A coding audit may be conducted by internal staff or external entities, typically representing the insurers paying for the care. When planning to implement a coding auditing program, the type of reviews, focus areas, and review frequency must all be taken into consideration.
According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), it is estimated that more than half a million people in the U.S. have Crohn’s disease. For unknown reasons, the disease has become more widespread in both the U.S. and other parts of the world.
Much of the population health model is relatively new. Some of the work is based on other models, particularly the public health model. We know how important an efficient case management structure is to the success of the population health model. How does an organization not only change the model of case management but sustain the change and continue to evaluate its success?
