Best Practices for Responding to a Reimbursement Audit: A Proactive and Strategic Approach - On Demand
Recorded On: 10/15/2025
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Reimbursement audits can be daunting, but with the right preparation and strategies, healthcare providers can navigate them efficiently while maintaining compliance and minimizing financial risks. This presentation offers a comprehensive guide to best practices for responding to reimbursement audits. Attendees will learn how to prepare in advance, respond effectively to audit requests, and implement post-audit improvements. Emphasis will be placed on building a culture of compliance and utilizing audits as opportunities for growth and refinement in billing and documentation practices.
Learning Objectives:
- Basic understanding of the various Medicare audit contractors and the role they each play.
- Understand the potential impact audits can have on a provider or supplier.
- Best practice recommendation to mitigate the impact of Medicare audits.
Noel Neil, JM, CDME
Chief Compliance Officer
Acu-Serve LLC
An expert in the areas of billing, auditing, appeals and regulatory compliance, Noel serves as Chief Compliance at ACU-Serve LLC, where he is responsible for maintaining and monitoring the company’s corporate compliance program. He also offers audit defense and policy-specific education and guidance to ACU-Serve’s existing clients, representing multiple suppliers in all types of Medicare audits and appeals, from the initial request to the Administrative Law Judge (ALJ) and in some cases, the Department of Appeals Board (DAB). Noel has over 18 years in the DMEPOS industry working in Intake, Billing and Compliance Departments throughout his tenure. Noel also helps DMEPOS providers navigate the complex terrain of reimbursement and profitability of potential products, with an eye toward helping them grow their business compliantly. He also serves as subject matter expert in litigation support on DMEPOS billing and compliance. Noel is an active member and contributor of all four Medicare Councils, and he serves as the Vice Chair to the Jurisdiction C Council and the Complex Rehab A Team Leader for the Jurisdiction B and D Councils. He also serves on the Medicare Provider Outreach and Education Advisory Groups for Jurisdictions A, C and D, and MYCGS Advisory Group. Noel actively participates in industry Councils and Advisory Committee such the AAHomecare’s Regulatory Council, Diabetes Council, Payer Relations Council and the NHIA Medicare Contractor Advisory Committee. Noel enjoys speaking and interacting with suppliers and stakeholders at trade shows, state associations and other industry exclusive summits and events. Noel received a Juris Masters (JM) Law Degree, from Florida State University College of Law, with a concentration in Health Care Regulation. Noel is also a Board of Certification/Accreditation (BOC), Certified Durable Medical Equipment Specialist (CDME) and a subject matter expert (SME) for the 2021 - 2022 revision of the CDME exam.
Noel was voted BOC’s 2023 Certificant of Year for his outstanding contributions to the profession, including commitments to service, research and outreach. Noel Neil Named BOC Certificant of the Year - Board of Certification/Accreditation
NHIA Requires planners, faculty, and others who affect the content of this activity to disclose all financial relationships they have with ineligible companies. All relevant financial relationships are thoroughly vetted and mitigated according to policy.
Noel Neil has no relevant financial relationships with ineligible companies to disclose.
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