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Tip of the Week for Physicians Facing RAC or Medical Audits: Pay Attention to Deadlines and Procedures

Recovery Audit Contractor (RAC) and private payer audits can be burdensome to physician practices. However, there are several things physicians can do to protect themselves before and during the audit process. Therefore, WhatleyKallas has compiled a "top ten" list of tips for physician practices facing RAC or other medical audits. We are highlighting one of these tips every week.  Click here for a link to the entire top ten list.

TIP FIVE FOR PHYSICIANS FACING RAC OR MEDICAL AUDITS:  PAY ATTENTION TO DEADLINES AND PROCEDURES

Physicians should designate an individual responsible for responding to medical audits and for keeping the physicians informed of its progress.  Among other things, this individual should calendar all deadlines and document and retain all communications between the practice and the auditors.  If a request for medical records or an audit letter includes a deadline for providing the requested information, the practice should either timely respond or immediately seek an extension.  In addition, if the request does not specify the deadline, the designated responder should ask.  This individual should also verify how and where records are to be submitted.  For example, can they be submitted electronically, or, must paper copies be provided?  If the practice elects to retain an attorney or other consultant, the practice’s designated individual can also be the point of contact for communications with these outside professionals.