Auditing Evaluation and Management Coding

Format:

Book

Author/Creator:

Rivet, Joe, author.

Language:

English

Subjects (All):

Medical codes.

Medical records.

Physical Description:

1 online resource (162 p.)

Place of Publication:

HCPro

Summary:

Auditing Evaluation and Management Services: A Step-By-Step Guide to Accurate Coding, Reimbursement and Compliance, Second EditionJoe Rivet, CCS-P, CPC, CEMC, CPMA, CICA, CHRC, CHCTurn E/M audits into informative reports that minimize your compliance riskThe government is increasing its scrutiny of physician E/M coding. Conducting your own E/M coding audits is best practice to effectively:Analyze complex code assignment options to select the appropriate codeAssign an appropriate E/M code based on documentation in the recordIdentify opportunities for increased revenue and ways to reduce compliance risksUnderstand the rules and regulations that apply to E/M services billed to MedicareAuditing Evaluation and Management Services is an essential tool to ensure audit success and E/M compliance. This second edition goes beyond the fundamentals of E/M coding and delves into the gray, problematic compliance areas.Author Joe Rivet delivers step-by-step guidance from beginning to end of the E/M audit process. You'll learn how toSelect an E/M code,Conduct an entire audit of your E/M servicesReport your E/M audit findingsWith this foundation, you'll be well prepared to enhance compliance and identify undercoding, underreporting, overcoding, revenue opportunities, and avenues for documentation improvement.Auditing Evaluation and Management Services, Second Edition, will help practices enhance existing auditing programs by explaining how to determine accurate E/M error rates and assess risk.You will learn how to:Determine proper E/M code selectionConduct risk assessmentsStructure audits, using the provided E/M audit tool, and package auditsCreate provider audit summary reports, practice audit summary reports, missed revenue reports, and an action planFollow guidelines for facility E/M services and interpret the rules governing E/M services involving residents or fellows (including acceptable and unacceptable documentation)Develop a compliance plan and educate a variety of audiences from physicians to coding staffTake a look at the table of contentsE/M Code Categories NEW!Selecting an E/M CodeConducting a Risk AssessmentE/M Audit StructureUsing an Audit ToolPackaging an AuditFacility E/M Services NEW!Teaching Physician Services NEW!Developing a Compliance PlanEducation Techniques NEW!Whats new?New chapters devoted to:E/M Code CategoriesFacility E/M ServicesTeaching PhysiciansEducation TechniquesWho will benefit from this book?Auditors and compliance officers in physician practices and hospitalsHealth systems that own physician practicesBusiness managersOffice managersPractice administratorsCoding, billing, and reimbursement managers and staffEarn continuing education creditsAmerican Academy of Professional CodersThis program has prior approval of the American Academy of Professional Coders (AAPC) for 3 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content, or the program sponsor.American Health Information Management AssociationThis program has been approved for 4 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

Notes:

Part of the metadata in this record was created by AI.

ISBN:

1-61569-002-6