Cost reports and your billed claims are audited by fiscal intermediaries (FIs) or State auditors on a regular basis. Almost all cost reports are audited every year, some audits are very comprehensive, and some are very cursory in nature. In some cases, the result of the audit will have a serious financial impact on the provider. Axiom Healthcare Group can be of great value in responding to these audits.

Billing audits are more frequent than ever. FIs can now match claims data with billed data. We anticipate more focused reviews and more denials.

Axiom Healthcare Group has helped facilities through both cost reporting audits and billing audits with solid knowledge of the regulations and the ability to facilitate the audit process to help ensure the most appropriate outcome. We offer a wide range of reimbursement audit and appeal expertise to the Long Term Care industry. Our experience with appeals ranges from informal resolution at the lowest possible level to full research and information gathering, to formal PRRB hearing representation. Our goal is to resolve every appeal in the most appropriate manner and at the earliest possible stage. Our audit and appeal services include:

• Cost Report Appeals for Medicare and Medicaid - We can represent you in individual or group issue appeals resulting from either Medicare or Medicaid cost report audits. We provide impact analysis, information on the likelihood of success, assist you in formulating a strategy, filing of the appeal, scheduling of critical deadlines, research and gather data submission of position papers, working with attorneys (when necessary) and actual hearing representation.



• Billing Appeals - Our billing experts can quickly analyze denials, assess your documentation and help develop the appeal. We have actual billing experience, we are knowledgeable about regulations, we understand the deadlines for both Medicare and Medicaid, and we can help you manage denials.

Benefits

We have built solid working relationships with both Fiscal Intermediaries and State audit agencies. We believe our regulatory knowledge and Long Term Care industry experience in the auditing and billing areas make us a solid choice to assist in the appeals process.

for more information, call us at 888-66-AXIOM