Non-Profit Health Care Organizations Face More Audits Than For-Profit Organizations

Non-profit health care provider organizations face more payer, state, or federal regulatory compliance or fraud audits than for-profit health care organizations; non-profit organizations reported an an average of six audits over the previous 12 months and for-profit organizations reported an average of less than four. About 42% of non-profit organizations and 25% of for-profit organizations were audited by two different government agencies looking at the same problem. The instances of audits from the federal Health and Human Services (HHS) Office of Civil Rights, HHS Office of Inspector General, Medicare Recovery Audit Contractor (RAC), and . . .