Auditing a record isn't the same as coding it

Auditing a record isn’t the same as coding it

When auditing a medical record, a common mistake is viewing it solely from a coding perspective rather than an auditing perspective. True auditing requires examining not just the encounter itself, but also what occurred before, after, and around it.

Focusing only on coding can result in missed compliance elements and insufficient support for what was—or will be—billed, potentially triggering a formal payer audit.

Terry breaks this all down in today’s episode of the CodeCast podcast.

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Podcast: Play in new window | Download (Duration: 19:26 — 26.9MB)