Brews and Tiny Teeth, The Unfiltered Pediatric Dentistry Podcast
How to Survive a Medicaid Audit, with Dr. Jay Leung
Jun 25, 2024
Dr. Jay Leung, a pediatric dentist and owner of The Little Tooth Company Pediatric Dentistry, shares his gripping experience with a Medicaid audit. He discusses the anxiety of receiving an audit letter and the hefty penalties that followed. Dr. Jay highlights the importance of legal assistance and meticulous documentation in defending oneself. He offers valuable tips for his peers on navigating audits, emphasizes the psychological toll of the process, and advocates for community support among dental professionals facing similar challenges.
44:27
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Quick takeaways
- Effective preparation through meticulous record-keeping and clear communication can significantly alleviate stress during a Medicaid audit process.
- Understanding common audit findings, particularly discrepancies in documentation and coding, is essential for pediatric dental practices to avoid penalties.
Deep dives
Understanding Medicaid Audits
Medicaid audits are a significant concern for pediatric dental practices, particularly for those treating children under this program. Pediatric dentists often hear horror stories of cases where providers are audited, leading to the risk of having to repay large sums of money. During an episode, an experienced pediatric dentist discussed his own audit experience, highlighting that although audits can seem daunting, they can provide valuable insights into best practices. The discussion emphasized the importance of understanding the audit process, knowing what to expect, and preparing adequately to minimize stress when facing an audit.
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