How are targets for clinical documentation audits identified?
How are targets for clinical documentation audits identified? SOLUTION 1. High-Risk Areas Auditors often focus on clinical areas or services that are considered high-risk for documentation errors, fraud, or non-compliance. These include: High-dollar procedures (e.g., surgeries, transplants) High-volume departments (e.g., emergency room, radiology) New or complex services (e.g., telehealth, behavioral health) 2. Problematic Coding … Read more