Audit Plan - Located under the Written Assignments tab Review the template and the Assignment Rubric for
Question:
Audit Plan - Located under the Written Assignments tab Review the template and the Assignment Rubric for specifics to include in the plan. Use the Audit Plan Template to develop an internal coding audit plan for the next fiscal year. For this assignment, use the "How to Perform a Successful Coding Audit" linked to the assignment instructions, focus on pages 10-14 of this document to build your plan. Items to include! How often should audits be done? When should changes be made to the audit plan? Target areas (identify problem areas for auditing - codes frequently rejected, OIG work plan, high-risk areas, etc.) What personnel and departments are involved in coding audits? (Health Information, Billing, Quality Assurance, etc.) What are official coding resources used when auditing? (coding guidelines for ICD-10-CM, CPT, HCPCS, etc.) Sampling size (5-10 records per provider, percentage of Medicare records, etc.) Best practices for recommendations (provider education, coder education, audit disputes)
Auditing and Assurance services an integrated approach
ISBN: 978-0132575959
14th Edition
Authors: Alvin a. arens, Randal j. elder, Mark s. Beasley