American Healthcare Audit Professionals, Inc.

Quality healthcare relies on accurate and complete clinical documentation within the medical record. Medical record audits are essential for improving clinical documentation and the financial health of an organization. Understanding Coding Chart Audits Coding chart audits involve examining medical records to identify the procedures and services provided. For both payers and providers, the quality of healthcare is closely tied to the accuracy and completeness of medical record

Importance of Compliance in Healthcare For healthcare providers who receive payments from governmental entities or private insurers, adhering to compliance regulations is mandatory. Highly effective organizations and physician practices recognize that investing in a robust compliance plan is significantly more cost-effective than facing recoupments, fines, and penalties. An effective strategy for coding and compliance auditing, along with ongoing education, is essential for a

Establishing effective work habits goes beyond simply learning techniques to complete your daily tasks efficiently. It also involves cultivating positive behaviors within your workplace social environment. Maintaining professionalism and steering clear of gossip is essential, losing your position over workplace rumors is avoidable. Underperformance, making poor social choices, and fostering negativity are all habits that can impede your professional growth and should be consc

In today's healthcare industry, it is crucial for medical practices to grasp the concept of risk-adjustment coding. This knowledge enables providers to deliver more accurate patient care and ensures fair reimbursement for services rendered. The Importance of Risk Adjustment Risk adjustment refers to the process of modifying payments and benchmarks to reflect the severity of a patient's illness. This system enables the Centers for Medicare & Medicaid Services (CMS) to estimate

It is often said that people join companies but leave managers. This statement holds true, highlighting the crucial role managers play in employee satisfaction and retention. For those in management roles, regularly reflecting on what makes a great manager can lead to a more rewarding experience for both them and their employees. The Value of Great Management Retaining key employees and reducing the need for frequent training can make a manager’s job significantly easier. By

The Value of Outsourcing Medical Chart Auditing and Coding Audits Managing the business components involved in Medical Chart Auditing and Coding Audits can often be both time-consuming and challenging for healthcare organizations. As a result, many facilities consider outsourcing these functions as a strategic option. Outsourcing provides several distinct advantages that make it a viable solution for managing non-medical services within the healthcare industry. Why Outsource