What You Should Know About Medicare Audits

Ashlen Anderson and Richard Martin, JD

Orthopaedic surgeons who participate in Medicare may be subject to a claims audit. Sometimes, this results in an overpayment request, which requires that payment for a specific claim be refunded to Medicare.

To ensure that members of the American Association of Orthopaedic Surgeons (AAOS) have the information necessary to comply with Medicare policies and avoid overpayment requests or claims denials, this article provides background information on current audit programs.

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