Dentists may sometimes need to undergo an audit by a private payer or a government entity, and when this happens, it can slow down your payments or even lead to a recoupment demand. This means that it is important to maintain your reputation through accurate and complete billing and coding practices for your entire staff. Everyone needs to understand the importance and value of proper documentation, so they can keep the emphasis on accuracy before and during a dental audit.
At Dental Auditing Solutions, we understand that payers take their payments very seriously, and that means that they look closely at your billing and coding. If you have been notified that an entity is looking into your information, take some time to talk to our team. Give us a call today to learn more about your next steps during a dental claims audit!
Understanding The Payer Audit Process
If your billing and coding are incorrect or incomplete, insurance companies can start to ask questions. After all, they expect a healthcare provider to follow all applicable rules and regulations regarding payment for their services, and it is incumbent upon your team to code and bill appropriately. If they notice issues, they will let you know, and you want to be able to provide full and exact documentation of services rendered and their coding.
Following the rules starts with having the right information. If it is time for your staff to receive up-to-date compliance training, talk with our team about giving them a program that not only satisfies OIG requirements, but also engages. This way, they can take their training to heart and retain the education that they need to accurately and completely document services rendered.
Government Agencies Can Also Research Your Records
If you accept patients using federal or state program, you need to be sure to be aware of their requirements, as well. These programs are under strict scrutiny, as they use taxpayer funds, and they take fraud, waste, and abuse very seriously.
Mistakes can happen, however, and we are here for you if your practice is the subject of a Medicaid dental claims audit or investigation. We can work alongside you and your attorneys at every step of the way to help you resolve this audit and install systems to maintain compliance in the future.
External Dental Audit? Talk To Our Team
If your practice is the subject of a dental claims audit from a private insurance payer or a government agency such as Medicaid or Medicare, speak with our team about your next steps. To find out more about your options during your dental audit and moving forward, give us a call at Dental Auditing Solutions at (972) 459-1508 today!