Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer!

This episode covers the "Ins and Outs of Auditing"! We know that the business of medicine is highly complex, ever changing, and tightly regulated, Hospitals, clinics, and private physicians’ practices must contend with many issues to stay in business. Auditing not only plays a vital role in keeping healthcare organizations in compliance with the necessary legal requirements and regulations but also in improving the quality of patient care and services. Please join me in this episode as I discuss the goals of medical audit, reasons to perform an audit, the types of audits and steps to conduct an audit, as well as a call to action for all coders, auditors, supervisor, managers, and directors.

Here are my references for this episode:

1. http://OIG.HHS.Gov

2. http://OIG.HHS.Gov/compliance/rat-stats/index.asp

3. https://www.aapc.com/medical-auditing/medical-auditing.aspx

4. National Alliance of Medical Auditing Specialists - https://namas.co/

5. American Association of Medical Audit Specialists - https://www.aamas.org/

6. https://my.ahima.org/careermap/index.html?id=64

7. https://namas.co/auditing-services/

8. https://www.ama-assn.org/practice-management/cpt/13-reasons-your-practice-should-have-medical-record-audit

9. https://www.medicalbillersandcoders.com/blog/what-is-medical-auditing-how-it-can-be-performed/

10. https://blog.mgallp.com/types-of-healthcare-audits-and-the-benefits

11. https://www.foxgrp.com/hipaa-compliance/healthcare-compliance-audits-variety/

12. https://www.meremhealth.com/medical-auditing/

Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more!

If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com

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