How to Respond When a Medicare Advantage Auditor Requests a Staff Interview

Healthcare and Life Sciences Partner Sam Louis wrote a column for Part B News advising healthcare providers on responding to Medicare Advantage auditors' requests for staff interviews. Mr. Louis emphasizes that providers are not obligated to undergo interviews during audits as spontaneous responses may lead to civil penalties, support a False Claims Act and criminal chargers. He recommends including interview response protocols in a provider's compliance plan, training staff accordingly, and suggests obtaining details about the nature of questions before deciding to participate in an interview, considering legal consultation.

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