Many medical plans (Medicare, Tricare, etc.) as well as managed vision plans (VSP Vison Care, EyeMed Vision Care, Davis Vision, etc.) have an ongoing process to audit payments to providers.
The audits can be random or can be targeted to your practice due to billing patterns that fall outside the norm. Insurance companies use big data analytics to compare what and how you bill your services.
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If you are an outlier, chances are you will be the target of an audit.
To protect you and your practice, it is important to have a plan and process in place in the case of an audit.
Our practices have been audited numerous times and having a plan in place helped us get through it.
Here are ten tips to help you survive an insurance audit at your practice.