Compliance Primer Series: Internal Audits
The best way to make sure that your healthcare organization is prepared for a potential audit is by conducting your own internal audits, asking the very questions which might be asked during a full audit.
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The best way to make sure that your healthcare organization is prepared for a potential audit is by conducting your own internal audits, asking the very questions which might be asked during a full audit.
Many practitioner audits fall short of best practices. The modern healthcare environment and complex goals for compliance require time, expertise, and attention to detail. Ideally, audits occur at regular intervals and identify incidents and patterns of potential billing and coding risk. There are also some surprising upsides of professional audits that include greater visibility of under-coding.
Sonal Patel, CPMA, CPC, CMC, ICD-10-CM, Healthcare Coder and Compliance Consultant at Nexsen Pruet, LLC, presented the webinar “Have No Fear: Auditing to Benefit Healthcare Entities, A Step Towards Proactive Compliance” recently. Sonal returned to answer many commonly asked questions from the webinar.
Melody W. Mulaik, MSHS, FAHRA, CRA, RCC, RCC-IR, CPC, CPC-H is the President of Revenue Cycle Coding Strategies LLC and our presenter. Every organization needs to ensure correct coding and billing practices to optimize appropriate reimbursement and adhere to payer and CMS guidelines. Whether the providers are responsible for coding or the organization employs coding professionals there are steps every organization should take to ensure correct processes. This session will break down the key areas of concern and provide realistic solutions to efficiently and effective validate current processes and identify areas of potential concern.
Melody W. Mulaik, MSHS, FAHRA, CRA, RCC, RCC-IR, CPC, CPC-H is the President of Revenue Cycle Coding Strategies LLC and our presenter. Every organization needs to ensure correct coding and billing practices to optimize appropriate reimbursement and adhere to payer and CMS guidelines. This session will break down the key areas of concern and provide realistic solutions to efficiently and effective validate current processes and identify areas of potential concern.
Sonal Patel, CPMA, CPC, CMC, ICD-10-CM, Healthcare Coder and Compliance Consultant at Nexsen Pruet, LLC with will be presenting this vital webinar. Understanding that medical entities must embrace their own data – analyze it by trending and tracking it to stay ahead of payor data mining tactics. The significance of a certified professional medical auditor […]
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