Strong internal auditing doesn’t just catch errors—it drives lasting improvements in compliance, efficiency, and revenue integrity.
1. Schedule Focus Audits
- Add high-impact topics to your annual audit workplan, for example:
- Modifier 25
- Critical Care
- DME
- Incident-To Services
- Drug Testing & Genetic Testing
- Clinical Lab Services
- Joint Injections
- Diabetes & Weight Loss Drugs
Pro Tip: We linked a couple of our webinars on highly requested topics!
2. Adopt a Risk-Based Approach
Develop focused auditing efforts on the areas most likely to pose compliance, financial, or operational risk.
3. Revisit Past Problem Areas
Confirm corrective actions are effective by re-auditing prior findings.
Pro Tip: With Audit Manager+, past audits are easy to retrieve and compare for measurable progress.
4. Engage Independent Review
Incorporate external reviewers for fresh perspective and objectivity.
5. Involve Stakeholders
Keep providers, coders, and leadership informed and engaged in the process.
Pro Tip: Audit Manager+ delivers clear, tailored reports that drive stakeholder buy-in.
6. Follow Through on Findings
Track and verify corrective actions to close the loop.
With the right strategy and tools like Audit Manager+, you can transform audits from a routine task into a powerful driver of organizational excellence.
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