Week 1 (Quay)

  • How you will develop a coding audit plan (frequency and percentage of charts)?
  • How you will use the OIG work plan and other resources available to prepare and update your audit plan?
  • What policies and procedures will be needed to monitor abuse or fraudulent trends and how those relate to your audit plan?
  • Explain  the interrelationships between the providers and payers in audits and  monitoring fraud across the health care delivery system.
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