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The Ultimate Medical Coding Audit Checklist

Medical coding errors are not just simple typos; they can lead to significant financial losses, compliance issues, and inaccurate patient records. This is where a structured, comprehensive audit checklist comes into play. It serves as a roadmap to streamline the audit process and ensure that no stone is left unturned. A robust medical coding audit checklist should touch on patient information verification, documentation accuracy, coding accuracy, medical necessity substantiation, compliance, and more. Let’s dive into the actual checklist. How to Use the Medical Coding Audit Checklist Prepare for the Audit: Gather necessary records, including ...

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    The Ultimate Medical Coding Audit Checkl...

    Medical coding errors are not just simple typos; they can lead to...

    Sep 19, 2023

    How to Query for Pathology Results

    Tissue findings interpreted by a pathologist are not equivalent t...

    Top 5 Outpatient Coding Metrics to Pay A...

    Medical coding audits are essential for maintaining precise and c...

    Coding and Reporting Adult and Child Abu...

    Let's look at the different types of abuse, neglect or maltreatme...

    Top 5 Inpatient Coding Metrics to Pay At...

    Medical coding audits are crucial to ensuring accurate and compli...

    Social Determinants of Health (SDOH)

    Social determinants of health, oftentimes abbreviated as (SDOH) a...

    2024 ICD-10-CM, ICD-10-PCS Codes and IPP...

    It is that time of year again where the new codes for the next fi...


    Medical Coding Tips

    Jul 06, 2022

    Coding Diabetes Mellitus with Assumed Conditions

    Diabetes continues to be a challenge for coders since the ne...

    May 30, 2023

    Acute Renal/Kidney Failure/Injury vs Dehydration a...

    Patients being admitted for acute renal failure due to dehyd...

    May 17, 2023

    Coding Diagnoses on Outpatient Encounters

    This coding tip is intended to clear up any confusion regard...

    Nov 08, 2019

    Sequencing the Diagnosis of Sepsis | Sepsis Series

    As discussed in Part 1 of this series, sepsis is a common di...


    Annual Code Updates

    List of New ICD-10-CM Codes

    The CDC has published new codes that will be implemented on ...

    List of New ICD-10-PCS Codes

    In this Coding Tip, we present the new ICD-10-PCS procedure ...

    2024 ICD-10-CM, ICD-10-PCS Codes and IPPS Changes

    It is that time of year again where the new codes for the ne...

    Industry News

    Inpatient Coding of Probable Diagnoses

    The rules about coding probable, possible and questionable d...

    Uncontrolled Diabetes Mellitus in ICD-10

    How do coders report uncontrolled DM in ICD-10-CM? First, co...

    Encephalopathy

    Encephalopathy is a diagnosis that coders see a lot these da...

    Covid-19 Coding

    Update - Coding COVID-19 When the Test is Negative

    Updates as of 1/01/21: As you may know, assigning the approp...

    Covid-19 Diagnosis Coding Common Scenarios

    With the proliferation of COVID-19 cases, we thought we woul...

    Z Code Reporting for COVID-19

    Updates from 1/19/21 in green font.

    AHA COVID FAQs for ICD-10-PCS & New Technology

    Coders are instructed, at this time, to follow the AHA Frequ...


    Query Tips

    Jun 21, 2019

    Query Tip: When to Query for Sepsis

    Coders may find situations where a patient is documented as ...

    Sep 19, 2023

    How to Query for Pathology Results

    Tissue findings interpreted by a pathologist are not equival...

    Aug 23, 2019

    Query Tip: Writing a Query Question – Simple and C...

    The question asked in a physician query may be the most impo...

    Jul 10, 2023

    Query Tip: What is Conflicting Documentation?

    Conflicting documentation occurs when health care providers ...

    Company News

    Nov 14, 2022

    HIA Announces Multiple Promotions Amidst Continued...

    Health Information Associates (HIA) is proud to announce mul...

    Compliance reports from medical coding audits

    Coding audits can help target and address vulnerabilities in...

    Introducing HIAlearn, an Online Medical Coding Edu...

    Accepted by AHIMA and AAPC, HIAlearn Serves as a One-Stop-Ed...

    Introducing HIA’s Cloud-Based Audit Software, Atom...

    Health Information Associates (HIA), celebrating their 30th ...



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