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* 1. Please indicate if you received requests for medical records for any of the following codes by entering the number of requests next to the code:

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* 2. As a result of the audit(s), what percentage of your claims were downcoded?

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* 3. On average, how many levels were your claims downcoded?

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* 4. Do you disagree with the downcoding and plan to appeal?

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* 5. Do you find the coding tools on Palmetto's website helpful?

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* 6. Do you belive the Medicare audit letter(s) you received was::

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* 7. Please estimate the cost to your practice resulting from the audits in terms of staff and physician time spent on medical record retrieval and review, copying, delays in payment, appeals, etc.

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* 8. What percentage of your total Medicare billings do the audit requests represent?

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* 9. What percentage of your practice is Medicare?

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* 10. Please answer the following:

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* 11. Please answer the following:

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