Which type of audit is conducted after receiving remittance advice?

A retrospective audit is conducted after receiving remittance advice because it involves reviewing the claims submissions and payments made by payers for services rendered. This type of audit allows medical coders and billers to evaluate the accuracy of the coding and billing processes based on actual outcomes, focusing on whether the claims were paid correctly as per the remittance advice received.

By analyzing past claims and payments, the retrospective audit helps identify any discrepancies, overpayments, or underpayments, and allows for necessary corrections or appeals to be made. This audit type plays a crucial role in ensuring that the healthcare provider not only receives the correct reimbursements but also complies with insurance policies and regulations based on historical data.

In contrast, prospective audits would occur before the claims are submitted or before payments are finalized, while compliance audits focus on adherence to regulations and standards, and random audits may be conducted without a specific timing or trigger related to remittance advice.