For Each of the Following Groups Explain the Relationship with the Auditors

question 9

Essay

For each of the following groups explain the relationship with the auditors and how they may interact.
$\bullet$ The shareholders
$\bullet$ The board of directors and the audit committee
$\bullet$ Internal auditors
$\bullet$ Management.

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Definitions:

Downcoding

A practice of third-party payers in which the benefits code has been changed to a less complex or lower-cost procedure than was reported; another payer practice in which a reported evaluation & management service is reduced to a lower level based strictly on the diagnosis code reported.

Bundling

The practice of grouping together products or services for sale as a single combined unit, often offered at a reduced price compared to purchasing each item separately.

ICD-9-PCS

The International Classification of Diseases, 9th Revision, Procedure Coding System; a medical classification system used in the United States for procedural codes.

ICD-10-PCS

International Classification of Diseases, Tenth Revision, Procedure Coding System; a system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures.