tci Outpatient Facility Coding Alert - 2013 Issue 3

Auditing: Follow This 10-Point Checklist for Successful Self-Audits

Tip: Start searching your records now, not when you hear from OIG. Auditing your facility’s services can help you uncover incorrect coding patterns or compliance issues among providers. Although going through the process can be daunting, working the steps internally can uncover problems – and allow you to correct any issues – before an outside auditor from the OIG or private insurer steps in your door. What you do: When you perform a self-audit, you compare a physician’s billing records, claims, and medical records to verify the expected treatment outcomes and ensure the medical necessity of services...

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