Region A C-leg audit

Posted By: Joan K. Cestaro, CP on January 9, 2016

Dear list,

Seeking advice from NHIC Region A folks for a Medicare C-leg audit. I've
successfully passed a few audits through Region C, but this is my first
through Region A and I hear they are tougher. I am not seeking general
advice on the audit process. Unfortunately, I am all too experienced. I am
looking for anything specific that Region A does differently or looks at
more diligently in the C-leg audits. Any specific denial areas to focus on
or additional documentation suggestions to provide in addition to what is
requested on their form? I have excellent Opie internal documentation, I am
ALL OVER that delivery receipt and we proactively get good physician
documentation. I am just not familiar at all with Region A as it
incorporates a very low percentage of our overall claim volume. Any advice
is appreciated.



Joan K. Cestaro, C.P.

RPI- Virginia
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