Season 8 - Episode 13 - Navigating Post-Pandemic Audits in Healthcare

The Compliance Guy

Summary

In this episode of the Compliance Guy Podcast, Sean engages with Dean Viskovich, a healthcare attorney with extensive experience in lab-related compliance and reimbursement. They discuss the challenges faced by healthcare providers in the wake of post-pandemic audits, the importance of documentation, and proactive measures that can be taken to navigate the complexities of compliance in the healthcare industry. Dean shares insights on the evolving landscape of reimbursement and the implications of COVID-19 on healthcare practices, emphasizing the need for thorough documentation and strong relationships with ordering providers.

Takeaways

• The healthcare industry is facing increased scrutiny from payers post-pandemic.
• Understanding reimbursement processes is crucial for healthcare providers.
• Documentation is key to supporting medical necessity in claims.
• Proactive measures can help mitigate risks associated with audits.
• The landscape of telehealth has changed significantly due to the pandemic.
• Maintaining good relationships with ordering providers is essential for compliance.
• The post-pandemic audit landscape is broader than just healthcare.
• Healthcare providers must be prepared for audits as a matter of course.
• The importance of understanding state-specific regulations in compliance efforts.
• Collaboration between compliance experts can enhance audit defense strategies.