Effective Auditing of Physicians' Notes
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Gain an understanding of audit factors that are most important, and what to do if the audit yields a bad result.The federal government's increasing interest in fraud, waste and abuse heightens the awareness of physician practices, both large and small, of the increasing scrutiny of physician documentation to support billings. In the past, audits were performed and physicians were lectured but all too often little improvement was noted. How can practices efficiently and effectively audit physician services? If we audit and have a bad result, what are the next steps? This educational material focuses on understanding the regulatory landscape, why the audit process is important, what factors are important to the audit, how to document the audit, and addressing the outcomes.
AuthorsNancy L. Freeman, RHIA, CHC, MBA, MHA, FTI Consulting
Understanding the Strong Arm of the Law
• Why We Monitor and Audit - and What's the Difference Between the Two?
• The Risks Associated With Not Having an Effective Compliance Program
• Recent Governmental Audit Pursuits
• Repercussions of Inadequate Auditing and Monitoring
• Effective Ways of Structuring an Audit
• Pinpointing Documentation Issues
• Documenting Findings
• Physician Documentation Short Cuts
• Auditing Electronic Medical Records - The Dangers of Cutting and Pasting
Addressing and Reporting Findings
• Assessing the Data for Reporting Purposes
• When do you need to call the lawyer?
• What Do We Do Next?
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