Problem
• Define internal audit and external audit.
• Maria is the coding manager at Community Hospital. She is preparing an inpatient medical record audit plan. She has a list of the inpatient discharges from January to March, 202X. She has selected to include the fourth record and then every eighth medical record thereafter for inclusion in her review. Which type of probability sampling did Maria use to choose records for the audit?
• Provide three examples of the types of information that is included in the Medicare Claims Processing Manual?
• Medicare issues national coverage determinations (NCDs) and MACs release local coverage determinations (LCDs). Compare and contrast these two types of documents.
• Discuss the two types of edits included in the national correct coding initiative (NCCI).