Louisiana Administrative Code
Title 37 - INSURANCE Part
Part XIII - Regulations
Chapter 25 - Regulation 49-Billing Audit Guidelines
Section XIII-2503 - Applicability and Scope
Universal Citation: LA Admin Code XIII-2503
Current through Register Vol. 50, No. 9, September 20, 2024
A. This regulation shall apply to health care providers and payers. The provider and/or payer involved in the billing audit shall be responsible for the conduct and results of the billing audit, whether conducted by an employee or by contract with another firm. This means that the provider and payer shall:
1. exercise proper supervision of the process
to ensure that the audit is conducted according to the spirit of the
regulations set forth here;
2. be
aware of the actions being undertaken by the auditor in connection with the
billing audit and its related activities; and
3. take prompt remedial action if
inappropriate behavior by the auditor is discovered.
AUTHORITY NOTE: Promulgated in accordance with Act 664 of the 1993 Regular Legislative Session and R.S. 22:12.
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