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December 31, 2022

External Audits – Writing a Check to CMS.

External Audits – Writing a Check to CMS.

You are the manager of HIM and are enjoying the Annual AHIMA conference in Atlanta, Georgia. You are tickled to be away for the week; this is your first AHIMA conference. At lunch on Monday, the HIM supervisor who is covering for you calls in a panic. CMS called the office and stated they are completing an audit. She has questions for you so that she is prepared for CMS. Research these questions and record your answers below for the supervisor. 1. Three unique reasons that Medicare completes account audits. Cite your sources. 2. How many years back can Medicare audit accounts and recover payment? 3. Briefly describe the role of the Medicare auditor. What do they do and what is their function?

Answers to questions 1-3:

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