1. A. This regulation shall apply to health care providers and payers. The provider and/or payer involved in the billing audit shall be responsible for the conduct and results of the billing audit, whether conducted by an employee or by contract with another firm. This means that the provider and payer shall:

   1. 1. exercise proper supervision of the process to ensure that the audit is conducted according to the spirit of the regulations set forth here;
   2. 2. be aware of the actions being undertaken by the auditor in connection with the billing audit and its related activities; and
   3. 3. take prompt remedial action if inappropriate behavior by the auditor is discovered.

Authority Note

AUTHORITY NOTE: Promulgated in accordance with Act 664 of the 1993 Regular Legislative Session and R.S. 22:12.

Historical Note

HISTORICAL NOTE: Promulgated by the Department of Insurance, Office of the Commissioner, LR 20:311 (March 1994).