Once you have been notified that your business or practice is being audited by a MAC, there are several steps that you should begin taking immediately in order to reduce the risk of an unfavorable determination and allegations of fraud that could lead to a federal investigation. Once you engage our firm, we will help you execute preventive measures including:
Conducting an internal assessment to gauge what MAC auditors might find (if anything)
Proactively addressing any issues identified during the initial assessment
Establishing communication protocols to avoid miscommunications and unintended messaging
Implementing an appropriate legal hold
Self-reporting any overpayments to CMS if and to the extent legally required, or in your best interests
Intervening in the audit promptly
Preparing to challenge auditors' faulty methodologies and conclusions with documentary evidence and citations to the applicable Medicare billing regulations