Episode 363 - Monday Auditing, Coding and Compliance Roundtable cover art

Episode 363 - Monday Auditing, Coding and Compliance Roundtable

Episode 363 - Monday Auditing, Coding and Compliance Roundtable

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Summary

In this episode of the Compliance Guy Podcast, the hosts discuss various compliance issues in healthcare, including coding practices, the implications of audits, and the evolving role of artificial intelligence in documentation. They emphasize the importance of proper coding, the risks associated with unauthorized alterations, and the need for a robust compliance culture. Insights from the recent HCCA conference highlight the ongoing scrutiny of telehealth services and the challenges posed by new technologies.

Takeaways

  • Unauthorized coding changes can lead to significant legal risks.
  • Providers must be aware of their coding responsibilities.
  • AI in healthcare should be used as a tool, not a substitute.
  • Telehealth regulations are constantly changing and need close attention.
  • Compliance programs must be regularly updated to reflect current practices.
  • Skin substitutes are under increased scrutiny from auditors.
  • Documentation must be thorough to avoid compliance issues.
  • Providers should engage in discussions about coding decisions.
  • The culture of compliance is essential for healthcare organizations.
  • AI can introduce risks if not properly managed.

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