Healthcare IT Today February 2, 2023
The following is a guest article by Rebecca Darnall, Risk Adjustment Leader at Episource.
You don’t have to be a fortune teller to see the future of auditing at the Office of Inspector General (or OIG). It has given every indication that it intends to investigate fraud, waste, and abuse more robustly in the foreseeable future. To that end, the agency doubled its budget for audits in 2022. The clear message is to expect — and prepare for — more audits.
These actions are more than just saber-rattling. The risk of audits is a legitimate threat to all payer organizations. As proof, several health plans have been making headlines for coding errors and other issues that surfaced during audits:
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