Hit with audit - do I send path reports?

Provided by:  Jennifer Kirschenbaum, Esq.

April 12, 2018

Question:

Hi Jennifer, 

A carrier is auditing me.  Should I send the path reports in with the medical records?

Thanks,
Dr. L

Answer:

I can't give you a definitive answer without us speaking and understanding more about your practice and your thoughts on exposure, etc.  But, I will say, generally, if you are are producing for an audit - whatever the nature - you are doing yourself a disservice by sending a partial picture of care when you have material in your medical record that may substantiate care rendered and services billed.  

That being said, we do not want anyone snooping unless you are required to produce (mandated by contract, government payor, court ordered, etc.).     

Regardless, you may want to have the situation reviewed by us before you comply.  You also may want to bring in a coding expert at this stage to see how your records hold up upon review....