Running Head: HIM 360 1
7-2 Final Project Submission: Monthly Compliance Report
HIM 360
SNHU
February 25,2022
Preface
HIM 360 2
The purpose of the monthly compliance report is to capture the deficiencies that exist
in the coding process in the SNHU Medical Clinic. A detailed compliance plan has been
presented in the report with suitable recommendations in necessary areas. On an annual basis
SNHU performs auditing of provider charts for maintaining and ensuring coding compliance.
A generated audit summary report was examined to locate inefficiencies. It helped to identify
areas that needed improvement so that the goals of the SNHU Medical Clinic can be attained.
The compliance plan that has been designed can play an integral role to strengthen the current
compliance framework in the facility. It can play to strengthen the current compliance
approach.
A detailed evaluation has been conducted by focusing on a diverse range of areas such as the
outcome, coding guidelines, review process, as well as EHR System. Each of these areas
have helped to understand the quality of compliance relating to coding practices in the
clinical facility. The outcome of the provider chart audits have revealed that there were
certain errors due to which several charts failed to meet the documentation level for the
‘Family Practice Charges Claims’ codes. In the health care setting, it is necessary to
understand the importance of codes and suitable coding guidelines as it can have a direct
implication on the quality of care that is delivered to the patients. In the health care context,
the thorough evaluation process that was adopted revealed that there was a need to revise the
existing review process relating to clinical documentation. This is because a proper review of
documentation can help to identify gaps. In the health setting it can add value by ensuring
that close attention is paid to details and vital information. Additionally, the staff must be
