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milestone-two.pdf - lOMoARcPSD|11686649 Milestone Two...

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Studocu is not sponsored or endorsed by any college or universityMilestone TwoHealthcare Reimbursement (Southern New Hampshire University)Studocu is not sponsored or endorsed by any college or universityMilestone TwoHealthcare Reimbursement (Southern New Hampshire University)Downloaded by robert henry ([email protected])lOMoARcPSD|11686649
Running Head: HCM 345 Milestone Two1HCM 345 Milestone TwoVictoria HarrisonSouthern New Hampshire UniversityDownloaded by robert henry ([email protected])lOMoARcPSD|11686649
HCM 345 MILESTONE TWO2INOVA Fair Oaks Hospital is one of the top-ranked facilities in the greater WashingtonD.C. area.It is more of a suburban hospital with many different departments and its annualrevenue more than $640 million [ CITATION Ame18 \l 1033 ]Its most profitable departmentswould be Emergency Services, Radiology, Outpatient surgery, and laboratory.Being that this isa large facility with many different departments reimbursement data is needed to ensure thesuccess of the facility.The best type of audit that would be able to determine whether each department isreaching their full reimbursement impact would be an internal audit. “Medical record auditsspecifically target and evaluate procedural and diagnosis code selection as determined byphysician documentation. Once areas of weakness are revealed through an audit, you can presentthe audit findings and identify opportunities for training in your health care organization.”[ CITATION AAP18 \l 1033 ]The auditor would be given access to information in accountspayable and account receivable and from there could make note of where documentation andcharge captures are inaccurate.

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HCM, Robert Henry

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