Mathew J. Levy, Esq. will be speaking at the New York Chiropractic Council 31st Annual Convention.
This course looks at the third-party payor audit process and how to avoid being subject to one of these audits. The course will also address what to do when an investigator shows up at the office.
There is perhaps no more frustrating moment in a doctor’s career than when a health plan or managed care company notifies him/her that, after the doctor has spent countless hours and expended endless efforts to get paid fifty or sixty cents on the dollar for services rendered to his/her patients, the payor is now suddenly demanding that some exorbitant amount of money be “repaid” to the payor, or that the payor is not going to pay the doctor for the services rendered and billed until documentation is reviewed. This course will explore the basis for these audits, including retrospective overpayment demands and prepayment audit reviews, as well as the steps involved in responding to these audits to achieve the most favorable results possible. Furthermore, we will explore how a doctor can reduce his/her odds of being subject to a third-party payor audit, and what to do if an investigator pays an unexpected visit to the doctor’s office.