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Why Are Coding Audits Performed by Payers Insufficient for Determining

Question 41

Multiple Choice

Why are coding audits performed by payers insufficient for determining coding accuracy?


A) the payer only checks records for the patients they have reimbursed
B) the payer only performs targeted reviews on "problem" DRGs
C) payers will only audit when there is a change in case mix
D) payers are ultimately more interested in volume rather than accuracy

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