Carefully evaluating your coding and reimbursement filing practices may not only help you avoid being the target of an audit, it may also help you uncover unclaimed reimbursement in your practice.

Medicare and other payers deny claims for payment when documentation to support a hospitalization or physician service is insufficient. When a payer audits a facility, sloppy documentation can lead to ...

Ask health plan executives about chart audits and you are certain to hear a collective groan. They are labor-intensive, quite expensive and a significant pain point for physicians. And it’s seemingly ...

STATEMENT ON AUDITING STANDARDS (SAS) no. 96, Audit Documentation, marks the first big change in the requirements auditors must observe when documenting their audit work. It provides general guidance ...

For many staff auditors, the very mention of working paper review is enough to make their hair stand on end. No matter how thoroughly they perform an audit procedure, they know if their documentation ...

When a lawsuit for malpractice is filed, medical records become a major focus for both the plaintiff and the defendant. The documentation made by the clinician at the time care was rendered is ...