Internal Controls Over SNF Revenue Cycle That Auditors Evaluate
Auditors focus on clinical documentation and coding accuracy to catch SNF reimbursement risk.
David Przybylski
Section
7 stories in Healthcare Audit Readiness.
Auditors focus on clinical documentation and coding accuracy to catch SNF reimbursement risk.
Documentation gaps, not fraud, drive most Medicaid audit findings and can be fixed with process.
SNFs must submit audited financials within 90 days of fiscal year end.
Thirteen OIG work plan items target nursing homes before audits begin.
Prepare these financial documents before audit fieldwork begins.
Blended AR metrics hide collection problems that threaten facility cash flow.
Auditors are targeting PDPM coding errors and documentation gaps that cost SNFs billions.