How will you develop a coding audit plan (frequency and percentage of charts)?

HIMA 240: Healthcare Reimbursement Methodologies

Assignment Instructions

Write a three- to four-page paper in APA format that addresses the following topics in a cohesive manner:

· How you will develop a coding audit plan (frequency and percentage of charts)?

· How you will use the OIG work plan and other resources available to prepare and update your audit plan?

· What policies and procedures will be needed to monitor abuse or fraudulent trends and how those relate to your audit plan?

· Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.

 

Grading Rubric

Assignment 1: Compliance and Leadership	Points
In a cohesive manner addresses the question: How you will develop a coding audit plan (frequency and percentage of charts)?	25
In a cohesive manner addresses the question: How you will use the OIG work plan and other resources available to prepare and update your audit plan?	25
In a cohesive manner addresses the question: What policies and procedures will be needed to monitor abuse or fraudulent trends and how those relate to your audit plan?	25
In a cohesive manner addresses the question: Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.	25
Total	100 points

 

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