If the sample is too small (i.e., 10 accounts per quarter), the random variability will be not only inflated, but the likelihood of overlooking a potential issue may be increased. The recommended ...

ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part ...

WELLESLEY, MA--(Marketwired - Dec 17, 2015) - MedSafe, the leader in total healthcare compliance solutions, announces enhanced services for coding and billing audits to help identify untapped ...

When it comes to coding, the name of the game is accuracy. ... Audit E/M coding--before the government does. By Debra Beaulieu-Volk Jul 25, 2012 8:53am. Practices. When it comes to coding ...

For example, a large hospital network used a machine learning model to predict which claims might be flagged for audits using historical data. This system reduced audit rates by 25%, resulting in ...

Use of an audit form for E&M coding has both advantages and disadvantages. Accuracy. The most important reason to use an audit form for E&M billing and coding activities is simply to ensure accuracy.

For example, generative AI can identify codes across documents, ... Medicare Advantage plans that integrate AI tools into coding and audit workflows health plans can build greater accuracy, ...

GeBBS Healthcare Solutions, a provider of revenue cycle management and health information management solutions, launched a new version of its coding audit software offering, iCode Assurance. Here ...