Physician Audit Compliance: Is Your Practice Ready?

Event Information
Product Format
Prerecorded Event
Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC
60 minutes
Product Description

Identify Areas for Audit and Learn How to Avoid Audit Mistakes

Physicians, practice managers, coders often know that they need an auditing program but aren’t sure where to start – which can lead to mistakes in scope, results, and the practical application. In this session, expert speaker Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC will review the basics of why you need to audit, where to get started, how to choose the scope and the sample for the audit – and how you can avoid the most common mistakes.

This session will discuss where to look for the regulations and how to spot problems you never thought about before. You will learn when to call the practice attorney – and how to safeguard your practice. You will be able to review and audit policies and procedures to ensure compliance. You will be able to effectively plan and execute an audit for the most effective results.

Session Highlights

In this session you will:

  • Be able to identify the areas for audit – billing/coding, HIPAA, OSHA, etc.
  • Learn how to determine the scope of the audit
  • Learn how to choose the sample
  • Know the best way to report the results to have the most effect
  • Learn how to avoid audit mistakes – choosing the wrong auditor, calculating the wrong statistics, etc.
  • Learn how to structure follow-up education
  • Understand the benefits of performing the audit under attorney-client privilege

Session Agenda

This session will discuss:

  • The Federal False Claims Act
  • The CMS-1500 claim form
  • Medicare Claims Processing Manual Section 30.6.1
  • How to determine the scope of the audit
  • Current issues identified in the OIG Work Plan
  • CERT issues
  • RAC issues
  • Diagnosis coding in audits
  • Examples of diagnosis coding
  • How to choose the audit sample
  • The Corporate Integrity Agreement
  • Grey areas in coding and how your practice must interpret these
  • EMRs: What the auditors are looking for
  • When to involve an attorney
  • How to conduct internal monitoring and auditing

Who Should Attend

  • Physicians
  • Physician practice managers
  • Billing supervisors
  • Compliance managers
  • Hospital compliance departments – having acquired practices

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Kim Garner Huey - Health Care Management Expert

Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians.

Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a bachelor’s degree in health care management and went on to...   More Info
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