Audit Compliance Plan for Physician Documentation

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Learn to Create an Audit Compliance Plan Specific to Your Practice and Insure Compliance with an RAC Audit

Even though there are specific guidelines for physician documentation, sometimes this documentation can be grey or interpreted differently by auditors or physicians. If a practice has more than one auditor, each auditor can view the guidelines differently than the other and this can create differences in the result of the audit and frustrations to providers. Providers also ask for education information in writing. An auditing compliance plan will specify in writing the details for physician documentation and will insure all auditors are reviewing the medical record correctly.

In this session by expert speaker Melody S. Irvine you will learn how to make this compliance plan specific for your practice. Implementing an auditing compliance plan at your practice can insure that every auditor is auditing according to the guidelines and compliance specifications that are written by your practice.

Session Highlights

  • How a compliance plan can assist you in an RAC audit
  • What types of information should be listed in an audit compliance plan
  • How to get the support you need to develop this plan
  • Who should perform audits and when
  • Why audits are so important
  • Documentation requirements of history, examination, medical decision making, time and other parts of the medical record as required
  • Rules for non-compliant physicians
  • Copy and paste concerns
  • Modifier usage and ABNs
  • Who should assist you in developing an auditing compliance plan and how

Session Agenda

  • The importance of an auditing compliance plan
  • OIG guidelines/recommendations
  • Audits/monitoring
  • Orientation/training
  • Frequency of audits
  • Non-compliant providers/auditors
  • Documentation requirements
  • Component requirements
  • Counseling/time/coordination of care
  • Chief complaint
  • History
    • Present illness (HPI)
    • Review of system (ROS)
    • Past medical, family, social history (PFSH)
    • Others related to history
  • Examination
    • 95 examination
  • Medical decision making
    • Diagnosis
    • Complexity
    • Risk
  • Medical necessity
  • Procedure/surgery documentation
  • Auditing reports
  • How to develop an auditing compliance plan
  • OIG current work plan
  • Billing compliance plan

Who Should Attend?

  • Providers
  • Office managers
  • Auditors
  • Coders
  • Billers

At the Q&A session following the live event, ask a question and get advice unique to your situation, directly from our expert speaker.

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

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About Our Speaker

Melody S. Irvine - Medical Billing and Coding Expert

Melody S. Irvine, CPC, CPMA, CEMC, CFPC, CPB, CPC-I, CCS-P, CMRS, AAPC Fellow, has 38 years of experience in the medical profession. She is the founder of Career Coders Online Medical Billing and Coding School with a specialty in physician auditing. Her extensive background includes director of coding, auditing, compliance, urgent care and billing for a forty-eight multi-specialty physician practice as well as a previous...   More Info
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