BC Advantage - 2010 Issue 8
Compliance Audits: Preventive Medicine for You Practice
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Article Overview
This article explains the role of compliance audits in physician practices and frames them as a preventive compliance activity. It summarizes the types of audits commonly used, the broader guidance from the Office of Inspector General, and the operational benefits and risks associated with auditing documentation, coding, reimbursement, and practice processes. The content is aimed at readers who want a high-level understanding of why audits are part of an effective compliance program and what general areas they help monitor.
Why This Topic Matters
Compliance audits are a core part of practice compliance programs and can help practices identify documentation, billing, and process issues before they lead to denials, investigations, or other legal and financial problems. Understanding the general purpose and scope of audits helps practices evaluate whether they are monitoring risk appropriately.
What You Will Learn
- Why compliance audits are used in healthcare practices
- How auditing supports compliance monitoring and risk identification
- The general categories of audit approaches described in the article
- What kinds of practice issues audits are intended to surface
- Why audit activity is relevant to documentation, coding, reimbursement, and legal risk
Who Should Read This
- Physician practices
- Medical coders
- Billing staff
- Compliance officers
- Practice managers
- Healthcare administrators
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