title: Alphabet soup of auditors creates new world for CMs.
abstract: Multiple auditors are scrutinizing hospital records looking for improper payments and fraud and abuse, which makes medical necessity, documentation, and coding more important than ever. Case managers are likely to be key players in the audit process. Dealing with the auditing process requires a tremendous amount of time and resources. Hospitals need to develop a process to track the audit requests and responses and to identify areas where improvements can be made.
mesh_terms: D019090:Case Management; D014487:Centers for Medicare and Medicaid Services, U.S.; D032982:Contracts; D004469:Economics, Hospital; D007345:Insurance Claim Review / Q000458:organization & administration*; D007349:Insurance, Health, Reimbursement / Q000191:economics; D014481:United States