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There Was an Audit – Now What?!
by: Karna W. Morrow, CPC, RCC, CCS-P
Incorporate findings into daily operations
Translate error rates into training
Identify when to raise a red flag
Accept that external reviews are critical for your sanity
Audit vs Daily Operations
From care to charges
The objective of the review
Magic Words – use Caution
Correct Code versus Good Guess
Objective -Anticipate Payor Scrutiny
Define an Error
Approach is Key
If it Isn't documented …It is a risk
2016 OIG Semi-Annual report
Karna W. Morrow
CPC, RCC, CCS-P, AHIMA Approved ICD-10-CM Trainer
Manager of Consulting
Karna W. Morrow, CPC, RCC, CCS-P, AHIMA-approved ICD-10-CM Trainer, is the manager of the consulting team at Coding Strategies, Inc. located in Powder Springs, GA. Karna’s areas of expertise include billing and collections, coding and compliance, revenue enhancement, and process improvement within medical billing firms, community and academic hospitals, as well as private practices.
Karna holds a Bachelor of Science (BS) degree, from Weber State University. She also holds the professional certification of Certified Professional Coder (CPC), Radiology Certified Coder (RCC), and Certified Coding Specialist (CCS-P). She is also an AHIMA approved ICD-10-CM Trainer. Karna is an active member of Radiology Billing Managers Association (RBMA) serving on the Coding Subcommittee and on the Educational Materials & Products Committee. She is also a frequent contributor of coding and compliance articles to the Oncology Practice Management publication.
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help healthcare providers and their staff maintain focus on patient care
by providing them a comprehensive healthcare compliance solution with
the compliance resources and tools to efficiently implement an effective
healthcare compliance program, all in one place. Working
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is most important to us. They are, in essence, our code of conduct, our
character as a company and what sets First Healthcare Compliance apart.