. Medicare is more likely to seek criminal sanctions. This article will summarize the principal types of Medicare and private payor audits and explain the importance of being prepared for these audits. At this end of this article, the components of an effective audit response are outlined.

Principal Types of Medicare Audits

Private Payor Audits

Audit Awareness

Action Steps

Effective Audit Response

Richard S. Cooper, Esq., is a Member of the McDonald Hopkins LLC law firm. He is also the Manager of its National Healthcare Practice Group and Co-chair of its Healthcare Restructuring Practice Group

Mr. Cooper provides legal representation to a broad range of hospitals, other healthcare facilities and physician groups across the United States. He has been listed in The Best Lawyers in America for health law for twenty-two consecutive years and selected for inclusion in Ohio Super Lawyers (2005-2015).

Visit the McDonald Hopkins LLC web site at www.mcdonaldhopkins.com.