Potential areas of compliance concerns

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Purpose Your role as the revenue cycle manager is tasked with identifying potential areas of compliance concerns that may lead to internal and external focus reviews to assure coding compliance and coder education opportunities. This discussion also provides an opportunity for students to connect with fellow students, ask poignant questions, seek clarification, and contribute to the overall discussion. Instructions 1. Recommend to a coding supervisor best practice(s) in identifying an area that is prone to auditing 2. Recommend to a coding supervisor best practice(s) in implementing and monitoring coding compliance. 3. Your recommendations should: Be in two paragraphs and at least 6-complete sentences each These must be two paragraphs and not one or more than two paragraphs Identify "best practices" for both CPT and ICD-10 coding Identify challenges Provide examples Provide coding guidelines. Identify areas that could lead to non-compliance (incorrectly coded), upcoding, unbundling, etc. Provide an example How often do you feel that monitoring/auditing of coders and/or coded data should occur? Explain why?

Reference no: EM133712809

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