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Seven Things To Know When You Receive A Notice Of Investigation From The Department Of Health

I received a letter from the Agency for Health Care Administration (AHCA) requesting copies of patient medical records for a Medicaid audit. What should I do?

Speaker 1: In Florida, the Agency for Health Care Administration is the government agency that’s responsible for administering the Medicaid program and for conducting audits of the Medicaid program. This could be a serious matter, depending on what discrepancies may exist in your records, and whether you have scrupulously followed the Medicaid regulations and guidelines or not. We always recommend that you consult with either a consultant, who is familiar with such audits, or with a health care attorney experienced in such audits, to help you respond. Your response could prevent having a large fine and a large recovery action initiated against you, for a lot of money.