Article Series: Effectively Responding to Payor Audits & Program Integrity Investigations
In the following article series, Alice Harris and Jenna Godlewski, attorneys at Maynard Nexsen specializing in reimbursement and compliance issues for healthcare entities, provide insight and guidance on how health care providers can respond to payor audits and investigations from the Centers for Medicare and Medicaid Services (CMS).
Topics in the series include:
- Practical advice and legal developments for providers defending payor audits and investigation
- Current audit and investigation targets by the CMS
- Types of auditors reviewing claims and conducting investigations
Article Series:
The topic of payor audits is relevant and of interest to all providers of health care services including:
- Hospitals
- Hospices
- Home health agencies
- Skilled nursing facilities
- Durable medical (DME) suppliers
- Clinical laboratories
- Pharmacies
- FQHCs
- RHCs
- ASCs
- Community mental health centers
- Physicians
- Therapists
- Other health care facilities, entities, practitioners, and clinicians
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