Advanced Coding & Auditing Boot Camp
Get answers to your toughest coding and auditing questions!
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.
5 Reasons to Attend
- Learn why physicians and coders cannot rely on EHR systems to select the correct codes.
- Gain clarity regarding commonly known gray areas of Evaluation & Management (E/M) coding.
- Uncover missed revenue when auditing charts based on documentation.
- Improve compliance in an era of increasing audit probability.
- Includes review of real world case examples, auditing tools, and resources.
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
Who Should Attend
This course is relevant for medical office coding, reimbursement staff, compliance officers, and consultants.
Prerequisites
This is an advanced-level course. Content assumes at least a year of direct coding/auditing experience for outpatient services.
Self-supplied Coding References
To receive the maximum benefit from this course, current CPT® and ICD-10-CM code set manuals are required. A medial dictionary will be beneficial.
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Earn 6 PMI CEUs for attendance at this program. Practice Management Institute grants CEUs for its certified professionals based on total number of instructional hours (1 CEU per hour of classroom instruction). CEUs may be applied to annual recertification requirements, as directed in the certification renewal requirements for your credential(s).