AUD 1400 Medical Audit Management
In this course, students learn how to update, review, and maintain charge description master (CDM), recommend and monitor use of external auditors or subcontractors, apply medical necessity rules in audit activity, and apply coding rules in medical audit activity. Students study and practice the application of regulatory and legislative policies to medical audit activity. Students learn how to develop and update a database for tracking and trending medical audit findings. Students learn how to prepare and submit cost benefit and financial impact analysis reports. Students develop education and training sessions for staff. Students will practice developing Quality Assurance/Improvement policies and procedures. Students will learn how to monitor productivity levels of staff, to recommend process improvement solutions and to track and review denied claims. Students will practice writing appeal letters.