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You can pay a consultant to do it, wait for Medicare to send you an audit letter, or take a proactive stance and train office staff to perform ongoing practice self-checks.
New skills you will take away from this program:
- Uncover missed revenue when auditing charts based on fact
- Ensure that chart documentation supports the claim submitted
- Better knowledge of level-of-service audits
- Higher aptitude for cross-checking and code selection
Class includes self-check forms and tools that will help participants gauge how well they are doing on an ongoing basis.
New attention from the OIG, RACs and other third-party auditors makes this built-in practice self-check more important than ever!
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Participants will gain excellent comprehension in all of the following areas:
- Adapt a systematic approach to cross-checking records so you always know where you stand.
- Improve communication with physicians and staff about chart documentation and ensure that appropriate levels of service are billed.
- Verify appropriate levels of history, exam, and medical decision-making
- Properly evaluate the nature of the presenting problem
- Billing consultations versus other E/M services
- Expert guidance on key components and potential problem areas
- Learn a step-by-step process to implement your own internal audit program
- Tips and forms from the professionals to help you audit like a pro
An essential key to long-term practice success is adapting a Total Quality Improvement (TQI) system used by professional auditors.
Top 10 Reasons to Attend:
10. Chart Auditing is an essential component of your practice compliance plan
9. Receive a thorough E/M documentation guidelines review
8. Get the chart audit forms to implement your internal audit program
7. Learn the proper steps for choosing appropriate levels of history, exam, and medical decision-making
6. Uncover missed revenue when you learn how to audit based on the facts
5. Ensure that appropriate levels of service are identified and billed
4. Implement controls to help prevent coding errors
3. Find under-documentation in your charts that creates improper code selection
2. Communicate more confidently with physicians and staff about proper chart documentation
1. A proactive and knowledgeable stance is your best defense against an audit.
Who Should Attend
This is an intermediate level course, appropriate for physicians, physician coders and billing staff seeking a better understanding of the backbone of the medical claim.
Prerequisites
A strong coding foundation is recommended for maximum course benefit. Content is applicable for physicians, coding and billing professionals, compliance officers, consultants and administrators.
What to Bring
All students must bring current editions of CPT & ICD-9-CM Vols. I and II to this class. These references may be purchased at www.pmiMD.com or by calling 800-259-5562.
Class Materials
A course manual will be provided. Participants will receive bonus audit forms and tools.
CEUs
A certificate of attendance will be provided. PMI-certified professionals (CMC, CMIS, CMOM) receive up to 6 CEUs for attendance. PMI CEU credit is based on total number of instructional hours. Review pre-approval and credit guidelines prior to enrollment if you are seeking CEUs from other organizations.
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