Case managers have already become familiar with the Medicare Recovery Audit Program. In January, however, government Recovery Auditors began focusing on new territory: Medicaid claims.
Making sure patients are prepared for discharge can be a tricky process. When certain laws are considered, getting patients to their next destination becomes even more complex.
With 20 initial "trial" audits completed, OCR expects to move forward with another 95 audits to measure HIPAA compliance before year's end, said Susan McAndrew, JD, OCR's deputy director for health information privacy. This represents a reduction in the number of audits (150) that were originally planned for 2012.
Sure, you understand the value of investing in improvements that will better protect your organization's PHI. But do the senior leaders who actually hold the purse strings get it?
