Medicare Financial Management Manual (Pub. 100-06), Ch. 8 § 60.1.2

Audit Confirmation Letter (a.k.a. Engagement Letter) - In-

Last amended: 2006Year: 2006Length: 294 wordsOfficial source
60.1.2 – Audit Confirmation Letter (a.k.a. Engagement Letter) - In- House Audit (Rev. 107, Issued: 09-22-06; Effective: 10-01-06; Implementation: 10-02-06) The in-house audit confirmation letter should give a minimum of 4 weeks and a maximum of 6 weeks notice of the contractor’s intent to conduct an in-house audit (see Exhibit II in §170 of this chapter for a sample letter). The engagement letter should be provider-specific and must include the following: • Identification of the major areas the contractor will review. • A list of the required documents and the due date that provider must send copies of the documentation to the contractor. The provider should be given at least 3 weeks to provide the requested documents, and the due date should be at least a week prior to the telephone entrance conference. • Date and time of the telephone entrance conference. (Enclose the telephone entrance conference agenda – Exhibit III in §170 of this chapter). • A request that the provider assign a contact person to be the audit liaison. • A tentative pre-exit telephone conference date should be set within a week of the anticipated completion date of all audit review work. (Enclose the pre-exit conference format – Exhibit V in §170 of this chapter). • Notice that a telephone exit conference will be conducted once all audit adjustments are finalized. • Notice to the provider that all documentation and records requested must be given to you in a timely manner and that failure to produce documentation will result in non-negotiable audit adjustments. Notice to the provider that, as a general rule, you will not honor any reopening requests for the “lack of documentation” adjustments. This policy has no impact on the normal provider appeal rights with the Provider Reimbursement Review Board.
Medicare Financial Management Manual (Pub. 100-06), Ch. 8 § 60.1.2: Audit Confirmation Letter (a.k.a. Engagement Letter) - In- | Justis AI