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Evaluate compliance with regulatory requirements and reimbursement methodologies.
1. How will you develop a coding audit plan (frequency and percentage of charts)?
2. How you will use the OIG work plan and other resources available to prepare and update your audit plan?
3. What policies and procedures will be needed to monitor abuse or fraudulent trends and how do those relate to your audit plan?
4. Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.
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