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Week 6 Discussion: Internal Versus External Audits

Most healthcare organizations perform regular internal audits. Compliance departments, in conjunction with quality assurance, develop plans and carry out routine audits. Clinical departments also perform audits to look for documentation compliance, billing of appropriate codes, billing of appropriate supplies, and accuracy of diagnosis coding.External audits are also underway. The use of Medicare RAC audits, health plan audits, accrediting audits, and health department audits are all a normal part of healthcare business practices. Internal audits should be completed to ensure that the organization does not have any concerns when external audits are performed.For this discussion thread, compare and contrast internal versus external audits. Take a specific area of health care to compare and contrast how an internal audit may differ from an external audit. Note who is responsible for each type of audit. If possible, pick an audit topic related to your own chosen topic for the course.

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