BC Advantage - 2025 Issue 6

Walking the Tightrope: Delivering Audit Results in Healthcare with Professionalism and Precision

Delivering audit results to healthcare providers is rarely a straightforward task. When the data points to clear deficiencies—particularly those stemming directly from a physician’s documentation, coding choices, or clinical behavior—the conversation can quickly turn from professional review to defensive standoff. Healthcare auditors, coders, and compliance professionals are tasked with providing clear, unbiased feedback that ultimately serves the practice, protects compliance, and ensures appropriate payment. But what happens when those results are less than favorable, and the physician in question dismisses your findings or shifts blame elsewhere?   This article explores practical strategies for delivering audit results...

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