Every year, providers face increasing volumes of recovery, government and commercial audits. Many expect 2016 will be different. From the return of recovery audit contractors (RACs) to the surge in medical necessity reviews, a deluge of information requests has hospitals shouldering greater administrative burdens related to audit management.

In addition to audits that carry financial impact, health plans are requesting more records to compile quality data, assess new member populations and maximize reimbursement from CMS. While voluminous health plan audits pose no direct financial risk to providers, they further drain organizational resources.

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