This is a community forum. If you are asking AAPC to perform an audit, you need to contact them directly. https://www.aapc.com/business/audit-servicesHi AAPC. I'm looking for a vendor to audit billing/claims from 2022-current. Must have references and proven credentials. The Clinics are located in Orange County, CA.
Are you asking if anyone in that area knows a good vendor for the audits?Hi AAPC. I'm looking for a vendor to audit billing/claims from 2022-current. Must have references and proven credentials. The Clinics are located in Orange County, CA.
Are you asking if anyone in that area knows a good vendor for the audits?
Are you asking if anyone in that area knows a good vendor for the audits?YES
yes pleaseAre you asking if anyone in that area knows a good vendor for the audits?
yes pleaseAre you asking if anyone in that area knows a good vendor for the audits?
Yes, looking for a vendor that does billing auditsAre you asking if anyone in that area knows a good vendor for the audits?
While there is certainly no harm in uploading the hospital records, it is not required. The documentation does exist. There is no requirement that the documentation must be in your specific EMR. It simply needs to exist and be available. If an audit were to occur, you would need to supply those hospital records of the service provided.Can you, please, settle a difference of opinion between two coders? We work for a private, independent physician. I say when he sees a patient in the hospital we need to scan/upload that document into our chart if we are billing for that visit/service. If there is not a document to support the billing then it didn't happen. The other coder states it is not necessary, that she never uploaded hospital records into the office chart even though they billed for services. I am concerned that if we do not have the documentation to support what we bill then it could raise multiple red flags, especially if an audit were to occur.
Thank you so much for your response. Can you, please, share what you do in case of a third party audit? We have had outside auditors tell us we must have the records available in the chart at the time of audit. They have said if those records are not available at the time then money paid will be recouped.While there is certainly no harm in uploading the hospital records, it is not required. The documentation does exist. There is no requirement that the documentation must be in your specific EMR. It simply needs to exist and be available. If an audit were to occur, you would need to supply those hospital records of the service provided.
I've never worked for a practice that uploads all hospital visits into a separate EMR.