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Last week CMS announced that MACs would expand their postpayment audit scope to include dates of service after March 1, 2020. Previously, MACs had been restricted to auditing pre-pandemic claims only. 

In addtion to increased audit activity on Medicare claims, The van Halem Group has also seen an increase in audits from commercial payor plans. Suppliers should review payor policies to ensure the required criteria is met for the services provided when responding to audit requests. 

Want to be ‘audit ready’? The van Halem Group can help! 

From clinical prescreens of your claims to conducting proactive audits on a one-time or monthly basis, we have solutions to ensure your claims are audit ready and meet technical and clinical guidelines. Contact us to learn what our team of experts can do for you!