Coding Audits

Correct coding by physicians is critical to getting paid for what you do and for avoiding external audits by Medicare and other payers.
Ultimately, however, the only way to determine whether coding is appropriate is to compare it against the actual clinical documentation you recorded in the chart. This coding audit can reveal whether any variation from national averages is due to inappropriate coding or to atypical levels of intensity among your patients.
This type of audit can help you make corrections before payers challenge any inappropriate coding, or it can give you the confidence to fully code the more intense encounters you conduct.