In Coding
Jun 10th, 2019
Verify the information of 11 items to be sure your radiology auditing is up to par. A medical coding audit is a process where an auditor samples coded claims to provide analysis and feedback to the provider and coding teams. Coding audits may be defined in several ways: Focused vs. Random: A focused audit covers ...
Follow this 12-point checklist to help you have successful medical claims reviews. Auditing is a multi-faceted appraisal that compares a patient’s medical record to a healthcare provider’s claim for medical services. Each facet must fit together to prove what was billed on the claim is completely supported in the medical record. Over the years, I ...
In Audit
Mar 21st, 2018
Healthcare providers must maintain a complete and accurate medical record for all services they perform. These requirements are generally enforced through licensing, the certification process, or credentialing with insurance carriers. Components commonly found in all medical records make each as unique as the individual to whom it belongs. These components include: Each medical record must ...
A quick review of the HIPAA Privacy Rule can help to guide healthcare entities on the proper way to share information in emergency situations. By Jillian Harrington, EdD, MHA, CPC, CPC-P, CPC-I, CEMC, CCS, CCS-P, AAPC Fellow Following several situations that have recently occurred, such as the mass shooting in Las Vegas, the weather related disasters in Florida ...
How to fulfill their legal right, legally. Patients have a federal right to “request to amend” their medical record. This right is conferred by the Standards for Privacy of Individually Identifiable Health Information, otherwise known as the HIPAA Privacy Rule of 2001 (45 C.F.R. § 164.526). Let’s review legal details so you can best formulate ...