question archive 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
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
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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 costs way less than the actual procedure done on the patient. Upon further digging, you discovered that the error had happened repeatedly during the same year. You also found that hysterectomy is just one step up from hysteroscopy on the drop-down box in the medication reconciliation section in the EHR.
Discuss three to four important points that should be considered when conducting a pharmacy revenue cycle internal audit. Please include the reasons why these points are important.
P.S. Response does not need to be based on the scenario.
