Implement periodic external audits to ensure your claims are accurate and will hold up to payer scrutiny. Auditing your coders is an important part of ensuring quality and regulatory compliance for both hospitals and medical practices. External audits offer objective visibility into departmental operations, identify gaps in your coding processes, and uncover deficiencies and coding ...
In Audit
Jan 1st, 2021
Know the HIPAA Right of Access rules to stay compliant...
In Audit
Jan 1st, 2021
Using MDM to code office visits in 2021 from an auditor's perspectiv...
In Audit
Dec 28th, 2020
More than $14.4 million in inaccurate payments were made to Medicare Advantage (MA) organizations due to the submission of incorrect acute stroke diagnosis codes by traditional Medicare providers, as per an audit performed by the Department of Health and Human Services (HHS) Office of Inspector General (OIG). According to the Sept. 16 report, the overpayments ...
In Audit
Dec 1st, 2020
When to report a provider to the ...