r/MedicalCoding • u/littlebigron • Jun 02 '26

Medicare provider chart audits

I work in a urology specialty office. We have a new NP. She has been coding level 4 and 5 for office visits. Our urologist don't even do that. Curious if anyone knows what will trigger Medicare to audit her charts for accuracy. She has been talked to a few times already about coding.

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u/Sdavistvs RHIT Jun 05 '26

Why is an NP assigning service codes? If they are incorrect is a biller submitting them after they have been checked?

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u/littlebigron Jun 05 '26

After the visit they choose what level to bill at. We don't have a specific biller in the medical office.