Online Training Course

Prod ID: 258
Advanced Coding & Auditing Boot Camp

Coding errors continue to trigger government and third party payer audits and physician services remain on the OIG Work Plan’s active list. Improve your coding and auditing proficiency to ensure compliancy and reduce practice risk. UPDATED FOR 2021

CEUs

6

Length

360 min

Price

$299

Coding errors continue to trigger government and third party payer audits and physician services remain on the OIG Work Plan’s active list. Don’t wait for an audit letter to come. Improve your coding and auditing proficiency to ensure compliancy and reduce practice risk. Better coding leads to accurate claims and reimbursement you can safely keep. Enhance your understanding of the documentation required to receive full and accurate reimbursement. Improving audit proficiency prior to claims submission reduces practice risk and promotes proper payments. Includes hands on coding and auditing 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.

Linda D'Spain

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.

This course is relevant for medical office coding, reimbursement staff, compliance officers, and consultants.

5 Reasons to Attend

  1. Learn why physicians and coders cannot rely on EHR systems to select the correct codes.
  2. Gain clarity regarding commonly known gray areas of Evaluation & Management (E/M) coding.
  3. Uncover missed revenue when auditing charts based on documentation.
  4. Improve compliance in an era of increasing audit probability.
  5. Includes review of real world case examples, auditing tools, and resources.

This is an advanced-level course. Content assumes at least a year of direct coding/auditing experience for outpatient services. Full participation in this program requires access to current CPT® and ICD-10-CM code set manuals. A medical dictionary will also be helpful.

The instructor will illustrate self-audit protocols and provide you with up-to-date guidance on proper coding for provider services. Participants will audit case scenarios to include evaluation and management, ICD-10, and procedural codes with appropriate use of modifiers as they relate to coding and auditing from documentation.

Program Highlights:

  • Discuss the benefits of establishing an ongoing chart audit process
  • Review resources and tools needed to create a successful chart audit process
  • Step-by-step walk through of E/M coding procedures and selecting the level of medical decision-making
  • Comprehend the role of medical necessity and the relationship of the presenting problem to the level of service
  • Distinguish among 3 sets of Documentation Guidelines (‘95, ‘97 & ‘21), as well as surgical and procedural documentation requirements
  • Review coding scenarios designed to help capture proper reimbursement under the current coding requirements
  • Practice with a series of advanced-level exercises that will put your audit skills to the test

Self-paced online program includes unlimited review of previously recorded instruction and digital course materials for 6 months.

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