What must be done timely in a prospective audit?

In the context of a prospective audit, correcting variances is essential because it involves identifying and addressing discrepancies between expected outcomes and actual performance before claims are submitted for payment. This proactive approach helps ensure that documentation supports the services provided and aligns with compliance requirements. Timeliness in this correction process is crucial to avoid claims denials and to maintain the integrity of the healthcare provider's billing practices.

By managing variances promptly, healthcare organizations can adjust coding and documentation errors, which can lead to improved revenue cycle management. Ensuring that these corrections occur before the submission of claims also minimizes the risk of future audits and financial penalties from payers. Overall, timely correction of variances in a prospective audit helps establish a solid foundation for accurate and compliant billing practices.