Posted in ICD-10 & Coding

Five ways to use results from a coding audit

Carl Natale
by Carl Natale
Five ways to use results from a coding audit

Coding audits are designed to find mistakes. There is a great incentive for healthcare providers to conduct their own audits instead of waiting for regulators or healthcare payers to find mistakes for them. Those kinds of audits could result in financial penalties.

The goal of coding audits should be to identify problems and create action plans to fix those problems. The result should be a more secure revenue stream.

 

Debi Primeau, president of Primeau Consulting Group, writes about a coding audit that found an overall accuracy rate of 96 percent. While congratulations were deserved all around, that didn't mean there weren't some takeaways.

  • Coding audits are valuable mechanisms to identify common denial areas.
  • Coding complications should be caught before a patient is discharged. 
  • Use audit results to target education toward specific medical coders.
  • Computer assisted coding (CAC) and other technological aids should be considered to keep accuracy and productivity high.
  • Keep auditing.

Coding audits are opportunities for more than identifying mistakes. They can help improve processes and boost the expertise of the coding staff.