Introduction to the MCD Audit:
Our MCD Audit is a review of billed notes to ensure compliance with billing policies and procedures. The MCD audit process is completed once per quarter for our internal audit, two to three weeks after notes are posted for the quarter, where 25 records for both Therapy and TCM are pulled for review and completed within a month. Any overpayments found would need to be sent via AK05 with an associated Backout Payment.
The mandatory MCD Self Audit process is completed once every two years. Agency is given a choice between two years to conduct our audit per MCD’s email. The audit review must be completed and sent to MCD from our Director by the end of the year. Any overpayments found would be added to the spreadsheet and a check would be mailed with the results to MCD.
Therapy should be billed to Payors in order of hierarchy (Primary – Secondary – Tertiary), TCM should only be billed to MCD once per month per child, after a child is enrolled, and after the month of service is complete.
Updated Therapy fee schedules are supposed to be issued by MCD for claims with DOS July 1st through June 30th of the following year located on their website, MCD Therapy Fee Schedule. An updated TCM fee schedule will come from our Director via email issued by the state of Alaska for claims with DOS July 1st through June 30th of the following year to be billed starting in August.