Defensible Coding: Proven Strategies to Protect Your Practice
- Stay off of Medicare’s Audit Radar, Finally Find Out HowYou’re WRONG if you think that by doing everything by the book your protected from a Medicare audit…
Healthcare fraud cases for outpatient services have soared in the last couple of years, but knowing what constitutes Medicare “fraud” isn’t always clear. You might not think that you’ll ever get audited, but practices just like yours are facing grueling audits every day. And although you can never completely control whether you’ll be audited, you can significantly reduce your chances by being prepared.
So where should you start? The Answer: Ensure Your Coding Record is Defensible.
Marsha S. Diamond, CPC, CPC-H, CCS, a nationally recognized coding and auditing consultant/expert, regularly works with clients that never thought they’d be audited. After they receives the Medicare audit notification, she is called in to help them successfully survive the process. But it would be a lot easier if they were prepared in the first place. Based on working with her clients over the years, and being involved in numerous audits, Marsha has developed an information-packed in-person seminar to provide you with the specific steps you’ll need to ensure your practice’s coding record is defensible once and for all.
Marsha has broken down this content into two 4-hour sessions, depending on your needs. You can choose to attend just the morning OR just the afternoon session, OR your can choose to attend them both. Click the tabs to get a breakdown of what you’ll gain by attending these practical, information-packed sessions so you can avoid (or at least be prepared for) a Medicare audit.
NOW IS THE PERFECT TIME TO ATTEND:
The implementation of ICD-10 on October 1, 2014 is going to complicate this matter further. Medicare and other third-party carriers will have an entirely new set of guidelines to track your compliance for. So, not only will these sessions help you avoid Medicare audits, they’ll also help you sidestep majority of the denied claims and reduced reimbursements.
WHO SHOULD ATTEND?
Basically anyone responsible for coding, billing, documenting, auditing, collecting, etc for outpatient services – regardless of where they are performed (practice, clinic, hospital, etc.). So, if you are a Coder, Biller, Auditor, Compliance Professional, Practice Manager, Administrator, Physician, NPP, etc. for any outpatient service Don’t Wait! Space is limited. Reserve your seat today.
- Morning 4-Hour Session:
Step by Step Defensible Coding Strategies to Protect Your Practice
8:00 am – 12:00 pm, April 25, 2014, Orlando FLYou’ll get the inside scoop on red flags to avoid and proven protection strategies to implement so you can ensure your records are defensible every possible time. By attending this 4-hour morning seminar you’ll receive the practical tools you’ll need to go back to your office and set things straight. Here are just a few of the key tactics you’ll walk away with by attending Marsha’s information-packed morning seminar:
• Head off audit red flags by knowing Medicare targets
• Stop denied claims with new ICD-10-CM documentation requirements
• Avoid reimbursement paybacks by properly implementing signature guidelines
• Strengthen medical necessity support with 5 must-include words
• Audit-proof your records by teaching your providers how to “beef up” their documentation
• Stop EHR documentation pitfalls with simple to use guidelines
• Don’t let amended medical records land you in audit hot water
• Stay off of Medicare’s audit list by adhering to their “overarching criterion”
• Terminate “copy and paste” EHR laziness and secure protected records
• and much more
- Afternoon 4-Hour Session:
Audit Proof Your Records: Lessons from Read-World Examples
(1:00 pm – 5:00 pm, April 25, 2014, Orlando FL)You’ll learn from real audit cases and scenarios that have stood up to scrutiny – and those that haven’t. You’ll receive targeted content that will drill-down into the specifics of key coding and documentation scenarios that have landed other practices, just like yours, in Medicare audit hell – and how they survived. Below are just some of the proven tactics you’ll receive when you attend Marsha’s afternoon Defensible Coding session:
• ICD-10-CM Documentation Strategies: Changeover successfully and avoid future denial and audit headaches
• Consultations vs. Referrals: Find out specifically what must be in your record to stop audits in their tracks
• Use Modifier -25 correctly every time with surefire E/M documentation tactics
• Avoid audits related to extensive/complicated procedures in just a few simple steps
• Key identifiers to ensure your use of Modifier -59 doesn’t land you in audit hot water
• and much more
- Marsha S. Diamond, CPC, CPC-H, CCSMarsha has been involved in the medical coding, compliance, billing, healthcare reimbursement, education and management fields for over 30 years. Her experience encompasses academic medicine, hospital, hospital-based physicians, physicians and facility coding.
She is the author of coding textbooks, Mastering Medical Coding, Code Compass, Understanding Hospital Coding and Billing, Coders Resource Handbook, as well as a significant number of coding and compliance-related articles for publications and newsletters.
Ms. Diamond is an Instructor and Department Chair, Health Information Technology in the Central Florida area. She has been a speaker for National AAPC conferences, MGMA, State AHIMA conferences and physician groups as well as various coding publications. Ms. Diamond has served as a past AAPC National Advisory Board member and as Orlando AAPC chapter President for several years.
Fri, Apr 25thTime:
8:00am – 12:00pm
1:00pm – 5:00pm
8:00am – 5:00pm