You said it Knicole! Stop Auditing Practitioners and Start Auditing Medicare Advantage Plans!

June 16, 2022

I am fan of attorney Knicole Emanuel’s blog and this one is worth the read. We are being audited to death while the Medicare Advantage (MA) plans deny medically necessary care. That’s why I call it “Medicare Disadvantage.”
“Maybe it’s time to switch our telescopic lens from auditing providers to auditing MCOs and MAs. Let’s get these RAC, ZPIC, and TPE auditors focused on the stewards of our tax dollars, the prepaid entities.”

Audit the Medicare Payors…It’s Not Always the Providers That Commit Fraud

Caroline Fife, MD

Dr. Fife is Co-Founder and Chief Medical Officer of Intellicure, Executive Director of the US Wound Registry, and Editor of Today’s Wound Clinic.

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