Advance: Practice Performance Audits

A practice performance audit involves reviewing four general areas: data/entry billing, clinical documentation, coding, and charge capturing; however, many other areas of the practice affect reimbursement. AAPC’s Marsha S. Diamond, CPC, CPC-H, CCS,  recently expounded on practice performance audits in an article published by Advance for Health Information Professionals.

“As coders well know, even when ICD-9-CM and CPT codes are assigned correctly for the encounter, the claim may not be properly paid due to a multitude of reasons or failure of processes within the practice,” she says. “The practice performance audit attempts to evaluate where errors/omissions occur, timeliness of practice processes, and inefficiencies within the practice that result in incorrect, delayed, or denial of requests for payment for services.”

Read the full article.


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One Response to “Advance: Practice Performance Audits”

  1. Rose Neeley says:

    Everyone is not perfect. Even us humans are not computers. So when your computers go down and its the end of the work day. We as people intend to forget to check again when and if we can download the appropriate documents.

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