What are issue-oriented findings in an audit report used to convey?

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Issue-oriented findings in an audit report are specifically designed to address findings that are directly linked to a particular CPT or HCPCS Level II code. This approach allows auditors to focus on specific areas where discrepancies or concerns have been identified related to coding practices. By highlighting these targeted findings, the auditors can provide concrete examples of where coding may not align with documentation, impacting compliance, reimbursement, and the accurate representation of the services provided.

This specificity is valuable for stakeholders, as it helps to pinpoint exact areas needing improvement or clarification, providing actionable insights that can lead to better coding accuracy and compliance with regulations. These findings can also facilitate targeted training and adjustments to coding practices based on identified issues with particular codes.

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