maine4me
Guru
I know that when I audit records and the doctor has upcoded the charge that we are obligated to return any overpayment. If a doctor downcodes, should we make the billing correction for the higher code.
In the future all audits will be pre-pay, but the current audits are being done to establish a baseline. So, in order to review a large enough sampling it is easier to pull from post pay records, due to how our billing system works. So, I have to deal with these overpayments, etc.
In the future all audits will be pre-pay, but the current audits are being done to establish a baseline. So, in order to review a large enough sampling it is easier to pull from post pay records, due to how our billing system works. So, I have to deal with these overpayments, etc.