Both routine and special monitoring is the responsibility of the Audit, Compliance & Education (ACE) department. ACE department directives and goals include monitoring compliance, identifying problems, and developing action plans when warranted. ACE will perform random and regular reviews of medical records. This monitoring effort includes sampling of clinical department medical records and corresponding bills to verify documentation accuracy and consistency.
Individual provider audits will also be conducted regularly, with special emphasis on performing ambulatory provider outpatient reviews. CU Medicine staff performing coding functions will be subject to semi-annual reviews to ensure accuracy and compliance.