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6 Steps to Healthcare Claims Audit Success
- https://www.aapc.com/blog/49034-6-steps-to-healthcare-claims-audit-success/
- The audited claims may cover a limited range of codes. Services are coded correctly, so you’re more likely to see payment. Retrospective audits: Choose retrospective audits if you want your claims reviewed after they’ve gone out to insurance companies and have been paid or denied. With this … See more
American Association of Medical Audit Specialists - AAMAS
- https://www.aamas.org/resources/national-audit-guidelines/
- Billing audit: A process to determine whether data in a provider’s health record, and/or by appropriate and referenced medical policies, documents or support services listed on a …
How to Plan and Design Thorough Health Care Claims Audit
- https://www.ifebp.org/inforequest/ifebp/0201040.pdf
- functions including claims audits. The audit provisions and limitations detailed in the ASO agreement can have a signifi-cant impact on how health care claims audits are …
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