BC Advantage - 2019 Issue 9
Auditing for Reimbursement
One may believe that audits are performed primarily for compliance, but there is more that can be gleaned from an audit. A claims audit will assist a practice to identify and find the reasons for improper payments, including denials, and the audit will improve their claim submission process. The first step in a claims audit is to choose a sampling method; one can use either prospective or retrospective claims. The prospective choice of charts includes those services that have not been submitted to the payer. In this case, if errors are found, the practice is able to...
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