Don’t Panic.
Let’s say you’re a Medicare Advantage organization and one day you receive a notification from CMS that you’ve been selected for a program audit. What should you do? Recently, I sat down with Scott Robinson, director of compliance at Davis Vision, and former medicare contractor who used to accompany the folks at CMS to conduct effectiveness audits. Robinson gave me the details on what to do and what not to do when and if you receive the news.
“The first thing is to not panic,” Robinson said. When people get these notices they suddenly realize their life is going to drastically change over the next couple of months and it’s really scary. “But if your organization has been doing all the right things all along, you have a sound compliance program, you’re following all the C-DAG and O-DAG guidelines. All you really need to do is explain yourself. You just need to articulate your usual business practices in a way that CMS will understand and agree with.” So the best way to handle that terrifying little notification? Be ready for it.
Tune into our latest Compliance Conversations podcast, What Not to do When CMS Audits You, to learn how to:
- Prepare for a CMS Audit Before it Happens
- Stay Calm During a CMS Audit
- Effectively Explain Yourself to CMS
Interested in being a guest on the show? Email CJ directly here.