This policy is aimed at streamlining the audit process, protecting our patient’s confidentiality, ensuring prompt payment on audited accounts, and improving billing accuracy.

A process flow chart for the audit response and recoupment process.

To use the chart, simply fill in the number of each type of audit you receive at the top of the chart. That number is then broken down into parts as you move down the chart and track the type of audit, as well as the results of any appeals and other relevant information.

Use this checklist as a guide when audting your provider-based departments.