E/M Auditing Essentials: Improve Documentation and Decrease Improper Payments

Learning Objectives:

As a result of this training, attendees will:

• Understand how to implement and monitor an effective E/M audit plan
• Know how to tell an accurate patient story by aligning documentation to key components in the medical record
• Enhance skills in understanding the difference between Medical Decision-Making and Medical Necessity of the visit
• Identify areas of risk leading to E/M over or under coding and documentation
• Ensure that your coding practices are compliant with the regulations set forth by private and government payors
• Teach your providers and staff how to use documentation to maintain compliance and proper reimbursement

Areas Covered in the Webinar:

• Gain useful information and tools for understanding the E/M auditing process
• Increase your understanding of documentation requirements for the three key components - history, exam and medical decision-making.
• Take a proactive stance and learn to implement your own self-audit procedures. Conducting your own audits is considered “best practices.”
• Review the seven steps of an effective compliance plan.
• The benefits of establishing an effective chart audit process
• Step-by-step review of documentation requirements for ’95 vs. ’97 guidelines
• Guidance on selecting the level of medical decision-making
• Hands-on demonstration for aligning documentation to key components for “telling an accurate patient story”

Free Materials:

• Reference documents
• Rule documents or guidance
• Checklist
• SOP template
• Easy fill in forms
• Articles

Who Will Benefit:

• Medical billing and coding teams
• Auditors
• Medical Practice Managers/Administrators
• Physicians
• Clinical and practice staff involved in coding
• Compliance Officers/Committees
• Revenue Cycle Management Professionals