Medical Coding Audits Internal or External Review Essay

Medical Coding Audits Internal or External Review Essay

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Medical Coding Audits Internal or External Review Essay

Auditing is a common practice that is used by inpatient and outpatient healthcare organizations to ensure they are coding correctly. It promotes a high level of accuracy in coding and documentation, as well as improving compliance initiatives so that the organization follows the regulations set forth to report vital coding data correctly. In this written assignment that expands on previous discussions and VLab activities from this class, you will be focusing your attention on this essential process that is used throughout the industry.

For both an inpatient and outpatient facility,

Describe the purpose of a coding audits.

Discuss how often audits should be performed, and by whom.

Explain when educational and training programs for staff and physicians should be utilized.

Draft two written policies or procedures for effective auditing practices (one for inpatient and one for outpatient).

Medicare Access & Children Health Insurance Program of 2015 Discussion

I’m working on a health & medical discussion question and need a sample draft to help me learn.

Provide an overview of the regulation you were assigned by your instructor. In your post, address the following:

Provide a brief description of regulation.

Identify the level of government and the agency responsible for overseeing the regulation.

Describe how the regulation has impacted the healthcare sector and provided an impetus for quality reform

(Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act of 2015 (MACRA)

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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