Not sure if there is a "true" format, but I do them as such.
I take 10 records per provider and review them for all coding (ICD-9, CPT/E&M). If they are under 90% accurate then I redo the audit at six months. If they are still below 90% accurate I perform them quarterly until they get to 90%. (I also alternate between pre-claim and post-claim reviews).
I have found this is the most beneficial. I also take the time between each audit to perform mini-bursts of training sessions with the providers on their "weak" areas.
Just my .02 worth, hope that helps
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join