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Workers’ Comp Unwrapped Episode 413: Preparing for Billing Audits — Ensuring Compliance in 2026
Description
In this episode, Aneeq and Angela unpack what really triggers payer and DWC audits—and how clinics can stay one step ahead in 2026. From abnormal billing patterns and modifier overuse to documentation gaps and denial trends, they break down the most common red flags that put organizations under scrutiny.
The conversation also focuses on practical audit readiness: how to conduct effective internal reviews, strengthen documentation, train staff, and respond confidently when an audit notice arrives. With insights into emerging trends like AI-driven audit selection and increased scrutiny on medical necessity, this episode provides a clear roadmap for building a compliant, organized, and audit-ready billing process.
Whether you’re trying to reduce risk or improve operational efficiency, this episode offers actionable strategies to help your clinic stay prepared, accurate, and confident under review.
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