Post-Payment Audit Guidance


After the provider´s response to the Draft Audit Report is reviewed, a Final Audit Report will be issued. If all findings detailed in the Draft Audit Report are not successfully disputed, a Final Audit Report will be issued that identifies the program requirements in non-compliance. The report will indicate the overpayment amount and the repayment options. The report also notifies the provider of the right to appeal the audit findings and provides instructions to request an administrative hearing.

A Final Audit Report with No Recoveries is issued when documentation meeting all audit requirements is provided in response to the Draft Audit Report. Once this report is issued, no further information is needed from the provider, and the audit is then closed.