The auditing of health organizations is usually a constant encounter, and thus, the healthcare service providers must also be ready for it. This is why it is important to be aware of all the issues to plan for in such a situation. In such a way, you can be sure of navigating the audit successfully. Below are fundamental tips to keep in mind to achieve a successful CMS program audits process.
The key thing to consider is ensuring the recovery audits contractors denoted as RACs have medical directors. It is a core requirement for these contractors to make sure they assemble the audit data and send them to the healthcare providers before presenting them to the CMS. In this way, a health organization will have handled an important phase before the auditing. Besides, it will relieve the members of the health centers from the tension of this particular process.
The availability of certified coders at the disposal of the health organization is yet another important element to reflect on when planning for this type of audit. The process of gathering important database necessary for the auditing procedure requires assistance from qualified coders. It is thus a core requirement for a health center that is preparing to be audited. However, if they are unavailable in your business, you need to consider outsourcing them.
It is as well essential to have a superb web presence which will provide a reliable platform for the doctors to look at the status of their audits. A review of the previous audit can help doctors in understanding what is expected of them when preparing for the next auditing. In addition, some of the auditing updates are uploaded on these websites. Thus, they will help medics in making prior preparations.
Also, you must be aware that in case the appeal for an audit is lost, the recovery audit contractors contingency charges should be refunded. As a way of ensuring you are in line with the audit requirements, it is important to make sure the contingency fees that are paid to the RACs are refundable. Hence, if the appeal they have been working for gets lost, you can refund the charges to be on the safe side of the law.
An organization should also strive to get high quality yet sound operational audit compliance. For the organizations to be in line with the previous audit standards, they need to have sound operational compliance. Doctors in such organizations will, therefore, have less strenuous auditing.
Another crucial requirement that has to be observed in the preparation of this audit is possessing a properly defined audit management system. Having updated audit reports is only achievable when a health organization to have the best audit management system. They can thus make references from the former reports.
The medical centers should be ready for the audit at any given moment. Audits are usually continuously done, and hence, medical centers should be ready. Being ready involves updating the financial reports among other important organization details by the healthcare professionals.