When a physician, medical group or other healthcare provider receives a notice of an audit and site visit from Medicare, the Medicare Administrative Carrier (MAC) or the Zone Program Integrity Contractor (ZPIC), things happen fast with little opportunity to prepare. Hopefully this checklist will help you to prepare for the on-site visit that will shortly follow.Many items on this checklist may seem common sense to the reader; however, they would not be on here if I did not encounter them as problems in at least two different instances for each one.
1. Immediately check your address on the letter to ensure it is the correct and complete physical address of the site visit, including the suite number.
2. Immediately call and make telephone contact with the auditors.
3. Immediately call and advise your health care attorney and have him/her present at the audit and site visit.
4. If the site visit is set for a branch office, make sure the appropriate administrative personnel and at least one of the treaters who see Medicare patients are in that office on the day of the site visit.