New prepayment audits strike fear in Medicare providers
The National Psychologist
(May/June 2018), 27,3, p1
By Paula Hartman-Stein, Ph.D.
Reviews of Medicare claims using the traditional “pay and chase” method
are nothing new, but if documentation is not thorough or if billing practices vary
significantly from peers, recent pre-payment audits will threaten the existence of
some psychology practices that treat older adults.
One psychologist, who requested anonymity because he is currently under
audit by a contractor for the Center for Medicare and Medicaid Services (CMS),
said he has received no reimbursement for his Medicare patients for about three