question archive Explain the importance of a pharmacy revenue cycle internal audit based on the following case
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Explain the importance of a pharmacy revenue cycle internal audit based on the following case.
While reviewing a rejected claim as a clinical documentation analyst, you noticed that a hysterectomy on a patient was recorded in the medication reconciliation section of the EHR as hysteroscopy. After comparing the two you noticed that hysteroscopy cost way less than the actual procedure that was done on the patient. Upon further digging, you discovered that the error had happened repeatedly during the same year. You also discovered that hysterectomy is just one step up from hysteroscopy on the drop-down box in the medication reconciliation section in the EHR.
