Here at Harris & Brun Law Corporation, we have a proven history of providing medical professionals with advice on how best to manage and resolve insurance audits in the current regulatory climate. Over the past several years, insurance companies have increased their focus on auditing medical professionals’ offices. The focus is for the insurer to confirm that the treatment provided is consistent with what was billed. An audit may be triggered by a billing pattern that is considered by the insurer to be unusual or an outlier within the profession. In the event there is a discrepancy between what treatment was provided and what treatment was billed, the insurer may seek financial recovery for the alleged overpayment from the medical practitioner.
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