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Why Query Compliance is Essential
By maintaining query compliance healthcare organizations minimize risks and enhance their reputation, leading to improved patient satisfaction. Prioritizing query compliance is vital for long-term success.
Adheres to regulatory requirements and prevents fraud or abuse
Helps maintain accurate case mix index and avoid misrepresentation of patient acuity.
Prevents RAC, MAC, or OIG audits that could lead to denied claims, refund demands, or civil penalties and fines.
Maintains accurate quality reporting (PSI, HCC, HAC)
Prevents overcoding, undercoding, and payor scrutiny resulting in delayed reimbursement.
Improves benchmark and hospital ratings
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