Compliance is one thing that is needed to achieve safety in any type of field. It is equivalent to becoming obedient to the rules that are designed to protect your welfare and safety. The same is true in the medical field where hospitals have to comply with the regulations, policies, and standards of the medical field to promote safety and welfare not only of the patients but of the whole medical institution. It is everyone's responsibility to ensure safety and as they say prevention is still better than any other solutions. In a certain hospital, not only medical risks are invented but also legal and administrative risks. Complying with qualified record audits such as a DRG audit will allow a hospital to achieve its goals of preventing such risks.
With the number of patients coming in everyday, imagine the volume of records that will be understood and doctors can not possibly handle all of them without any form of mistake or error. In this case, there is a need for an effective system that will ensure accuracy and compliance. This is necessary to reduce any risks and liabilities that can be bought by improper coding. A single patient who is not satisfied with the quality of medical service provided can disrupt the normal operation of the hospital. Also, the credibility and reputation may be affected which in turn affects its overall revenue and stability. When it comes to the point of view of the lawmakers, you are very much qualified for an investigation about the possible anomalies or non compliance that your institution may have committed. To ensure safety from all of these, make sure that you know where you stand by benefitting from different medical record audits, DRG audits, and others.
While hospital say that the number of patients can increase the likelihood of errors, it does not change the fact that hospitals have the primary responsibility of ensuring that everything is in order or else it will reflect immediately to the reputation of the professionals involved. From aspects related to the medical procedures up to the final billing, insurance, and coverage, make sure that you're in compliance with the rules. DRG audits are just some of the things that you can consider to identify how safe your institution is from all types of risks. This is one thing that can not be disregarded as it leads to more serious issues and stability problems.
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Source by Tim Suggs