As provider organizations develop their compliance and/or coding audit work plans, they should follow best practices and review the industry’s high-priority topics for consideration, including the OIG Work Plan and recent enforcement activities. Compliance and coding programs should ensure that proper controls are in place to mitigate billing-compliance risk and facilitate accurate documentation and claim creation. Thus, compliance leadership should employ data analytics to risk-rank the highest-priority audit areas.

In this whitepaper, we list steps organizations can take to enhance billing accuracy and compliance with thorough medical coding audits and prioritize high-risk areas for optimal revenue management in healthcare.