Auditing Antics: Navigating Medical Coding and Auditing

The Algorithm Already Saw You: Audit Triggers Hidden in Your Data


Listen Later

Most audits don’t start with a complaint.They start with a pattern.Long before a human reviewer opens a chart, payer analytics are scanning utilization trends, benchmarking providers against peers, and flagging statistical outliers. Sudden shifts in coding levels. High-frequency services. Modifier usage patterns. Even documentation that looks too consistent.In this episode of Auditing Antics, Stephanie and Michele break down how data science drives audit selection and why many providers are flagged without ever realizing their billing trends stand out. We’ll talk about outlier patterns, utilization spikes, and the quiet metrics payers monitor behind the scenes.Because in today’s compliance environment, you’re not just being reviewed by auditors. You’re being watched by the numbers. If you’ve ever thought an audit felt random . This episode will change how you look at your data.Reach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry! https://www.stephanieallardconsulting.com/auditing-antics-podcastView our compliance consulting, auditing, and education services here! https://www.stephanieallardconsulting.com/servicesView our Coding Compliance Connection membership here! https://www.stephanieallardconsulting.com/membership View our Etsy shop here! https://sallardconsulting.etsy.com

...more
View all episodesView all episodes
Download on the App Store

Auditing Antics: Navigating Medical Coding and AuditingBy Stephanie Allard Consulting, LLC

  • 5
  • 5
  • 5
  • 5
  • 5

5

9 ratings


More shows like Auditing Antics: Navigating Medical Coding and Auditing

View all
Help Me With HIPAA by Donna Grindle and David Sims

Help Me With HIPAA

61 Listeners

CodeCast | Medical Billing and Coding Insights by Terry Fletcher

CodeCast | Medical Billing and Coding Insights

199 Listeners

Talk Ten Tuesdays by ICD10monitor

Talk Ten Tuesdays

39 Listeners

Monitor Mondays by RACmonitor

Monitor Mondays

24 Listeners

Dateline NBC by NBC News

Dateline NBC

47,493 Listeners

Think Fast Talk Smart: Communication Techniques by Matt Abrahams, Think Fast Talk Smart

Think Fast Talk Smart: Communication Techniques

822 Listeners

A Bit of Optimism by Simon Sinek

A Bit of Optimism

2,250 Listeners

SmartLess by Jason Bateman, Sean Hayes, Will Arnett

SmartLess

58,511 Listeners

Paint The Medical Picture Podcast by Sonal Patel

Paint The Medical Picture Podcast

25 Listeners

NSCHBC Edge Podcast by National Society of Certified Healthcare Business Consultants (NSCHBC)

NSCHBC Edge Podcast

6 Listeners

Mind of a Monster: The Hollywood Ripper by ID

Mind of a Monster: The Hollywood Ripper

1,845 Listeners

For The Love of Revenue Cycle by Vanessa Moldovan

For The Love of Revenue Cycle

23 Listeners

The Compliance Guy by Sean M. Weiss

The Compliance Guy

37 Listeners

Off the Record with Brian Murphy by Brian Murphy

Off the Record with Brian Murphy

22 Listeners