Physician services and improper coding continue to be high profile items on the Office of the Inspector General’s audit radar. Don’t wait for an audit letter to come. This class will help you get your self-audit program off the ground.
Improving audit proficiency prior to claims submission reduces practice risk and promotes proper payments. Participants in this session will audit case scenarios, including evaluation and management, ICD-10, and procedural codes with appropriate use of modifiers as they relate to coding and auditing from documentation.
CMPE, CMC, CMIS, CMOM, CMCO, CMCA-E/M
Linda is President of her medical practice management consulting firm, D'Spain Consulting. She travels the country conducting national seminars, workshops and webinars and consulting with physician practices, hospitals and medical societies on healthcare reimbursement, documentation guidelines, procedural and diagnostic coding, financial management, human resources, medical office management and compliance with fraud and abuse, OSHA, and HIPAA. She has also served as an Independent Review Organization (IRO) for the Office of the Inspector General and consulted for the Texas Medical and Dental Boards.
With more than 30 years of experience in medical practice management, Linda has managed cardiology, cardiothoracic, vascular surgery, physical therapy, orthopedics, pediatric orthopedics, gynecology and reproductive endocrinology and large multispecialty group practices. She maintained broad responsibilities in business and clinical operations, financial management, governance and organizational dynamics, human resource management, marketing, customer service, compliance, information system management, mergers and acquisitions and risk management.
Linda has attained all five PMI certifications. She also has a degree in Business Administration and is a Board Certified Medical Practice Executive through the American College of Medical Practice Executives, a member of the San Antonio Medical Group Managers Association (MGMA) and has served as an advisory board member with PMI.
At the conclusion of this course you will understand the benefits and have the know how to establish an ongoing chart audit process in your healthcare organization.
This is an advanced-level course. Content assumes at least a year of direct coding/auditing experience for outpatient services. Full particptaion in this program requires access to current CPT® and ICD-10-CM code set manuals and a medical dictionary.
Course includes 10 pre-recorded instructional segments and a digital course manual with answer key.