BC Advantage - 2024 Issue 6

Modernizing Auditing and Compliance in Healthcare

The Importance of Auditing - Regular auditing of medical charts and coding documentation is indispensable for identifying errors, ensuring regulatory compliance, and reducing the risk of fraud. Audits not only uncover coding inaccuracies but also offer valuable insights into areas for improvement within the organization's processes and procedures.   While internal audits can be advantageous, they also present potential risks, particularly when disclosing findings to external entities such as government agencies or insurance payors. There have been situations where audit results were used against healthcare providers and organizations, resulting in penalties and further legal issues. To mitigate these risks...

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