Online Training Course

Prod ID: 541
E/M Chart Auditing Workshop

This intermediate level course will expand your knowledge of Evaluation and Management (E/M) coding audits and instruct on auditing records in accordance with current E/M guidelines. A proactive stance is your best defense against an audit -implement your own self-audit procedures and monitor claims in your practice.

CEUs

6

Length

375 min

Price

$349.00


Scrutiny from the OIG, government-contracted and third-party auditors make practice self-checks a crucial component of the healthcare claims submission process. Avoid audit triggers by improving Evaluation and Management (E/M) audit proficiency and verifying that chart documentation supports the code(s) selected and claim(s) submitted.

5 Reasons to Participate

  1. Adopt a comprehensive self-audit system used by professional auditors.
  2. Review essential coding guidelines for E/M services to ensure proper claims submission
  3. Discover missed revenue opportunities when auditing charts based on documentation.
  4. Receive professional tips and auditing tools to help you audit like a pro.
  5. Benefit from practical application with hands on case exercises to improve comprehension and validate code selection.

It is a matter of "when" not "if" your medical practice will be the target of an audit. Be prepared to defend your practice and code to the letter of the law. This Chart Audit Workshop is a must on your annual training list. This interactive workshop walks you through the audit process by covering the details of key elements of the history, exam, medical decision making for both inpatient and outpatient evaluation and management code.

-Linda L. D'Spain, CMPE, CMCO, CMC, CMIS, CMOM, CMCA-E/M

Jan Hailey

MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M

Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program. 

Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.

Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.

This program is designed for coders, auditors, providers, clinical and practice staff involved in medical coding. Consultants, compliance officers and office managers may also benefit.
This is an intermediate level course. Content assumes a working knowledge of medical charts and coding of E/M claims. Students should have access to current CPT®, ICD-10-CM, and HCPCS manuals to receive maximum benefit from this course.

Ongoing scrutiny of E/M claims make practice self-checks essential. Improve your audit proficiency to reduce practice risk and promote accurate claim submission.

Highlights

  • Create a systematic approach to cross-checking records so you can code E/M encounters with confidence
  • Improve communication with providers and staff about chart documentation
  • Expand your knowledge of the criteria used in selecting the appropriate level of medical decision-making
  • Identify areas of risk leading to E/M over or under coding
  • Ensure that chart documentation supports the claim submitted
Self-paced online program includes unlimited review of previously recorded instruction and access to downloadable companion course materials for 6 months.

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