Brellium转发了
Navigating government payer audits can be intimidating for any provider group—and for good reason. When a government payer comes knocking, they’re not just checking for general compliance; they’re scrutinizing your notes with even more rigor than a private insurer would. Government payers need to be strict because of their anti-FWA mandate — since they’re spending your tax dollars, they have an obligation to be efficient about cash spend. Hence why reducing fraud waste and abuse is monitored closely. For provider groups, this means the bar is higher. Government payers like Tricare, Medicare, and Medicaid will move more quickly towards ADRs and pre-payment reviews, and in extreme cases clawing back already paid funds. One of our earliest customers was put on a Medicaid pre-payment review, meaning their small team of three would have had to manually comb through months worth of high-stakes notes for 400 clients. With Brellium, they didn’t have to do it alone. They were able to quickly identify which notes were compliant, which needed fixes, and how to fix them—saving them months of chart review. The lesson? Proactive compliance is the best defense. By staying on top of documentation (with tools like Brellium), provider groups can minimize the time, energy, and risk associated with these high-stakes audits.
