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Audits & Investigations - California

    https://www.dhcs.ca.gov/individuals/Pages/AuditsInvestigations.aspx
    Audits and Investigations Division (A&I) is the designated Program Integrity Unit (PIU) for the Medi-Cal program. A&I’s mission is protect and enhance the integrity of …

What Is Medical Auditing? - AAPC

    https://www.aapc.com/medical-auditing/medical-auditing.aspx
    Medical auditing is a systematic assessment of performance within a healthcare organization. Almost any element of healthcare can be audited, but most …

Frequently Asked Questions on Medical Auditing - AAPC

    https://www.aapc.com/medical-auditing/faq.aspx
    An array of healthcare auditing resources provides auditors with details needed to assess reporting accuracy. 1. Electronic audit tools: While electronic audit tools can do a great …

Medical Audits and Healthcare Fraud Investigations

    https://www.ksllawfirm.com/medical-audits-and-investigations/
    A law firm focused on representing healthcare providers and professionals in Georgia and South Carolina in business, compliance, audits and business litigation. Phone: (404) 685 …

Audits & Investigation - Medical Review Branch (MRB)

    https://www.dhcs.ca.gov/individuals/Pages/AI-CERD.aspx
    Medical Review Branch Audits and Investigations 1500 Capitol Avenue–MS 2303 P. O. Box 997413 Sacramento, CA 95899-7413 (916) 440-7460 Mateo …

Auditing and Monitoring in Clinics and Physician Practices

    https://assets.hcca-info.org/Portals/0/PDFs/Resources/Conference_Handouts/Clinical_Practice_Compliance_Conference/2008/Wednes/P4.pdf
    Investigation and remediation of identified systemic problems via policies and non-employment of sanctioned individuals ... • Physicians should audit for medical necessity …

Medicare and Medicaid audits and investigations: Digging into the ...

    https://www.benefitspro.com/2021/05/18/handling-medicare-and-medicaid-audits-and-investigations-412-116342/
    Expert Opinion Medicare and Medicaid audits and investigations: Digging into the details With health care spending accounting for 18% of GDP, cracking down on …

Healthcare Audit Defense Attorneys | Health Care Law

    https://www.chapmanlawgroup.com/practice_areas/health-care-audit-attorney/
    Commonly, MACs will perform “Medical Review” of fee-for-service claims. As part of the MAC audits, investigations and appeals process, medical providers will receive a …

Basics of Medical/Clinical Audit - GP-Training.net

    https://www.gp-training.net/ebm-audit-statistics/audit/basics-of-medical-clinical-audit/
    Medical Audit (MA) has a more specific meaning, and this is vital for the measurement of the quality of care given to the practice population. MA requires standard-setting, data collection, comparison with standard’s, …

Medical Audit | HEALTHCARE SERVICE DELIVERY

    https://drdollah.com/quality-control/medical-audit/
    Meaning of Medical Audit. Medical audit is a distinct form of audit used by health care providers. It’s method consists of the analysis of retrospective data obtained from records. Quality assessments by …



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