Copper Digital
    LUPA & PDGM

    Audit Risk

    Likelihood that a home health agency will be selected for review because of unusual billing patterns.

    Definition

    Audit Risk is the likelihood that a home health agency will be selected for review because of unusual billing patterns, documentation deficiencies, coding errors, or compliance concerns.

    Why it matters

    Reducing audit risk requires accurate documentation, compliant billing practices, and strong internal controls.

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    Conversations on lupa & pdgm

    Episodes from Inside Home Health that put Audit Risk in operational context.

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