Will All Audits and Their Full Workflow Continue to Be Prospectively Handled? Does this Change if a Department's Claims get Outsourced? Will There Still Be Audit QA, and if so, How will Timely Filing Be Ensured?

The plan is to continue to perform prospective reviews whenever possible. The cases outsourced to coding vendors will also be prospective. The QA process will not change. Work queues will be diligently monitored to ensure timely filing. Occasionally, a probe review might be necessary and those will likely be handled retrospectively. These might be in response to a payer inquiry or a report of possible wrongdoing.