Medical Record Audits: The Must Know About Commercial and Government Provider Reviews and Repayments (OnDemand Webinar)

$219.00

SKU: 406182EAU

Description

Gain an understanding of what is needed to stay compliant with medical record audits.
Many physicians and other health care providers do not fully understand the implications and consequences of a payor audit, particularly when the payor is the federal government. Appropriate documentation is required to avoid recoupment and fines when payers audit medical records. What should you do when you discover a significant billing error or a coder complains about a provider’s billing patterns? This topic helps health care organizations, providers, and billers understand the trends in payer audits on professional services, including the latest CMS probe and educate reviews. Learn what’s important in the documentation and what to do to prevent an unfavorable audit and discover how to utilize your health care attorney and independent reviewers to strengthen your compliance program and deal with overpayment issues.

Date: 2019-09-16 Start Time: End Time:

Learning Objectives

What Causes the Initiation of a Billing Review (Internal vs. External)?

Should the Commencement of the Billing Review Be Under the Attorney-Client Privilege?

Utilizing Internal vs. External Reviewers to Perform the Billing Review

Conducting the Review Based Upon Operational Oversight vs. Attorney Oversight

Differences Between Medicare/Medicaid and Third-Party Payers

Repayment Based Upon Reprocessing of Claims vs. the Requirements for Self-Reporting to Applicable Payers

No Credit Available

Carol Hoppe, CPC, CCS-P, CPC-I-MedLucid Solutions, LLC, Robert A. Wade, Esq. – Nelson Mullins Riley & Scarborough LLP