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By Charla Prillaman, CPCO, CPC, CPC-I, CCC, CEMC, CPMA, CHCO
With ever increasing regulatory and payer audit activity seeking to identify improper payments, the pro-active physician practice will implement processes to ensure compliance. The Office of Inspector General (OIG) Compliance Program for Individual and Small Group Physician Practices, first published in the Federal Register in 2000, identifies monitoring and auditing as one of the seven components that provide a solid basis for an effective compliance plan. Many practices have programs in place to conduct medical record audits. Auditing programs come in many shapes and sizes; some utilize internal staff and others contract with an outside independent company. Some even combine internal and external reviews to provide a more robust program.
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With ever increasing regulatory and payer audit activity seeking to identify improper payments, the pro-active physician practice will implement processes to ensure compliance. The Office of Inspector General (OIG) Compliance Program for Individual and Small Group Physician Practices, first published in the Federal Register in 2000, identifies monitoring and auditing as one of the seven components that provide a solid basis for an effective compliance plan. Many practices have programs in place to conduct medical record audits. Auditing programs come in many shapes and sizes; some utilize internal staff and others contract with an outside independent company. Some even combine internal and external reviews to provide a more robust program.
Read the entire article - Click here