Audit Scope. The auditor may, acting objectively and with reasonable notice, extend an audit of a physician's practice to cover fee codes that were not originally selected if the audit results suggest potential for additional incorrect ▇▇▇▇▇▇▇▇. The reasons for extending the fee codes audited must be provided to the physician with the notice of the extension and cannot be challenged as a part of the Audit and Appeal process.
Appears in 3 contracts
Sources: Physician Agreement, Physician Agreement, Physician Services Master Agreement