2015
Auditing Series
4 AAPC and 4 AHIMA CEUs approved
Order
the "2015 Auditing Series - CPMA Approved"
for you
and your entire staff for only $59.99
CEUs
are valid till Nov 2015 and approved for the
following associations: AAPC (CPC, CPMA and CPCO (4)), AHIMA
(4), ARHCP (4), PAHCS (4), PHIA (4), POMAA
(4), MAB (4), MED-C (4), PMRNC (4), PAHCOM
(4), AHCAE (4), HBMA (4), APMBA (4), PMI (4)
Session
1. Managing The Auditing Process
Managing the Audit process in
the medical office can be challenging.
Understanding what records to
review, how many records need
to be reviewed and what timeframe
is imperative in reviewing of
good sampling of records. What
if you find patterns of abuse?
What action steps do you take?
This session will cover all
of these issue and more!
At
the end of this webinar the
participant will be able to:
Understand how compliance
drives the auditing process
How to set up an audit program
in your practice that will
have value
Understand timeframes, good
sample record size
How to determine the type
of records to review
How to handle patterns of
coding and documentation abuse
discovered in an audit
Understand what RACS, are
looking for and how to handle
requests for documentation
Session
2. Auditing E/M Services
The
most common types of physician
services across many specialties
is Evaluation and Management
Services (E/M). E/M services
are under scrutiny by every
insurance company and government
payor as well as the Recovery
Audit Contractors and the Medicaid
Integrity Contractors. Understanding
the scope of auditing E/M services
along with auditing trends and
medical necessity is imperative
in analyzing E/M services.
At
the end of this webinar the
participant will be able to:
Understand how utilization
reports are used to determine
scope and type of service
to audit.
Review the difference between
a baseline audit and a focused
review.
Understand how medical necessity
drives the visit.
Review various audit tools
you can use.
Review ancillary services
and modifier usage during
an E/M visit and how to analyze
compliance.
Review common auditing trends.
Review the types of reports
that would be beneficial to
the practitioner after the
audit is completed.
Session
3. Auditing Surgical Procedures
Auditing
surgical procedures is much
different than Auditing E/M
services. A strong knowledge
of anatomy and physiology along
with regulatory issues such
as bundled services, modifier
usage and carrier medical policy
is critical in not only coding
surgical procedures but auditing
them also. This session will
cover the skills and tools you
will need to be a successful
surgical coding auditor.
At
the end of this webinar the
participant will be able to:
Understand bundled services
in relation to surgical procedures.
Review
the tools necessary to successfully
audit surgical procedures.
Understand
what audit tools to use.
Review the types of reports
that would be beneficial to
the practitioner after the
audit is completed.
Session
4. Explaining Audit Results to Physicians
The
most important step in the audit
process is meeting with the
physician and/or practitioner
reviewing audit results. Tackling
this important step can be very
challenging. Learn expert techniques
that will help you put the physician
at ease and deliver your message
clearly, respectfully and with
authority.
At
the end of this webinar the
participant will be able to:
Prepare appropriate reports
to share with the physician
or practitioner.
Understand how to deliver
audit results to the practitioner.
Understand how to reduce anxiety
and boost confidence.