Question: Sample Methodology ( by coder? by physician? ) ; Timing ( monthly , quarterly, annually? ) ; Scope ( all services? E&M only? Some combination?
Sample Methodology by coder? by physician?; Timing monthly quarterly, annually?; Scope all services? E&M only? Some combination? Number of encounters in sample; Goals of the plan; Inclusion of key areas of concern including: Codingbilling for a higher level of service than was rendered; Codingbilling for services not rendered; and Codingbilling for medically unnecessary services; Credentials of auditing staff; Use of a random or a focused audit ie x encounters per coder per month randomly selected vs x codes reported per physician per month What, if any, comparables you would use and where you would find them. How you would report your findings; To whom you would report your findings; Followup plans based upon the findings.
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