Nearly all healthcare providers will face an audit (if not multiple audits) during their careers. Federal agencies such as the U.S. Department of Health and Human Services (HHS) routinely audit ...

How is this possible? She argues strongly that, given the inevitability of an eventual audit, compliance teams should prepare for them on an ongoing basis rather than just when the audit notification ...

When a position's duties have changed significantly since the last audit, the departments DHR can submit a transaction through the Request a Position Change within HCM to initiate the audit process. A ...

As health plans attempt to measure the acuity of new patients through the Affordable Care Act’s healthcare marketplace exchange, hospital audit teams will see a huge influx of commercial risk ...

Health care providers are urging the state to overhaul how it audits the Medicaid program, claiming that current protocols for administrative errors threaten to put them out of business. The Office of ...

Despite revenue growth, healthcare payers have faced increasing margin pressures over the past year as healthcare costs continue to climb. Introducing new efficiencies into key operations such as ...

Coding audits can help healthcare systems pinpoint mistakes and ultimately streamline processes and enhance coding staff expertise, ICD10Watch reports. Outlining a post-audit action plan can push ...

The audit process is a meticulous and structured examination of an organization's operations, controls, and processes. This systematic review is conducted to assess the accuracy, reliability, and ...

The Oregon Medical Board must do more to conduct routine, systematic data analysis to ensure it fairly and consistently disciplines health care professionals for violating Oregon's Medical Practice ...