Certified Inpatient Coding (CIC) Practice Exam

After an external audit reveals incorrect coding for cardiac catheterization, what should the coding department do next?

1. Implement recommended changes immediately.

2. Review results with coding staff and the auditor's recommendations.

3. None; the work is complete after the report.

4. Review results with staff, educate, correct claims as allowed, and monitor.

The correct answer is: Review results with staff, educate, correct claims as allowed, and monitor.

The most comprehensive approach following an external audit that identifies incorrect coding for cardiac catheterization is to review the results with the coding staff, educate them about the findings, correct any claims as permitted, and establish a monitoring plan. This step ensures that the coding department not only acknowledges the discrepancies but also actively engages with the coding staff to enhance their understanding of proper coding practices. By reviewing the auditor's recommendations, the team can clarify any misunderstandings and reinforce correct coding guidelines. Education is vital, as it helps prevent similar issues in the future and cultivates a culture of continuous learning and adherence to coding standards. Additionally, correcting claims that are allowable in light of the findings helps ensure compliance and reduces the potential financial impact on the organization. Monitoring the coding process after implementing these measures ensures that any ongoing issues are addressed promptly and that the coding staff adheres to correct practices moving forward. This methodical approach not only rectifies existing issues but also safeguards against future coding errors, aligning with best practices in healthcare compliance.