Analyzing Overpayment Audit Results: How Accurate Is An Audit Extrapolation?

Overpayment recovery audits are becoming more commonplace. However, the process utilized by payers to calculate the overpayment amount is both poorly understood and rarely challenged.

Healthcare consultant Frank Cohen of Frank Cohen and Associates is working to educate providers on the number manipulation game going on during overpayment audits. During a recent presentation on post-audit mitigation, Cohen explained that there are a number of different ways that auditors can bias the statistical analysis against the provider, resulting in a higher overpayment amount than might be statistically justifiable. . . .. . . . (to read the remainder of this article, please log in below.)