Will the Audits Still Be Reported by Provider, or Will this Now Change to Department Based, Especially Where Departments Providers do not Code Their Own Claims?
The highest level of reporting will be on a particular risk area will be done at the institution level. Departments will receive an aggregated report on the results of their providers for that risk area and that will include information about the providers who were captured in the audit sample. The most important part of these reports will be the action steps that might be necessary if a risk is confirmed and needs to be mitigated. Individual provider feedback reports will continue to be sent to the providers, so they are aware of their individual audit findings.