Medical Coding Audits
Many healthcare facilities turn to audits to identify coding issues and ensure accurate reimbursements. But when it comes to auditing practices, which approach is best: concurrent, prospective, or retrospective audits?
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A concurrent coding review is one of the key strategies health systems can implement to ensure coding integrity and reduce the number of claim denials. This approach provides real-time oversight of coding and documentation before claims are submitted.
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By conducting provider-specific audits, healthcare organizations gain insights into each clinician’s unique challenges. With this knowledge, organizations can create targeted educational programs that close these knowledge gaps.
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Medical coding audits, or medical reviews, are one of the most crucial tools in maintaining compliance and accuracy in the healthcare industry. With various types of audits available, healthcare providers may find it challenging to determine which audit best suits their specific needs.
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Develop a tailored action plan for your physician group following audit results. By understanding the different pass rate thresholds and implementing strategic responses, physician groups can enhance their compliance programs and support their providers.
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Running a successful physician practice requires juggling many priorities, but ensuring compliance with regulations shouldn’t be one of them. The good news is, the OIG Compliance Program guidance offers a roadmap to success.
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How do you shape the future of an accurate Inpatient, Outpatient, or Profee coder? With several best practices that have been thoroughly tested by a team of real-world coding and auditing experts who have 20+ years’ experience in HIM.
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An effective auditing and monitoring program serves multiple crucial purposes. Hospital reviews ensure every submitted claim accurately reflects the services provided and meets the necessary criteria for reimbursement.
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With the constant threat of data breaches and other security events plaguing the healthcare industry, the significance of robust incident response strategies cannot be overstated. Dive into the intricacies of NIST incident response plan within healthcare compliance.
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Healthcare compliance training ensures operational excellence and ethical practice, standing as one of the foundational pillars of effective compliance planning. Let’s delve into the significance and advantages of healthcare compliance training programs.
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