Online Training Course

Address your risks before you get audited. Analytics has become the central focus of every auditing entity out there and they are using those analytics against you. Why? Well, mostly because they know so much more about how the numbers work than we do. It is time to level the playing field. This includes modeling for inpatient (DRG, PCS, HAC, POA, etc.), outpatient (APC, OPPS), and physician services (CPT codes and modifiers).

Gain critical insights on audit analytics and requirements for Telehealth services, many of which are already under review by the OIG.

CMS giveth and CMS taketh away. At least that is the experience of pretty much every organization that has undergone an audit by a RAC, ZPIC, UPIC, CERT, OIG, MAC, or any number of other alphabet soup auditing entities. CMS and most all private and other government payers are now relying on advanced statistical models such as predictive analytics and machine learning capabilities to identify high-value targets to audit. Unless you're embracing risk-based auditing, you are just asking for financial trouble.

Analytics has become the central focus of every auditing entity out there and they are using those analytics against you. Why? Well, mostly because they know so much more about how the numbers work than we do. It is time to level the playing field. Frank will demonstrate how you can both discover and address your risks before you get audited. This includes modeling for inpatient (DRG, PCS, HAC, POA, etc.), outpatient (APC, OPPS), and physician services (CPT codes and modifiers).

Lastly, gain critical insights on audit analytics and requirements for Telehealth services, many of which are already under review
by the OIG.

Self-paced online program includes an unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

Frank Cohen, MPA, MBB — Director of Business Intelligence — DoctorsManagement

Stephanie Allard, CPC, CEMA, RHIT - Senior Compliance Specialist, DoctorsManagement