High-Risk Areas in Medicare Billing - Compliance Auditing Tools for Hospitals and Health Systems
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Master List of Best Practices
Master List of Official Resources
High-Risk Areas
Front-End Processes
Central Processes
Back-End Processes
Special High-Risk Areas
Corporate Compliance and Billing
Preparing for an Audit
Conducting the Audit
Government Enforcement and Initiatives
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High-Risk Areas

Central Processes
Patient Encounters, Documentation, Coding, Billing, Claims Submission

Back-End Processes
Credit Balances, Bad Debt, Outliers, Collections, Cost Reports
Special High-Risk Areas

Compliance Profiles

Corporate Compliance and Billing

 

Conducting the Audit: Auditing Tools and Techniques

Preparing for an Audit

 

Government Enforcement and Initiatives

 
     
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