By Betsy Nicoletti
The key subject matters lined contain a welcome quantity of in-depth coding info -- themes and actions that practices practice a week. safeguard your perform from governmental and third-party payer audits! This publication explains complicated compensation and coding ideas and gives audit sheets for key, high-risk components together with E/M prone.
Today, scientific practices face significant hazards in the event that they do not code surgeon companies appropriately. Practices that violate the complicated executive rules governing coding may perhaps face audits by way of the place of work of the Inspector common for HHS, restoration Audit Contractors and Medicare Administrative Contractors, and the implications of such audits might be serious. although, physicians and their employees now have a accomplished advisor to be had which is helping practices audit high-risk components themselves, earlier than payers get entangled.
Auditing general practitioner prone: Verifying Accuracy in Physicians prone and E/M Coding to guard scientific Practices, written through nationally-renowned coding and auditing specialist Betsy Nicoletti, MS, CPC, bargains serious info, help and plain-English factors of the way to prevent high-risk coding habit. Auditing surgeon prone, presents transparent, functional, concrete factors of complex coding concerns and E/M guidance, suggestion on auditing EMR notes, and a variety of worksheets permitting physicians to behavior legitimate, defensible audits. The e-book additionally contains a exact research of the 2015 OIG paintings Plan which bargains perception into how the supplier selects surgeon practices for additional overview.
TABLE OF CONTENTS clinical perform Compliance and the 2015 OIG paintings Plan bankruptcy 1: basic rules of scientific Documentation bankruptcy 2: Aberrant overview and administration Coding styles bankruptcy three: easy methods to Audit review and administration prone bankruptcy four: New sufferer Visits bankruptcy five: Consultations bankruptcy 6: severe Care prone bankruptcy 7: Billing for 99211 bankruptcy eight: Incident To Billing and Shared Visits Chapter9: Use of Modifier25 bankruptcy 10: Billing for E/M prone throughout the international interval bankruptcy eleven: preliminary Preventive actual Examinations and Annual health Visits bankruptcy 12: instructing healthcare professional ideas 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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Auditing Physician Services: Verifying Accuracy in Physician Services and E/M Coding to Protect Medical Practices, 2nd Edition by Betsy Nicoletti