How to avoid an audit when co-managing surgeries

Why This Topic Matters

Co-management can be compliant or problematic depending on the circumstances and documentation. Understanding the audit risk helps practices reduce billing errors and better support postoperative care arrangements.

Article Sections

1. Introduction

   Introduces the topic of surgery co-management and explains why it can draw scrutiny. It also frames the discussion around compliance and documentation.

2. Legitimate reasons for co-managing surgery

   Describes general circumstances in which shared surgical and postoperative care may be used. The section discusses access, geography, and specialty coverage at a broad level.

3. Avoiding audits

   Summarizes documentation and billing considerations that may affect audit risk. It also notes the role of carrier guidance and claims documentation.

4. Situations where co-management may be justifiable

   Outlines broad categories of patient and practice circumstances that may support co-management. The section references local coverage guidance and medical necessity concepts.