The Connecticut Medicaid Audit: A Survival Guide for Dental Practices
Wiggin and Dana attorneys Michelle DeBarge and Jody Erdfarb will be presenting a program titled, "The Connecticut Medicaid Audit: A Survival Guide for Dental Practices" for the Connecticut State Dental Association. Their program will address what a dental practice should know to survive a Medicaid audit in Connecticut. They will describe in detail the Medicaid audit process as set forth in statute, from receipt of the initial audit notification letter from the Department of Social Services (DSS) through the judicial appeal process, including the auditor's on-site visit and record review and the opportunity to respond and rebut any adverse findings. The presenters also will share, from their experiences, practical tips and informal ways to work with DSS to get the best result possible. Guidance regarding negotiating disallowances, challenging sampling and extrapolation methodology, and drafting responses will be offered. Finally, common recent audit findings specific to dental practices will be discussed to help providers not only respond to such findings, but also avoid similar pitfalls before DSS initiates an audit.