Part C: How to Conduct an Internal Audit
(Suggested number of words: 500-600)
As a coding compliance manager or a manager in the healthcare
arena, you need to understand how to conduct internal audits. The
attached document "Billing and coding audits made easy: A
supplement to HCPro, Inc. publications" provides a step-by-step
procedure to conduct coding audits. Review this document.
What steps will you follow to conduct a coding audit of your CPT
codes? What will each step consist of and why is it needed?
If your focus is on inaccurate DRG codes instead of CPT codes,
how will your audit process change and why?