This E/M Auditing webinar will explain how to get start with an auditing program in your healthcare organization and expand your knowledge of evaluation and management coding and auditing that will help you to increase revenues, decrease denials, rejects, and assist your organization in being compliant.
Greater scrutiny from the OIG, government-contracted and third-party auditors make practice self-checks of physician E/M coding is more important than ever. CMS sees physician education and outreach as critical parts of an effective enforcement strategy and clarify policies when inconsistencies in billing practices arise.
Why You Should Attend:
The fiscal year (FY) Medicare FFS program improper payment rate is 9.51 percent, representing $36.21 billion in improper payments. “Best practices” in healthcare have an effective compliance plan in place that contains all seven elements. One of those elements is “auditing”.
This is an opportunity to look at your current process as well as obtain useful information on how to get started with an auditing program in your organization. Proactive review with auditing your claims prior to submission will increase revenues, decrease denials, rejects, and assist your organization in being compliant, so when you receive revenue – your will “get to keep it” because you are lower the chances of improper payment activities by implementing “best practice auditing essentials”.
Attend this webinar to enhance your understanding of level-of-service audits to improve audit proficiency by reducing risk and promote accurate claim submissions in your healthcare organization.
Learning Objectives:
Did you know if you are billing for a Federal program, Medicare/Medicaid, the organization should have a compliance plan?
Do you have an effective compliance plan in place that includes auditing and monitoring?
Are you conducting random audits on E/M coding documentation before submitting to carrier?
Is your team proficient in determining medical necessity verses medical decision-making?
What percentage of undercoding/upcoding does your providers have?
Are you confident that your coding practices are compliant with the regulations set forth by private and government payors?
Is there regular communication between your providers and staff on how to use documentation to maintain compliance and proper reimbursement?
Areas Covered in the Session :
Gain useful information and tools for understanding the E/M auditing process
Increase your understanding of documentation requirements for the three key components – history, exam and medical decision-making.
Take a proactive stance and learn to implement your own self-audit procedures. Conducting your own audits is considered “best practices.”
Review the seven steps of an effective compliance plan.
The benefits of establishing an effective chart audit process
Step-by-step review of documentation requirements for ’95 vs. ’97 guidelines
Guidance on selecting the level of medical decision-making
Hands-on demonstration for aligning documentation to key components for “telling an accurate patient story”
Who Should Attend:
Medical billing and coding teams
Auditors
Medical Practice Managers/Administrators
Physicians
Clinical and practice staff involved in coding
Compliance Officers/Committees
Revenue Cycle Management Professionals