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Session 22 | Understanding Your Cost Report Audit Under PPS

Session Summary

Under the new Prospective Payment System (PPS) for Medicaid reimbursement, the audit and appeals process continues to play a significant role in how providers are reimbursed and rates are determined. Under PPS, audited cost reports will be the source for peer group median cost component rates and individual provider rates for resident care. This session is aimed at educating providers on the audit and appeal processes and what to expect when you are selected for audit. Attendees will learn about AHCA's role and objectives in the process, expectations from providers, timelines and best practices for a better audit experience.