Mastering E/M Auditing: Enhance Patient Care through Chart Auditing

Course Description

In today’s complex reimbursement environment, maintaining integrity and accuracy of information in the medical record is paramount to ensuring high quality patient care, compliance with regulatory standards and capturing the appropriate revenue for the services provided. This presentation is designed to review all the steps in an effective audit process.

According to CMS, E/M services comprise 40% of allowed charges in the physician fee schedule, 20% office visits and 20% other E/M services. Medicare’s expense is medical practice revenue, with the income from some primary care practices comprising 70% or more of total charges. To protect the organization, compliance professionals can focus on key components of E/M: During this training, we focus not only on the guidelines, but also on including the grey areas of auditing and how to address these with a policy for your organization.

Learning Objectives

• Identify the importance of having an effective audit process
• How audits help to identify compliance, legal, and ethical standards
• Discussion of the methodologies of the auditing process
• Identify areas for improvement in clinical documentation
• Provide feedback regarding audit results
• Training and support for providers post audit

Areas Covered in the Session

• Define the auditing process
• Why we audit
• Regulatory reasons to audit regularly
• Preparing for the audit
• Internal vs external audits pros and cons
• Performing an audit
• Pre audit functions
• Performing audit functions
• Post audit actions
• Reporting results
• Training
• On-going auditing
• Live Q&A Session

Suggested Attendees

• Coders
• Auditors
• Billers
• Healthcare Administrators
• Office Managers
• New and Existing Front Office Staff
• Physicians and Nurses
• Non-Physician Practitioners
• Safety and Security Officers
• Medical Officers
• Practice Managers
• Safety Manager
• Compliance Officers
• Hospital and Medical Staff

About the Presenter

Tracy Bird, FACMPE, CPC, CPMA, CEMC, CPC-I, has many years healthcare management experience in multiple specialties in the areas of practice operations, revenue cycle management, coding, documentation, staff training, communications, policy and procedure development, and workflow redesign. Her experience includes work with private practices, hospital-based practices, rural health clinics, and FQHC’s She is an ACMPE Fellow with MGMA, a Certified Professional Coder (CPC), a Certified Professional Medical Auditor (CMPA), a Certified Evaluation and Management Auditor (CEMC), a Certified Professional Medical Coding Curriculum instructor (CPC-I). Tracy is co-founder and past president of the NE Kansas Chapter of AAPC, a past president of MGMA-GKC, is the ACMPE Forum Rep for Kansas, and Kansas City, and previously served on the Certification Commission for National MGMA. Tracy is also an independent practice management consultant with national MGMA. Tracy presents to many healthcare organizations on a variety of practice management topics as well as being a National speaker for MGMA and AAPC.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: [email protected]

Address:- 651 N. Broad Street, Suite 206, Middletown, DE 19709

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff
"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"

Sandie Fowler, Out of Network Billing Staff
"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer

All tickets include recording of the event.

Host or Publisher Skillacquire