Preparing your neurology billing for medicare audits

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Preparing your Neurology Billing for
Medicare Audits
Neurology billing, like any other specialty care, requires highly customized and
specific process monitoring in order to reduce coding errors, rate of claim denials
and to improve revenue cycle management. In addition to that, it is at an all time
high risk of Medicare audits as the impending ICD 10 changes are going to
completely transform the way neurology coding and billing happens. Moreover
the government has released a budget of $250 million for various enforcement
agencies to detect, track and remedy healthcare fraud. Therefore, it is the right
time to prepare your neurology practice for Medicare audits to prevent any
operational and financial losses. With the RAC program estimating that 3.9

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percent of Medicare payments in the past three years have been overpayments,
Medicare audits will be done with the only motive of retrieving those overspent
dollars.
You can, however, prepare your neurology practice for Medicare audits well in
advance. The first step towards effective Medicare audit preparation is to set up
a dedicated team who can manage your audit related communications and
negotiations. Following steps can make you audit-ready at a moment’s notice, if
applied well in advance –
 Make your Neurosurgeon team aware of the RAC and audit process
The biggest roadblock that your neurosurgeon practice may face is that

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your team can refuse complete support to the audit process thinking the
liability to be insignificant. That is why it is imperative to inform your team
about the significance of RAC, Medicare audits and its potential impact on
your practice. It can in turn improve the receptivity of your team towards
audit related queries and processes.
 Keep a track of all the denied claims on grounds of coding errors
Most Medicare audits are initiated in response to a denied or rejected
claim that may have resulted in customer complaints. Therefore, a major
preparatory and precautionary measure for your neurology practice
should be, documenting all rejected claims and appeal processes that
were ever initiated for the same.

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 Automate all your previous medical records One of the major reasons of
audits taking an awry turn is the inability of medical practices to produce
required documents and patient records on time. Automation of all
previous records can save a lot of process struggle and make extraction of
required records relatively easy.
 Establish a TAT for audit related queries your neurology practice may be
operating like a well-oiled machine as far as normal operations are
concerned, but if you are not able to revert to audit related queries within
a desired turn-around time you can end up complicating the process for
yourself. Thus, it is important to install pre-defined TAT in the system for
audits.

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 Adhere to HIPAA compliance at the time of sharing patient data
even at the time of an audit your medical team must practice discretion
with patient data and share only the required information with auditors as
per HIPAA guidelines.
MedicalBillersandCoders.com can prove to be an invaluable coding and billing
support for your neurology practice in the event of a Medicare audit. Our billing
software can automate your patient records, track your settled and denied
claims, establish TAT for audit queries and provide domain specific expertise from
medical consultants to handle audits.

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Related Posts:
 How Can Outsourcing Solve Medical Billing and Reimbursement
Challenges for Physicians in 2014?
 How can outsourcing help you Deal with Shortage of Trained
Medical Billers and Coders?
 Eliminate the Burden of Medical Billing and HIPAA Regulations with
a Billing Company

Preparing your neurology billing for medicare audits

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Preparing your neurology billing for medicare audits