provider audits

  1. L

    Wiki Does an auditor ask provider questions?

    Hello! I am hoping to get an answer or any references to be able to answer a question from my provider. Let's say an auditor comes through and is auditing his charts, IF they have any questions will they go ask the provider? I was told no, that they would come in and do their audit, compile a...
  2. J

    Wiki E&M productivity benchmark

    Hello All, My employer is looking for a way to gauge our heatlhcare providers as it relates to how well thier doing or not doing in thier E&M coding. Dose anyone know of any industry standard or some type of E&M productivity benchmark?
  3. M

    Wiki Humana audit and sequestration applies

    We have receive a LOT of Humana that they have took back money stating the allowable is more than they had originally stated and taking back on over 500 claims so far from 2015, 2016. but when I checked the mcr allowable for non facility, they were still not at mcr allowable, so I am trying to...
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