310.998           Third Party Audits of Physicians with Subsequent Billing of Physicians for Tests Deemed Inappropriate:

310.998           Third Party Audits of Physicians with Subsequent Billing of Physicians for Tests Deemed Inappropriate:

MSSNY will urge the appropriate state and federal regulatory agencies to regulate third party payers’ medical practice audits such that these audits focus on providing education and improving the quality of care, and not be used for financial or punitive activities.  MSSNY will work to ensure outcomes of all medical practice audit processes would be governed by rules of due process which will be available for all physicians who participate in third party audits. (HOD 1998-255; Reaffirmed HOD 2014; Reaffirmed HOD 2024)