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Audits and Appeals - A Routine Cost of Doing Business with Medicare [Ober|Kaler]


The Centers for Medicare and Medicaid Services has unleashed an alphabet of auditors to identify overpayments. These auditors are armed with the authority to conduct pre-payment reviews, and post-payment audits, as well as statistical sampling and extrapolation.

Health lawyers Paul Kim and Emily Wein presented this hour-long webinar to provide general counsel the tools to navigate this area. Paul and Emily not only profiled each type of auditor but also outlined the five-step Medicare claims appeal process, which is the singular procedure for contesting the findings of the auditors.

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