Operate an efficient auditing program
Health Care Auditing Strategies, June 1, 2009
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Coders have a moral and ethical responsibility to judiciously avoid reimbursement fraud and abuse at their facilities. To ensure hospital compliance, the government and accrediting bodies constantly scrutinize these facilities through various initiatives such as the Recovery Audit Contractor program and the OIG Work Plans.
Auditors can ensure that coders are following regulations and policies by watching out for these compliance traps coders might find themselves in. During an internal coding audit, look for these scenarios that could increase the risk of noncompliance:
This is an excerpt from a member only article. To read the article in its entirety, please login.
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