Building a Risk-Based Audit Plan

CMS has made it quite clear that healthcare providers need to step up their game with respect to risk-based audit methods. The day of the random probe audit is over

Both CMS and private payers have implemented advanced statistical systems that rely upon predictive analytics to identify high-value targets, meaning providers that are most likely to be tagged for an audit

In this session, attendees will learn about the Fraud Prevention System that is used by CMS to intercept payments for suspicious claims and how they can use more advanced analytics to improve their risk assessments and lower their audit risk