Question: Explain external payer audits process and responsibilities of hospital staff Explain internal audits and how they relate to compliance plans Know how to interact with auditors during an onsite audit Identify audit targets on the OIG Work Plan Explain the CERT audit process and requirements for response to a request for records Explain the PEPPER report and how it is used Identify examples of fraud and abuse Explain the MAC audit process Identify services approved for audit by the RAC auditors Explain the Medicare appeal process and discuss requirements at each level