Appealing a Negative Audit
Medicare, Blue Cross, VSP and other payers are performing more audits than
Payers have significantly increased the number of auditors. Auditors are much more aggressive
Some payers pay their auditors a bounty on how much they take from you.
According to the payers, Over 90% of practices fail an insurance audit!
Penalties for negative findings are between $150,000 to $200,000!
Many doctors believe using an EHR system keeps them compliant
We know what the auditors are looking for. We can protect your practice!
These audits are being conducted for a number of reasons including exam
documentation and creation of Interpretation and
Many Medical Records systems falsely verify exams as complete. Missing key
Practices hit with a negative audit are frequently surprised and
frustrated. They previously passed an audit and have the
Even if you had a previous audit, all payers are now much more aggressive in
audits than even a couple of years ago.
In almost every
audit we have
performed, the practice would have failed an insurance audit for high
Most practices pull forward information from previous exams without making
Another advantage of our audits is that we look at lost reimbursement.