WEBCAST ON CD
Sponsored by JustCoding.com
presented on November 14, 2007
Do you know what your practice's high-risk areas are?
Perhaps your physician documentation doesn't support your diagnostic codes. Perhaps your providers do not fulfill the requirements for a consultation. Perhaps they incorrectly bill for procedures performed during an office visit. No matter what the risk, only an audit can reveal the areas you need to focus on to remain compliant.
During this 90-minute Webcast, we will help you design an audit structure, discuss the advantages of pre-billing versus post-billing audits, explain when to use the 1995 versus 1997 guidelines, and explore several high-risk areas that your practice may encounter after performing an audit.
Plus, we will also walk you thorough a case study scenario using an audit tool. And we will cover the importance of following up on an audit with a concrete monitoring strategy— a key step in reducing your risk of fraud and abuse.
LEARNING OBJECTIVES
At the end of this program, you will be able to:
- Explain how to design an audit
- Discuss the pros and cons of using the 1995 versus 1997 guidelines
- Determine whether a prospective or a retrospective review is more suitable for your organization
- Identify the key risk areas that you should be looking for during an audit
TAKE A LOOK AT OUR AGENDA
- Designing an audit structure
- Key elements
- What to include in your audit
- Pre-billing versus post-billing audits
- Advantages and disadvantages
- How it works in two practices
- Using the 95 versus 97 guidelines
- Pros and cons
- When to apply each set of guidelines
- High-risk areas to identify when auditing
- Is the diagnosis supported by the documentation?
- Are there additional diagnoses to support medical necessity?
- When can coders append modifier -25?
- When can providers render incident-to services
- How should you audit incident-to services?
- Did the provider fulfill the requirements for a consultation?
- Is the patient correctly identified as new versus established?
- Can we bill for a visit during the global period after a procedure?
- Are providers correctly billing procedures performed during an office visit?
- Compliance and looking ahead
- Handling noncompliant physicians
- Devising a plan for physician education
A question and answer session follows the presentation.
Note: Participants should already have a basic understanding of E/M guidelines and code assignment, and a basic familiarity with the 1995 and 1997 guidelines
FEATURED SPEAKER
Maryann C. Palmeter, CPC, is the associate director of physician billing compliance at the University of Florida Jacksonville Healthcare Inc. in Jacksonville, FL. Palmeter has more than 24 years experience in government payer regulations. Palmeter has performed physician coding audits on specialties ranging from anesthesia to vascular surgery. She is past president of the Jacksonville, FL chapter of the American Academy of Professional Coders.
CONTINUING EDUCATION CREDITS
This program has prior approval of the American Academy of Professional Coders for 1.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.
WHO SHOULD LISTEN?
Compliance auditors and officers, coders, physicians
YOUR MATERIALS PACKET
In addition to the expertise and advice presented during this Webcast, you'll also receive a slide presentation of the program materials and take-home items including:
- E/M audit worksheet
- Handouts for physicians
- Sample audit tools
These materials are provided with PDF links.
Purchase a CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
