What is the purpose of internal audits concerning coding compliance?

The purpose of internal audits concerning coding compliance is fundamentally tied to ensuring proper billing practices. Internal audits analyze the accuracy and appropriateness of coding within a healthcare facility. This process helps identify any discrepancies in coding that could lead to billing errors, potential fraud, or compliance violations with coding regulations and payer requirements. By thoroughly reviewing coded claims and medical records, healthcare organizations can make informed adjustments to their coding processes, which leads to more accurate billing, reduced claim denials, and maximized revenue integrity.

While other factors like streamlining patient care and promoting patient satisfaction are important aspects of healthcare, they are not the primary focus of internal audits related to coding. The emphasis on discovering new coding methods is also secondary, as the goal is to audit existing practices to ensure adherence to established guidelines rather than innovate methods. Thus, ensuring proper billing practices stands out as the main purpose of these audits.