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…
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…