{"id":2173,"date":"2026-06-30T18:59:05","date_gmt":"2026-06-30T18:59:05","guid":{"rendered":"https:\/\/www.petal-health.com\/?p=2173"},"modified":"2026-06-30T18:59:07","modified_gmt":"2026-06-30T18:59:07","slug":"ahcip-audit-next-steps","status":"publish","type":"post","link":"https:\/\/www.petal-health.com\/fr\/blog\/physicians\/ahcip-audit-next-steps\/","title":{"rendered":"Audited by AHCIP? Here are your next steps\u00a0+ a checklist to prepare"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2173\" class=\"elementor elementor-2173\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-413f683 e-con-full e-flex e-con e-parent\" data-id=\"413f683\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-50e6dbd e-con-full e-flex e-con e-child\" data-id=\"50e6dbd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-da2b1cf e-con-full e-flex e-con e-child\" data-id=\"da2b1cf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-91f4788 elementor-widget elementor-widget-post-info\" data-id=\"91f4788\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-e2e55fa elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.petal-health.com\/fr\/blog\/2026\/06\/30\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-calendar\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12 192h424c6.6 0 12 5.4 12 12v260c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V204c0-6.6 5.4-12 12-12zm436-44v-36c0-26.5-21.5-48-48-48h-48V12c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v52H160V12c0-6.6-5.4-12-12-12h-40c-6.6 0-12 5.4-12 12v52H48C21.5 64 0 85.5 0 112v36c0 6.6 5.4 12 12 12h424c6.6 0 12-5.4 12-12z\"><\/path><\/svg>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>juin 30, 2026<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6dc37a elementor-widget elementor-widget-heading\" data-id=\"f6dc37a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Key takeaways<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39491c3 elementor-widget elementor-widget-text-editor\" data-id=\"39491c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ol><li><b><span data-contrast=\"auto\">A structured response\u00a0limits audit stress:<\/span><\/b><span data-contrast=\"auto\">\u00a0Understanding the audit scope before\u00a0acting\u00a0supports\u00a0accurately,\u00a0timely\u00a0audit responses.<\/span><\/li><li><b><span data-contrast=\"none\">Every audit is an opportunity to improve:\u00a0<\/span><\/b><span data-contrast=\"none\">Reviewing findings and standardizing billing processes\u00a0decreases\u00a0future compliance risks and\u00a0boosts\u00a0long-term billing accuracy.<\/span><\/li><li><b><span data-contrast=\"auto\">Strong documentation is your best\u00a0defense:<\/span><\/b><span data-contrast=\"auto\">\u00a0Complete, legible clinical notes\u00a0demonstrate\u00a0that billed services were medically necessary and appropriately coded.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6adab96 elementor-widget elementor-widget-text-editor\" data-id=\"6adab96\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">If\u00a0you&#8217;ve\u00a0received an audit notice from the Alberta Health Care Insurance Plan (AHCIP),\u00a0don&#8217;t\u00a0panic. In many cases, audits are\u00a0used\u00a0to verify that\u00a0submitted\u00a0claims\u00a0comply with\u00a0the\u00a0<\/span><a href=\"https:\/\/open.alberta.ca\/publications\/somb-2026-04-01\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Schedule of Medical Benefits\u00a0<\/span><\/a><span data-contrast=\"none\">and are\u00a0backed\u00a0by\u00a0appropriate\u00a0documentation. Read the audit notice carefully, gather the requested records, review your claims, respond before the deadline, and use the findings to strengthen your billing processes.<\/span><\/p><p><span data-contrast=\"none\">AHCIP billing audits happen to the best physicians.<\/span><\/p><p><span data-contrast=\"none\">Audits happen very rarely due to fraudulent billing, or even due to accusations of fraud.\u00a0<\/span><b><span data-contrast=\"none\">The main reason is usually a presumption of billing errors or misinterpretation of agreements.<\/span><\/b><span data-contrast=\"none\"> Alberta Health\u00a0mainly targets\u00a0physicians who have billings statistically different from the average of their colleagues.<\/span><\/p><p><span data-contrast=\"none\">Nonetheless, managing audits\u00a0is time-consuming, which slows care delivery, weakens clinic growth, and\u00a0<\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10661094\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">increases staff burnout<\/span><\/a><span data-contrast=\"none\">.<\/span><\/p><ul><li><b><span data-contrast=\"none\">Remember:<\/span><\/b><span data-contrast=\"none\">\u00a0Alberta Health receives\u00a0<\/span><b><span data-contrast=\"none\">millions of invoices every year<\/span><\/b><span data-contrast=\"none\">\u00a0from health professionals, and each one is verified by a computerized system or by employees as part of the organization\u2019s mandate.\u00a0Don\u2019t\u00a0take an audit personally.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4778cf elementor-widget elementor-widget-text-editor\" data-id=\"f4778cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Your best protection\u00a0is\u00a0compliant\u00a0billing and adequate clinical notes. Make sure your patient files and notes have\u00a0clear\u00a0descriptions of the patient&#8217;s situation, as well as the services provided.<\/span><\/p><p><span data-contrast=\"none\">If you\u2019re audited, follow these five steps to position you and your team for success.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ba91af8 e-con-full e-flex e-con e-child\" data-id=\"ba91af8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-424c393 elementor-widget elementor-widget-heading\" data-id=\"424c393\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Step 1: Read the audit notice carefully<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-65b52db elementor-widget elementor-widget-text-editor\" data-id=\"65b52db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Your first reaction may be to start gathering patient charts\u00a0immediately.\u00a0Resist\u00a0this\u00a0urge.<\/span><\/p><p><b><span data-contrast=\"none\">Instead, take a few minutes to understand exactly what Alberta Health is requesting.<\/span><\/b><\/p><p><span data-contrast=\"none\">Audit notices typically explain which billing period or claims are under review, what documentation must be\u00a0submitted, and when your response is due. Read the notice from beginning to end before taking any action. Missing a deadline or overlooking part of the request\u00a0causes\u00a0unnecessary complications.<\/span><\/p><p><span data-contrast=\"none\">Remember that receiving an audit notice does not automatically mean Alberta Health believes fraud has occurred.\u00a0Audits are a routine part of administering millions of\u00a0physician\u00a0claims each year.<\/span><\/p><p><span data-contrast=\"none\">Starting with a clear understanding of the audit scope makes every step that follows easier.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-122c39d elementor-widget elementor-widget-text-editor\" data-id=\"122c39d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Billing virtual care in Alberta? Use our\u00a0codes\u00a0cheat sheet and AHCIP checklist.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p><p><a href=\"https:\/\/www.petal-health.com\/en\/blog\/physicians\/alberta-health-cheat-sheet\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Check it out<\/span><\/b><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cdabb5e e-con-full e-flex e-con e-child\" data-id=\"cdabb5e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-02f3b0a elementor-widget elementor-widget-heading\" data-id=\"02f3b0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Step 2: Gather supporting documentation<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ee2a429 elementor-widget elementor-widget-text-editor\" data-id=\"ee2a429\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Your documentation will form the foundation for your response.<\/span><\/p><p><span data-contrast=\"none\">Gather every document that supports the billed service before\u00a0responding and\u00a0organize\u00a0your records in the same order as the audit request.<\/span><\/p><p><span data-contrast=\"none\">Here are examples\u00a0of key billing documentation:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"178\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Progress notes<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"178\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Consultation notes<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"178\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Operative reports<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"178\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Referral letters<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"178\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Diagnostic results\u00a0(if\u00a0applicable)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"178\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"6\" data-aria-level=\"1\"><span data-contrast=\"none\">Virtual care documentation (start\/stop times if\u00a0required)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"178\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"1\"><span data-contrast=\"none\">Scheduling records<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f542ee elementor-widget elementor-widget-text-editor\" data-id=\"9f542ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW134458331 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><strong><span class=\"NormalTextRun SCXW134458331 BCX0\">Don&#8217;t<\/span><\/strong><span class=\"NormalTextRun SCXW134458331 BCX0\"><strong>\u00a0alter documentation after the fact.<\/strong>\u00a0<\/span><\/span><span class=\"TextRun SCXW134458331 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW134458331 BCX0\">If clarification is\u00a0<\/span><span class=\"NormalTextRun SCXW134458331 BCX0\">required<\/span><span class=\"NormalTextRun SCXW134458331 BCX0\">, follow accepted documentation practices rather than rewriting history.<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2d45d3a e-con-full e-flex e-con e-child\" data-id=\"2d45d3a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-7cb9cd9 e-con-full e-flex e-con e-child\" data-id=\"7cb9cd9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fb9a0aa elementor-widget elementor-widget-heading\" data-id=\"fb9a0aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Step 3: Review each claim objectively<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2d05a8 elementor-widget elementor-widget-text-editor\" data-id=\"d2d05a8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Before responding, compare the submitted claim against the\u00a0<\/span><a href=\"https:\/\/open.alberta.ca\/publications\/somb-2026-04-01\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Schedule of Medical Benefits<\/span><\/a><span data-contrast=\"none\">\u00a0and your documentation.<\/span><\/p><p><span data-contrast=\"none\">Ask yourself, and if necessary, your team:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"179\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Was the correct code used?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"179\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Were modifiers applied correctly?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"179\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Were\u00a0billing limitations respected?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"179\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Does the documentation support the billed service?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"179\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Are referrals or required patient information included?<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8949eb7 elementor-widget elementor-widget-text-editor\" data-id=\"8949eb7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong><span class=\"TextRun SCXW180179420 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW180179420 BCX0\">If errors exist, understand them before responding to Alberta Health.<\/span><\/span><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2998a7c elementor-widget elementor-widget-text-editor\" data-id=\"2998a7c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Alberta physicians using Petal gained $38,581 more annually on average compared to manual billing.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559685&quot;:0,&quot;335559738&quot;:240,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p><p><a href=\"https:\/\/www.petal-health.com\/en\/reports\/how-medical-billing-solutions-are-transforming-physician-practice\/\" target=\"_blank\" rel=\"noopener\"><b><span data-contrast=\"none\">Learn how<\/span><\/b><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-24ef28d e-con-full e-flex e-con e-child\" data-id=\"24ef28d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-df73f7f elementor-widget elementor-widget-heading\" data-id=\"df73f7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Step 4: Respond completely and on time<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5579834 elementor-widget elementor-widget-text-editor\" data-id=\"5579834\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Punctuality is key to managing audits and returning your focus to patient care.<\/span><\/p><p><b><span data-contrast=\"none\">Submit exactly what Alberta Health requested before the deadline.<\/span><\/b><\/p><p><span data-contrast=\"none\">Be sure to include:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"180\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Requested records<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"180\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Organized documentation<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"180\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Any explanatory letter if appropriate<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db493ec elementor-widget elementor-widget-text-editor\" data-id=\"db493ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW260470189 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW260470189 BCX0\">Keep copies of everything\u00a0<\/span><span class=\"NormalTextRun SCXW260470189 BCX0\">submitted<\/span><span class=\"NormalTextRun SCXW260470189 BCX0\">\u00a0and a<\/span><span class=\"NormalTextRun SCXW260470189 BCX0\">void sending\u00a0<\/span><span class=\"NormalTextRun SCXW260470189 BCX0\">superfluous\u00a0<\/span><span class=\"NormalTextRun SCXW260470189 BCX0\">document<\/span><span class=\"NormalTextRun SCXW260470189 BCX0\">ation<\/span><span class=\"NormalTextRun SCXW260470189 BCX0\">.<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6edaea8 e-con-full e-flex e-con e-child\" data-id=\"6edaea8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a6eeb7 elementor-widget elementor-widget-heading\" data-id=\"6a6eeb7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Step 5: Learn from the audit<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-215c1fc elementor-widget elementor-widget-text-editor\" data-id=\"215c1fc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Audits are an opportunity to\u00a0establish\u00a0<\/span><a href=\"https:\/\/www.petal-health.com\/en\/blog\/medical-billing\/5-steps-to-first-pass-billing-systems\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">more effective billing practices<\/span><\/a><span data-contrast=\"none\">.<\/span><\/p><p><span data-contrast=\"none\">Whether the audit results in no changes or\u00a0identifies\u00a0billing issues, use it to improve future workflows.<\/span><\/p><p><span data-contrast=\"none\">Here\u2019s\u00a0what to ask\u00a0yourself and your team:<\/span><\/p><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"181\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Were documentation expectations consistent?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"181\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Did multiple providers bill the same situation differently?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"181\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Are there recurring coding mistakes?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li><\/ul><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"181\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Do internal processes need updating?<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e1d498a elementor-widget elementor-widget-text-editor\" data-id=\"e1d498a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW208778899 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW208778899 BCX0\">An audit is a chance to strengthen billing accuracy across the practice. Your revenue growth will be better for it!<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-99ba89e e-con-full e-flex e-con e-child\" data-id=\"99ba89e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bc0bf95 elementor-widget elementor-widget-heading\" data-id=\"bc0bf95\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Best practices for managing AHCIP audits successfully + checklist<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-419c514 elementor-widget elementor-widget-text-editor\" data-id=\"419c514\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">The best time to prepare for an audit is long before one arrives.<\/span><\/p><p><span data-contrast=\"none\">Healthcare teams that build consistent billing habits into their daily workflows are typically better positioned to respond quickly and confidently when documentation is requested.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4602d7f elementor-widget elementor-widget-heading\" data-id=\"4602d7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Document clearly and consistently<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9cf89bc elementor-widget elementor-widget-text-editor\" data-id=\"9cf89bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW104468653 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW104468653 BCX0\">Clinical documentation should support every billed service. Establish clear documentation standards across your\u00a0<\/span><span class=\"NormalTextRun SCXW104468653 BCX0\">organization,<\/span><span class=\"NormalTextRun SCXW104468653 BCX0\"> so providers consistently record patient history, assessments, referrals, procedures, time requirements, and medical decision-making where applicable.<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5cf5a1 elementor-widget elementor-widget-heading\" data-id=\"e5cf5a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Review billing regularly<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cfd38e5 elementor-widget elementor-widget-text-editor\" data-id=\"cfd38e5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW147900010 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW147900010 BCX0\">Periodic internal billing reviews help\u00a0<\/span><span class=\"NormalTextRun SCXW147900010 BCX0\">identify<\/span><span class=\"NormalTextRun SCXW147900010 BCX0\">\u00a0recurring documentation gaps, coding inconsistencies, and rejected claim patterns before they become larger compliance issues. Reviewing high-volume codes and\u00a0<\/span><span class=\"NormalTextRun SCXW147900010 BCX0\">frequently<\/span><span class=\"NormalTextRun SCXW147900010 BCX0\">\u00a0used modifiers uncover<\/span><span class=\"NormalTextRun SCXW147900010 BCX0\">s<\/span><span class=\"NormalTextRun SCXW147900010 BCX0\"> small problems that are easily corrected.<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8874f4f elementor-widget elementor-widget-heading\" data-id=\"8874f4f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Stay current on billing requirements<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6cbcba elementor-widget elementor-widget-text-editor\" data-id=\"b6cbcba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Billing rules evolve over time. Assign responsibility for monitoring Alberta Health updates, reviewing Schedule of Medical Benefits changes, and sharing\u00a0important information\u00a0with physicians and billing staff. Regular education helps ensure everyone is working from the same guidance.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p><p><strong>Use this readiness checklist to remain prepared for potential audits:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a1bca7 elementor-widget elementor-widget-image\" data-id=\"2a1bca7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"768\" height=\"512\" src=\"https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/06\/AHCIP-checklist-768x512.png\" class=\"attachment-medium_large size-medium_large wp-image-2179\" alt=\"A checklist of eight items for preparing Alberta physicians in the case of an audit.\" srcset=\"https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/06\/AHCIP-checklist-768x512.png 768w, https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/06\/AHCIP-checklist-300x200.png 300w, https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/06\/AHCIP-checklist-1024x683.png 1024w, https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/06\/AHCIP-checklist-18x12.png 18w, https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/06\/AHCIP-checklist-600x400.png 600w, https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/06\/AHCIP-checklist.png 1536w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-24ae6a9 e-con-full e-flex e-con e-child\" data-id=\"24ae6a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-02061c3 elementor-widget elementor-widget-heading\" data-id=\"02061c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Submit more successful claims on first pass<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d73013a elementor-widget elementor-widget-image\" data-id=\"d73013a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"768\" height=\"464\" data-src=\"https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/01\/Screenshot-2026-01-05-at-2.09.18-PM-768x464.png\" class=\"attachment-medium_large size-medium_large wp-image-1243 lazyload\" alt=\"Digital displays showing &quot;Error&quot; and &quot;Payment&quot; from the Petal Billing tool laid on a purple background.\" data-srcset=\"https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/01\/Screenshot-2026-01-05-at-2.09.18-PM-768x464.png 768w, https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/01\/Screenshot-2026-01-05-at-2.09.18-PM-300x181.png 300w, https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/01\/Screenshot-2026-01-05-at-2.09.18-PM-18x12.png 18w, https:\/\/www.petal-health.com\/wp-content\/uploads\/2026\/01\/Screenshot-2026-01-05-at-2.09.18-PM.png 840w\" data-sizes=\"(max-width: 768px) 100vw, 768px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 768px; --smush-placeholder-aspect-ratio: 768\/464;\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b76292f elementor-widget elementor-widget-text-editor\" data-id=\"b76292f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Audit or no audit, choose a billing solution for all scenarios.<\/span><\/p><p><a href=\"https:\/\/www.petal-health.com\/en\/alberta-medical-billing\/\"><b><span data-contrast=\"none\">Petal\u00a0Billing\u00a0in Alberta<\/span><\/b><\/a><b><span data-contrast=\"none\">\u00a0<\/span><\/b><span data-contrast=\"none\">provides centralized, tailored medical billing solutions for Alberta physicians via self-serve or fully managed for AHCIP, WCB, private, and out-of-province claims. Access real-time claim status and code tracking at every step, as well as remittance reception and automated payment reconciliation.<\/span><\/p><ul><li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"169\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Our\u00a0<\/span><a href=\"https:\/\/www.petal-health.com\/en\/blog\/reports\/how-medical-billing-solutions-are-transforming-physician-practice\/\"><span data-contrast=\"none\">recent independent study<\/span><\/a><span data-contrast=\"none\">\u00a0found physicians using Petal Billing\u00a0<\/span><b><span data-contrast=\"none\">saved 3.1 hours per week on average<\/span><\/b><span data-contrast=\"none\">.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-160f534 elementor-widget elementor-widget-text-editor\" data-id=\"160f534\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span data-contrast=\"none\">Make your billing process smooth, so you worry less about mistakes and more about patients.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1131435 elementor-widget elementor-widget-text-editor\" data-id=\"1131435\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Improve your billing success rate:\u00a0<\/strong><\/p><p><strong><a href=\"https:\/\/www.petal-health.com\/en\/contact\/\">Talk to a Petal\u00a0billing\u00a0expert<\/a><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3b240a3 e-con-full e-flex e-con e-child\" data-id=\"3b240a3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3c58ea3 elementor-widget elementor-widget-heading\" data-id=\"3c58ea3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQs: AHCIP audits<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d25a915 elementor-widget elementor-widget-text-editor\" data-id=\"d25a915\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b><span data-contrast=\"auto\"> Why did I receive an AHCIP audit?<\/span><\/b><\/p><p><span data-contrast=\"auto\">Alberta Health conducts audits to verify that billed services\u00a0comply with\u00a0the Schedule of Medical Benefits and are supported by\u00a0appropriate documentation. An audit does not automatically\u00a0indicate\u00a0suspected fraud.<\/span><\/p><p><b><span data-contrast=\"auto\">What documentation should I provide during an audit?<\/span><\/b><\/p><p><span data-contrast=\"auto\">Submit the records requested in the audit notice. Depending on the review, this may include clinical notes, referrals, consultation reports, operative notes, diagnostic results, and other supporting documentation.<\/span><\/p><p><b><span data-contrast=\"auto\">Can I change my chart after receiving an audit notice?<\/span><\/b><\/p><p><span data-contrast=\"auto\">Clinical records should not be rewritten after the fact. If clarification is necessary, follow accepted documentation practices for adding an appropriately dated addendum rather than altering the original record.<\/span><\/p><p><b><span data-contrast=\"auto\">What happens if Alberta Health identifies billing errors?<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">Depending on the findings, Alberta Health may request clarification, adjust payments, or recover amounts that cannot be supported by documentation or billing rules.<\/span><\/p><p><b><span data-contrast=\"auto\">Am I responsible if someone else submits my claims?<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p><p><span data-contrast=\"auto\">Yes. Physicians\u00a0remain\u00a0responsible for the accuracy of their billing, even when claims are prepared or\u00a0submitted\u00a0by clinic staff or a billing agency.<\/span><\/p><p><b><span data-contrast=\"auto\">How can I reduce the likelihood of future audits?<\/span><\/b><\/p><p><span data-contrast=\"auto\">Maintain complete documentation, review billing regularly, stay current on Alberta Health billing requirements, and\u00a0establish\u00a0consistent billing processes across your practice.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:1,&quot;335551620&quot;:1}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Receiving an AHCIP audit notice can be stressful, but it doesn&#8217;t have to derail your practice. Learn what Alberta physicians should do after an audit notice arrives, how to respond effectively, and the best practices that reduce audit risk over time.<\/p>","protected":false},"author":2,"featured_media":2186,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[54,16,18,9,13,10],"tags":[34,45,35,65,70],"class_list":["post-2173","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinicians","category-healthcare-delivery-organizations","category-hospitals","category-medical-billing","category-physicians","category-revenue-cycle-management","tag-billing","tag-clinics","tag-medical-billing","tag-physicians","tag-revenue-management"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Audited by AHCIP? 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