Compliance: Stay on the Right Side of Your Next Audit with These 3 Lessons

Why This Topic Matters

Understanding the categories of errors discussed here can help practices recognize where audit risk may arise and where documentation, billing, and program eligibility review are especially important.

Article Sections

1. Audit findings and billing in hospital outpatient clinics

   Introduces an audit-based example involving Medicaid billing in a hospital outpatient setting and the broader issue of facility versus non-facility reporting.

2. EHR incentive program eligibility review

   Summarizes Medicaid EHR incentive participation concerns and the eligibility concepts discussed in relation to patient volume calculations.

3. Emergency room place-of-service reporting

   Covers audit observations related to emergency department billing and place-of-service reporting in hospital-based settings.