16th Annual NAMAS Conference

So, You Got "The Letter"Retrospective payer audits wield a significant influence on your organization.

Prior to addressing the needs of healthcare compliance to ensure accuracy and integrity in billing and reimbursement processes, it is essential to grasp the workings of the payer audit system thoroughly.

Our session commences with identifying the key stakeholders and their roles as audit requestors. However, each audit requestor pursues distinct objectives and operates differently. Therefore, we will examine and contrast their objectives, methodologies, and areas of focus. Additionally, we will explore the implications of these audits for healthcare providers, including potential financial impacts, compliance obligations, and effective response strategies.