BC Advantage - 2013 Issue 1
Communicating Audit Findings to Encourage Changed Behavior: Tips for the Coding Compliance Communicator
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Article Overview
This article explains how coding compliance professionals can communicate audit results more effectively during physician practice reviews. It focuses on the broader audit-and-education process, including tone, timing, preparation, listening, and summarizing findings for providers in a way that supports compliance efforts. The piece is useful for auditors, compliance staff, coding educators, and physician practice leaders who want to make audit feedback more practical and actionable without overwhelming the provider.
Why This Topic Matters
Audit programs only improve compliance when findings are communicated clearly enough to prompt changed behavior. This article addresses the human and educational side of audit feedback, which is important for practices seeking stronger documentation, coding accuracy, and ongoing compliance.
Article Sections
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Introduction
Introduces the role of auditing within physician practice compliance programs and the need for effective communication of findings. It frames the article around improving audit-driven behavior change.
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Most commonly, practices begin auditing activities using Evaluation and Management (E/M) codes as the sample selection criteria.
Discusses common audit starting points and the challenges of explaining findings to providers. It highlights the gap that can occur between technical audit language and clinical understanding.
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What are some steps the auditor/educator can use to avoid the potential "disconnect"?
Presents practical communication principles for audit feedback meetings. The section covers approach, preparation, listening, and the importance of concise follow-up.
What You Will Learn
- How audit findings fit into a physician practice compliance program
- Ways to communicate coding audit results more effectively
- Why tone, preparation, and listening matter in provider education
- How to summarize audit feedback so providers can act on it
- How communication supports documentation and coding improvement
Who Should Read This
- Coding compliance professionals
- Medical auditors
- Coding educators
- Physician practice managers
- Compliance officers
- Physicians and provider groups
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