Preparing Your Lab for the Rise in Payer Audits

As the Department of Justice and private payers continue to ramp up auditing and fraud enforcement efforts following the end of the Public Health Emergency, it’s now more important than ever for labs to ensure they’re taking a proactive approach to their billing compliance. A number of false federal billing charges and related enforcement actions in recent months have served to highlight the immense cost of takebacks and other monetary penalties for noncompliant billing and test utilization practices.

With that in mind, how can labs be best prepared to respond if they’re targeted for a review or takeback? Better yet, how can they minimize overhead costs and downtime when auditors come calling by taking a proactive approach?

During this webinar, we will cover:

• Recent prominent enforcement actions.
• Proactive steps to prepare for payer audits.
• What to do if you’re targeted for a takeback.
• Preparing front-end processes to minimize denials and maintain RCM compliance.