If a practice has never performed an E/M audit or any other type of audit used for gathering data, begin with a baseline audit to determine the level of risk. A baseline audit will help the practice map out its audit efforts and agenda for at least one year. It will also determine how often an auditor should reaudit certain providers.
A baseline audit will identify the following:
- Control weaknesses in coding/billing system
- The potential need for broad-based education
- The need for provider documentation and billing practice improvements