Which outcome can result from improved coding accuracy as per RADV audits?

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Improved coding accuracy as per RADV audits directly contributes to better healthcare reimbursement and compliance. When healthcare providers code diagnoses and procedures correctly, it ensures that they receive appropriate reimbursements from payers, such as Medicare or Medicaid, aligning financial compensation with the actual services rendered. This not only reflects the true patient care provided but also supports the integrity of the coding process and the financial viability of healthcare organizations.

Additionally, coding accuracy fosters compliance with regulations, helping organizations adhere to laws and standards, which can minimize the risk of audits or penalties. In contrast, incorrect coding can lead to financial loss, billing discrepancies, or regulatory issues. The focus on accurate coding ultimately benefits both the healthcare providers and the patients by facilitating proper funding for care and promoting adherence to established healthcare guidelines.

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