By Betsy Nicoletti
The key subject matters coated comprise a welcome quantity of in-depth coding info -- themes and actions that practices practice per week. safeguard your perform from governmental and third-party payer audits! This e-book explains advanced compensation and coding ideas and offers audit sheets for key, high-risk components together with E/M companies.
Today, scientific practices face significant hazards in the event that they do not code health care provider providers competently. Practices that violate the complicated govt rules governing coding could face audits via the workplace of the Inspector normal for HHS, restoration Audit Contractors and Medicare Administrative Contractors, and the results of such audits should be serious. although, physicians and their employees now have a complete consultant to be had which is helping practices audit high-risk components themselves, earlier than payers become involved.
Auditing health care professional companies: Verifying Accuracy in Physicians prone and E/M Coding to guard clinical Practices, written through nationally-renowned coding and auditing specialist Betsy Nicoletti, MS, CPC, bargains severe details, aid and plain-English factors of the way to prevent high-risk coding habit. Auditing health practitioner companies, offers transparent, functional, concrete factors of advanced coding concerns and E/M guidance, suggestion on auditing EMR notes, and various worksheets permitting physicians to behavior legitimate, defensible audits. The publication additionally contains a special research of the 2015 OIG paintings Plan which bargains perception into how the service provider selects surgeon practices for extra evaluate.
TABLE OF CONTENTS scientific perform Compliance and the 2015 OIG paintings Plan bankruptcy 1: common rules of scientific Documentation bankruptcy 2: Aberrant overview and administration Coding styles bankruptcy three: easy methods to Audit evaluate and administration companies bankruptcy four: New sufferer Visits bankruptcy five: Consultations bankruptcy 6: severe Care providers bankruptcy 7: Billing for 99211 bankruptcy eight: Incident To Billing and Shared Visits Chapter9: Use of Modifier25 bankruptcy 10: Billing for E/M providers throughout the worldwide interval bankruptcy eleven: preliminary Preventive actual Examinations and Annual well being Visits bankruptcy 12: instructing healthcare professional principles bankruptcy thirteen: Care Plan Oversight bankruptcy 14: Transitional Care administration (TCM) and persistent Care administration (CCM) ultimate suggestions Appendix 1: E/M Documentation Auditing Worksheet Index
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Additional info for Auditing Physician Services: Verifying Accuracy in Physician Services and E/M Coding to Protect Medical Practices, 2nd Edition
Auditing Physician Services: Verifying Accuracy in Physician Services and E/M Coding to Protect Medical Practices, 2nd Edition by Betsy Nicoletti