What is one key reason for performing coding audits in healthcare?

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Performing coding audits in healthcare is crucial for ensuring that billing aligns with clinical documentation. This alignment is essential because accurate coding reflects the services provided to patients, which directly impacts the revenue cycle of healthcare organizations. When coding is done correctly, it ensures that the healthcare providers are reimbursed appropriately for their services. If there are discrepancies between the clinical documentation and the coding, it can lead to billing errors, potential audits by payers, and financial losses for the healthcare facility.

Additionally, maintaining this alignment helps in upholding compliance with regulations and payer requirements, minimizing the risk of fraud and abuse. By auditing coding practices, healthcare organizations can identify areas for improvement, provide feedback for staff training, and enhance the overall quality of documentation and coding practices. This process not only supports accurate billing but also ultimately contributes to better patient care and reporting outcomes.

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