During the pandemic Medicare was very lenient on extending deadlines. Even so, during that time, it would have been wise to respond by simply stating you required an extension to respond. Every auditing agency would almost always grant an additional sixty day extension.Now that the PHI has ended one really needs to have a good reason for having more time.Some good reasons include, you are short staffed, delay in receiving (you recevied the letter two weeks after the date of the letter ), etc.But notice these are all prior to the origina deadline.
Unfortunately, your only option may be to follow the options given once you are notified that you failed the audit for failure to respond.In some cases, you may be given the option to appeal to the same auditing agency, while in other cases you may have to file to another carrier.In all cases, the next step of appeal may require a financial threshold to meet.This may allow you to proceed on the one chart audit, or may require you to combine other audits proceeding to the same level.
During the pandemic Medicare was very lenient on extending deadlines. Even so, during that time, it would have been wise to respond by simply stating you required an extension to respond. Every auditing agency would almost always grant an additional sixty day extension.Now that the PHI has ended one really needs to have a good reason for having more time.Some good reasons include, you are short staffed, delay in receiving (you recevied the letter two weeks after the date of the letter ), etc.But notice these are all prior to the origina deadline.
Unfortunately, your only option may be to follow the options given once you are notified that you failed the audit for failure to respond.In some cases, you may be given the option to appeal to the same auditing agency, while in other cases you may have to file to another carrier.In all cases, the next step of appeal may require a financial threshold to meet.This may allow you to proceed on the one chart audit, or may require you to combine other audits proceeding to the same level.
I recently responded to a post payment audit 5 days late. The carrier is insisting that I can no longer appeal. Do I have any recourse? - WoodsideDR