I am an external auditor and the number I recommend usually depends on what I find on the initial audit. If the error rate is low and there are no major issues found, yearly external audits should be sufficient. If I find a high error rate or major issues, I will recommend either a biannual audit or quarterly prospective audits.
For major issues, I find that the quarterly prospective audits work well because they provide physician education before the claim is sent instead of after.
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