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Coding Compliance: Practical Strategies for Success

    https://library.ahima.org/doc?oid=58837
    Incorporate a commitment to the availability of essential coding resources, including Coding Clinic for ICD-9-CM, CPT Assistant, and current versions of ICD-9-CM and CPT, in your compliance plan. Special training programs should be designed to target areas …

What Is Medical Auditing? - AAPC

    https://www.aapc.com/medical-auditing/medical-auditing.aspx
    Every medical coder should learn how to conduct a medical coding audit in view of its potential value to their employer (and their coding career). Fortunately, the …

How to Choose the Right Coding Audit Method

    https://bok.ahima.org/doc?oid=302442

    Understanding Governmental Audits (2013 update)

      https://library.ahima.org/PB/GovernmentAudits
      2012 Audit Monetary Returns. During fiscal year 2012, the federal government won or negotiated approximately $4.2 billion in healthcare fraud judgments and settlements. The …

    5I-Sample Auditing Compliance Plan - AAPC

      http://static.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/16f6616f-8c79-4d59-9b97-6d29ecbaee89/2190cec3-8601-4a6e-a2f6-20f84c293ca8.pdf
      of (Name of Medical Practice) .The (Name of Medical Practice) develop audit tools designed to address the practice’s auditing compliance with CPT, HCPCS, and ICD-9 …

    Frequently Asked Questions on Medical Auditing - AAPC

      https://www.aapc.com/medical-auditing/faq.aspx
      An array of healthcare auditing resources provides auditors with details needed to assess reporting accuracy. 1. Electronic audit tools: While electronic audit tools can do a great …

    Coding Quality Improvement Plan Implementation for …

      https://bok.ahima.org/doc?oid=302843
      Coding Support. The coding support pillar of a coding quality improvement plan should include a question queue serving physician group pro-fee coders for questions that may …

    Quarterly Coding and Billing Reviews and …

      https://www.eidebailly.com/insights/articles/2019/6/quarterly-coding-and-billing-reviews-and-your-internal-audit-plan
      The Office of Inspector General (OIG) has stated there are basic elements when constructing the compliance portion of your internal audit plan, one of which is conducting internal monitoring …

    Avoid these missteps to slash your medical coding audit …

      https://www.ama-assn.org/practice-management/cpt/avoid-these-missteps-slash-your-medical-coding-audit-risk
      The agency warns, sternly, about consequences, noting in bold type that “when the federal government covers items or services rendered to Medicare and …

    Health Care Auditing and Monitoring Tools Manual

      https://www.hcca-info.org/publications/books/AMTools-TOC
      Seven Component Framework for Compliance Auditing and Monitoring in Health Care. Organizations. 2. Auditing and Monitoring Defined. 3. Performing a Compliance Risk Assessment For Compliance …



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