A coding and compliance audit review analyzes coding and documentation practices to ensure accuracy, reliability and effectiveness. A coding audit review examines documentation with a two-prong approach:
- Documentation is analyzed to the payor reimbursement policies to ensure accuracy and create a sustained revenue cycle.
- Medical coding and documentation must also be scrutinized to coding and e&m billing rules and guidelines to assess the accuracy of your compliance. Audit reviews can reveal areas of risk and educate providers and staff about recent changes to rules and regulations.
Correct coding is the pathway to accurate reimbursement and maintained compliance. For this reason, an effective audit review program will ensure the accuracy of both revenue and compliance.