An Audit from the Inside

An Audit from the Inside is a course presented by the American Chiropractic Association that provides chiropractors with practical guidance on navigating insurance compliance audits. Rather than relying on information from attorneys, billing specialists, or companies selling documentation review services, Dr. Fitzenrider offers a firsthand perspective on what happens when an audit letter arrives and how to manage the process effectively.

The course covers a complete timeline of audit events, beginning with the initial documentation review request (Phase 1) through potential pre-payment review consequences (Phase 2). Attendees will learn what steps to take before submitting documentation, how to handle audit communications, and strategies for responding to denials and staying organized throughout the process. The instructor addresses practical concerns such as whether to engage legal representation and how to support staff during an audit.

This course is designed for chiropractors who want to be proactive rather than reactive when facing insurance audits. By understanding the sequence of events and preparation strategies, practitioners can better protect their practices and manage the stress associated with compliance reviews.

• -Discuss the sequence of events in a typical audit
• -Review the steps on how to prepare for an audit