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Establishing a Reference Point is Key to Success
Submitted by Pati Trites; MPA, CHBC with Staff Reporters
There are several types of compliance audits that a medical practice, clinic or healthcare organization might need to perform. The starting point is to obtain a baseline audit. The next step, discussed elsewhere on this ME-P, is periodic audits or reviews that are performed after information is obtained from the baseline audit.
Baseline Audits
Baseline audits are preliminary assessments to develop a reference point. Until a medical practice or healthcare organization establishes a track record with items such as coding accuracy or documentation to support medical necessity, it is difficult to determine any performance issues. In the spirit of Total Quality Management [TQM], the information that is shared should be done in a non-punitive manner to demonstrate that the intent of the process is to create a positive environment geared towards fixing the problems. A baseline audit can help any organization understand where the program is and establish a reference for future activities.
Assessment
Additional audits can also be performed whenever new employees are added, or if there are complaints, or issues that arise in the course of business.
Conclusion
And so, your thoughts and comments on this Medical Executive-Post are appreciated? Have you ever discovered an untoward past event, or interesting prior fact, with your baseline audit?
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Filed under: "Doctors Only", Health Law & Policy, Managed Care, Practice Management | Tagged: base line audits, compliance audits, david marcinko, hope hetico, medical compliance, medical necessity, Medicare audits, Medicare compliance, Pati Trites, quality medical management, TQM, www.healthcarefinancials.com | 1 Comment »
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