1. list three reasons for performing a medical audit.

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1. list three reasons for performing a medical audit.

1. list three reasons for performing a medical audit.

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Answer 1

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Medical audits are conducted to assess the review of medical policies, procedures and coding system used in the healthcare system to assure that the things are running in the efficient manner or not.

There are major three reasons to conduct the medical audits:

Firstly to protect against the fraudulent claims along with the management of the proper billing activity
To identify & further correct the core problematic areas prior to the insurance for the government payers
To overcome and nullify the chances of the under coding, the bad unbundling habits as well as coding overuse with proper documented procedures, along with the disposal of the reimbursement deficiencies.

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Answer 2

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