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Medicare Fee-for-Service Recovery Audit Program Additional Documentation Limits for Medicare providers (except suppliers and physicians) Beginning March 15, 2012, the additional documentation requests

How to fill out medicare fee-for-service recovery audit

How to fill out Medicare fee-for-service recovery audit:

1. Gather all necessary documentation such as claim records, medical records, and any supporting documentation for the audit.
2. Review the audit instructions provided by Medicare and ensure you understand the requirements and guidelines.
3. Start by filling out the general information section, which may include your provider information, the date of the audit, and other essential details.
4. Proceed to the claims section and carefully enter the specific claims that are being audited. Include the claim numbers, dates of service, and any relevant billing codes.
5. Provide detailed documentation for each claim, including medical records, invoices, and any other necessary proof of services rendered.
6. Go through each claim carefully, making sure that all information is accurate and complete. Double-check for any errors or missing details.
7. If required, include a narrative explanation for any questionable or disputed claims. This will help provide additional context and clarification.
8. Once you have completed filling out all the necessary information, review the entire audit thoroughly. Make any necessary revisions or corrections before submitting.
9. Keep a copy of the completed audit for your records and submit it according to the specified instructions provided by Medicare.

Who needs Medicare fee-for-service recovery audit?

1. Healthcare providers and organizations who have participated in the Medicare fee-for-service program may be subject to a recovery audit.
2. Recovery audits are conducted to identify and recover any overpayments made by Medicare for incorrectly billed or non-covered services.
3. These audits help promote program integrity and prevent fraud and abuse in the Medicare system.
4. Providers selected for an audit may include hospitals, physicians, nursing homes, home health agencies, and other healthcare entities that bill Medicare fee-for-service claims.

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