AAPC - Advancing the Business of Healthcare

Auditing Made Easy: Mastering Scope and Sampling


In this eBrief, Lori Cox shares auditing best practices to help organizations reduce fraud, waste, and abuse in their revenue cycle. She outlines optimal approaches for reviewing provider documentation, explains the process of defining the audit's range and sample size, and provides recommended figures for different scenarios, including facility and pro-fee audits. 

About the author

Lori Cox

Lori Cox has over 25 years of experience working in the business side of healthcare. She began her career in patient accounts and then moved into billing and coding for a multispecialty clinic. She was eventually promoted to billing supervisor and then to compliance officer, where she wrote, maintained, and trained employees and providers on fraud and abuse. Currently, Cox works for AAPC Services as Director of Client Engagement, performing audits and education for clients across the U.S. She has spoken at HEALTHCON and regional conferences and has traveled the country educating coders and physicians on complex coding topics such as hem/onc and E/M guidelines. Cox is the past member relations officer for AAPC’s National Advisory Board.

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