3 2 Final Project Milestone One Draft of Evaluation.docx

3 2 Final Project Milestone One Draft of Evaluation.docx -...

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1 Milestone One: Monthly Compliance Report Anne Murtha Instructor: Professor Kelly Berge HIM-360 Coding and Classifications II 3-2 Final Project Milestone One: Draft of Evaluation Introduction The following is a monthly compliance report from SNHU Medical Clinic, which contains auditing results, and best practices for billing and coding processes as well as compliance documentation. Due to several deficiencies uncovered throughout the audit process, it has been determined that the SNHU Medical Clinic office policies and procedures need to be monitored closely for compliancy concerns. During the audit process, I evaluated the clinic’s billing and coding process flow, as well their compliancy and have documented my suggestions for best practices to improve efficiency and compliancy within this monthly report. Evaluation The audit results for SNHU Medical Clinic shows that there are several repetitive occurrences of inaccurate CPT coding and billing, which resulted in multiple encounter errors throughout this audit process. In addition, after a thorough review of patient’s encounters multiple inaccuracies were found prior to the submission of the patient’s claim for adjudication. Also there were several inaccuracies that were found in the calculation and documenting of the clinic’s office time spent. Upon further review, I also found missing diagnoses codes, the patient’s Chief Complaints, Review of Service, and the patient’s Vitals.
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  • Fall '18
  • Physician, SNHU Medical Clinic

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