BC Advantage - 2020 Issue 5

Coding and Compliance Audits During COVID-19

This auditing and compliance "Tip of the Week" was originally published by the National Alliance for Medical Auditing Specialists (NAMAS), a division of DoctorsManagement.ICD-10 was officially implemented on October 1, 2015. One of the intents of moving to ICD-10 was to enable and encourage reporting diagnoses with a higher level of specificity. Many payers expect claims to contain specific codes to support the clinical indication for the procedures or services being rendered.Over the past month I have heard comments wondering why we would continue to audit during the COVID-19 public health emergency (PHE). Many commented that with...

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