After this session, you will be able to:

Overcome the challeges of payer audits

Identify critical issues that affect the outcome of audits, including denying charges based on hospital's charging practices that are consistent with Medicare guidelines, requirements for physician orders on items that are provided based on nursing protocol, requirements for documentation of services that are otherwise substantiated through written hospital protocol, and lack of documentation of payer up-front disallowed charges that could result in duplicated adjustments.