Medical Coding Audit Practices

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How to Choose the Right Coding Audit Method

https://bok.ahima.org/doc?oid=302442

Coding Outcomes Based on Method The two main coding audit methodologies utilized to measure ICD-10 accuracy—per code and per record—focus on assessing coding quality. Results can vary widely depending on the process. Per Code Auditors look at every decision made by the coding professional. Some auditors … See more

The most-asked questions about medical coding audits following …

https://www.mgma.com/data/data-stories/the-most-asked-questions-about-medical-coding-audi

Medical coding and revenue cycle audits should be routine. When changes occur, you need to ensure accuracy of documentation, billing and compliance. The …

Best Practices for Coding Audits: Recommendations, …

https://www.mrahis.com/blog/best-practices-for-coding-audits-recommendations-best-practices-and-common-pitfalls

Should a coder or a physician responsible for coding fall below a certain threshold, you may wish to consider a more frequent follow-up schedule or more regularly …

The value and purpose of medical coding audits - MGMA

https://mgma.com/resources/revenue-cycle/the-value-and-purpose-of-medical-coding-audits

Medical coding audits should include a select sample of patient encounters as coded and billed. To design an audit, identify strategic initiatives, such as …

What Is Medical Auditing? - AAPC

https://www.aapc.com/medical-auditing/medical-auditing.aspx

AAPC has an audit services division, AAPC Client Services, that provides full-service healthcare compliance and corporate integrity audits for outpatient …

Back to the Basics: How to Do an Internal Coding Audit

https://www.mrahis.com/blog/internal-coding-audit-best-practices-2

Not only do they reduce risk, but internal coding audits can increase a hospital’s financial health at a vital part of their revenue cycle. Auditing is a proactive …

Best Practices in Coding Audits - For The Record Magazine

https://www.fortherecordmag.com/archives/0118p10.shtml

In an effort to ensure coding accuracy and regulatory compliance, the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) recommend that …

Auditing and Monitoring in Clinics and Physician Practices

https://assets.hcca-info.org/Portals/0/PDFs/Resources/Conference_Handouts/Clinical_Practice_Compliance_Conference/2008/Wednes/P4.pdf

An audit is an excellent way for a physician practice to ascertain what, if any, problem areas exist and focus on the risk areas that are associated with those problems. There are …

13 reasons your practice should have a medical record …

https://www.ama-assn.org/practice-management/cpt/13-reasons-your-practice-should-have-medical-record-audit

Grider holds eight different certifications as a professional coder, auditor, instructor and clinical documentation improvement practitioner, and she outlined these 13 reasons why physicians practices …

8 medical coding mistakes that could cost you

https://www.ama-assn.org/practice-management/cpt/8-medical-coding-mistakes-could-cost-you

The AMA has several resources to help you accurately bill procedures and services with the Current Procedural Terminology (CPT) code set and Healthcare Common Procedure Coding System (HCPCS) …

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