WHAT ARE YOU DOING MAY 14?

Join us for 3-and-a-half days of high-level medical auditing education geared to arm you with the knowledge you need to make lasting changes. Here's a sneak peak at your first day!

DAY 1
– 8:30 AM – Module 1

Overview of Professional Services Auditing and ICD-10-CM, CPT, and HCPCS Coding Concepts

• Demonstrate an understanding of professional service auditing, its purpose and types of audits performed.
• Identify the coding systems applicable to professional medical record audits
• Locate and utilize source authorities required for professional medical record auditing
• Demonstrate an understanding of available medical record audit certifications available
• Articulate the role of the auditor

– 10:45 AM –
Refreshment Break

– 11:00 AM – Module 2
Regulations, Statutes, and Compliance

• Demonstrate an understanding of the following Federal regulations: False Claims Act (FCA), Anti-Kickback Statute (AKS), Physician Self-Referral Law (Stark Law), Civil Monetary Penalties Law, Exclusion Statute
• Identify the Civil Monetary Penalties associated with specific violations and entities
• Understand the role and function of the Office of the Inspector General
• Demonstrate and understanding of the Office of Inspector General’s Compliance Plans
• Demonstrate an understanding of the Centers for Medicare & Medicaid Services (CMS) program oversight
• Understand the role and function of the CMS Recovery Audit Program

Medical Auditing Boot Camp
 

By learning about the latest regulations and coverage guidance, physician offices will reduce vulnerability to Medicare contractor audits (e.g., UPIC, SMRC, RAC/RA). Over the course of three-and-a-half days, this boot camp will delve into coding and other documentation issues unique to professional services – including appropriate application of modifiers, accurate E/M reporting, and the impact of value-based payment programs.

You will leave this program knowing how to:

• Identify the coding systems and source authorities used for reporting and guidance in professional services

• Explain the role of federal auditing bodies, regulations, and penalties associated with fraud

• Accurately assign evaluation and management (E/M) codes, including modifiers

• Perform successful professional services audits

• Identify how to implement a corrective action plan

Have a group to train? Bring one of these boot camps to your organization!

Bring our industry-leading instructors to your facility to teach one of our existing boot camps or a program customized specifically for your organization.

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