Monthly Follow Up & Reporting

It is Your Policy Most Medical Record Audit policies require some form of reporting to the provider and documentation of provider education. As a Compliance Officer, it may be difficult to address documentation errors with the treating physician(s). Having a helpful reporting template or simple checklist can make these meet ups much easier as the…

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Monthly Spot Check Tool

During the audit process, you probably noticed that it all comes back to documentation. A provider should code from the documentation. That means that the procedure code, all modifiers, and the ICD-10 code(s) are based on the documentation (medical record). An Explanation of Benefits (EOB) may be processed by the payer based on procedure code…

Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working directly with our OIG compliance specialists. Please reach out to the HelpDesk to learn more about accessing these materials. Click here to learn more.