Auditing against the OIG's Compliance Program Guidance for Hospitals
Healthcare Auditing Weekly, January 17, 2006
Whether it is properly reporting bad debts to Medicare
All Medicare bad-debt expenses claimed to ensure that hospital procedures comply with federal and state statutes, regulations, guidelines, and policies
Next, ask the following questions:
Does the hospital's bad-debt review procedures include mechanisms to ensure that the hospital has appropriate and reasonable controls regarding beneficiary deductible and copayment-collection efforts?
Does the hospital have policies and procedures to ensure that it has not claimed routinely waived Medicare copayments and deductibles as bad debts?
The above tip is an excerpt from the book "Hospital Auditing and Monitoring: Sample Programs for Key Risk Areas." Copyright 2004 by HCPro, Inc. This book is a step-by-step, practical manual that offers sample audit programs for the most troublesome areas that a hospital must audit. The binder and CD-ROM are filled with actual audit programs used by auditors and compliance officers in the field. Click here for more information or to order your copy today.
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