General Audits
- Onsite or offsite
- Sample all physicians
- E&M service
- Diagnosis codes
- Modifier usage
- Procedure codes
- 3rd party external audit for internal audit program verification
Specialty Audits
- OIG annual work plan
- Medicare risk adjustment audits based on HCC coding needs
- Custom based on need
Audit Reporting
- Individual physician
- Department summary
- Group summary
- Benchmarking for individual providers and groups based on national standards
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