Executive summary. A measured response separates what was requested, what the records show, and what the organization intends to do next.
Definition
An audit finding is an issue identified by a reviewer that may require explanation, correction, repayment, or other response.
Where this work lives in Attergo
Compliance Binder, alongside the relevant Attergo billing, margin, and inventory records, is where an organized response comes together. Give the request one owner, keep the requested evidence in one place, and record the final response and any follow-up work.
Treat no finding as automatically right or automatically wrong. Compare it against the applicable agreement, the policy, and the underlying records. Clarify the facts first, particularly when a notice folds many transactions into one conclusion.
Review and follow up
Track deadlines, questions, submitted materials, decisions, and any corrective action. Bring in legal, compliance, finance, or clinical leadership according to the seriousness and the subject of the finding.
Final decisions stay with the role your organization holds accountable for them. Record the decision on the item, with the evidence behind it, so the next person to open it does not start over.
Frequently asked questions
Who should use this Attergo workspace?
The role that owns the next action leads it: a billing specialist, an authorization coordinator, an inventory lead, a pharmacist, a compliance lead, or a finance reviewer. Access follows the role your organization assigns.
Referenced standards and further reading
- CMS: Recovery Audit Program ↗Centers for Medicare & Medicaid Services