Medical Coding Audits
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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Payer audits are a necessary step in the health information management field. These post-payment audits ensure the provider is compliant with the payers’ requirements and that the correct reimbursement amount was issued.
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Healthcare institutions face an array of challenges, from ever-evolving regulations to patient safety concerns and cybersecurity threats, making a comprehensive healthcare risk management and assessment strategy an indispensable cornerstone of effective compliance planning.
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