PAI has long identified problems associated with medical audits as among the major challenges facing physicians today and has championed the cause for greater transparency and a fairer audit process. PAI has developed a multifaceted advocacy plan designed to address problems faced by physicians in preparing for and responding to medical audits, which include:
For more information on PAI efforts in this area, contact Kelly Kenney, PAI Counsel at firstname.lastname@example.org.
The has worked for several years to secure fairer practices within the RAC audit program and currently endorses the Fair Medical Audits Act of 2015, which was introduced by U.S. Representative George Holding (R-NC). Learn more about our latest advocacy efforts.
Another critical aspect of the PAI’s work has been to better educate physicians on how to prepare for and defend against a medical audit. The PAI partnered with the American College of Emergency Physicians (ACEP) to develop a comprehensive physician toolkit on medical audits. View toolkits and other PAI resources for physicians.
To highlight the real life impact of certain audit practices, PAI President and EVP/CEO of the North Carolina Medical Society Robert W. Seligson produced a video, “Guilty until Proven Innocent: When Medicare Audits Cause Casualties,” depicting how an unfair Medicare audit devastated one North Carolina medical practice.