How will Sandra Keller determine which surgeries to review in her compliance plan?

The most effective way for Sandra Keller to determine which surgeries to review in her compliance plan is by running a utilization report of surgeries. This approach provides quantitative data on the frequency and types of surgeries performed, allowing her to identify patterns in service utilization. By understanding which procedures are most common or have a higher volume, Sandra can prioritize her reviews based on actual clinical practice, ensuring that resources are focused on areas where compliance issues may be more likely to occur.

Utilization reports typically include insights into costs, reimbursement rates, and the average length of stay associated with different procedures. This information is crucial in identifying high-risk areas that may require closer scrutiny. Furthermore, reviewing surgeries based on documented data rather than anecdotal evidence or subjective opinions helps to substantiate the auditing process with empirical findings.

This data-driven methodology aids in forming a robust compliance plan tailored to the specific practices and patterns observed within the organization, thus ensuring more effective oversight and the potential for improved patient safety and reduced billing errors.