BC Advantage - 2019 Issue 2

Revenue Cycle Management Considerations for Auditors

As auditors, we tend to focus on documentation of encounters as the principal arena for our activities. By analyzing key elements and reviewing applicable guidelines, we verify the appropriateness of the documentation of services as they apply to the billing of the services. Identifying individual anomalies in the audit process can provide a window into not only the shortcomings of documentation, but billing as well. But what is the next step? It can be argued that documentation improvement is only the first step in improving the revenue cycle and patient experience for a medical practice. The next step...

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