Appealing a Negative Audit
Insurance Audits - What you need to knowYour Risk of an Insurance Audit. All payers are conducting more audits. The auditors cherry pick records before they start your audit. This ensures they collect as much money as possible. This is how, according to the auditors, they fail over 90% of practices audited! The typical Solo-Practitioner penalties are $150,000 to $250,000!
To see how you are at risk - Click "Your Chances of Being Audited" above.
Protect You and Your Practice.
The best protection from failing an insurance audit is having a Preventative
Audit prior to being audited by insurance.
Already Lost an Insurance Audit? We sincerely hope this is not your
situation. However, we continually hear from practices that were
audited and failed. While much of what the auditors have found is a
problem, The auditors frequently make mistakes. NPC has successfully
won appeals reversing much of the penalty and in many cases reversing the
We Know What The Auditors Are Looking For
We Can Protect Your Practice!