Medicaid Audit Services
Educational Seminars
Let TCORS assist your organization with understanding the Medicaid audit process and how proper billing, coding and documentation procedures and practices can help you reduce audit exposure within your specific provider area.
Periodic Record Reviews
Allow TCORS’s experienced staff to periodically perform mock audits of a sample of your paid Medicaid claims. These audits are designed to replicate an actual Medicaid audit with the intent of discovering potential billing, coding, and documentation errors that could result in adjustments in a real Medicaid audit. Using the results of these mock audits, TCORS can then help your organization set up proper controls to prevent the errors from reoccurring and costing your organization substantial disallowances in extrapolated audit adjustments.
Assistance During The Audit Process
Allow TCORS to assist your organization during the DSS audit process. We can help your organization prepare for the audit, represent you during the audit, develop defenses in response to any draft and/or final audit reports, negotiate settlements and payment plans, help prepare documents for the DSS informal review process and provide representation during the informal review process.
Appeal Audit Decisions
Effective July 1, 2010 the Connecticut General Statutes Section 17b-99(d) was amended to allow providers the ability to appeal the Department of Social Services (DSS) Medicaid Final Audit Findings to the Connecticut Superior Court. As a full service law firm, TCORS is in a position to represent your organization in this appeal process. We have over 40 years of experience representing numerous hospitals across the State of Connecticut at DSS Administrative Hearings, Appeals in Superior Court and Appellate Court on Medicaid and Saga claims.
Attorneys
Director of Medicaid Audit Services
Click to view newsletters.
| 
| 
Share/Bookmark
