A domestic medical coding and billing audit is an operation that inspects and estimates the value and dependability of clinical documentation and the overall medical billing process. This technique closely examines health records upheld by the practice and evaluates medical billing data presented to the payers to make sure that the practice picks out, observes, and rectifies unprofessional billing practices.
During a coding and billing audit, the auditor usually gathers various types of documentation. These can incorporate clinical records like medical records, x-rays, and lab reports, also financial records like entered charges, explanation of benefits (EOBs), and accounts receivable ledger. As well, policy-related documentation can also be essential by providers or the government and may be accumulated by the auditor as well.
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