By Betsy Nicoletti MS CPC

ISBN-10: 0998498564

ISBN-13: 9780998498560

shield your perform from governmental and third-party payer audits.

New! Auditing non-face-to-face lengthy services--now coated via Medicare

Updates to TCM and CCM in response to new CMS principles together with the initiation stopover at earlier than CCM
New! HCPCS codes for Collaborative Care version and Behavioral wellbeing and fitness Initiative
New! HCPCS code for cognitive review

BONUS! obtain 28 Audit Worksheets to exploit repeatedly!

This 3rd variation of the simplest promoting ebook explains advanced repayment and coding principles and gives audit sheets for key, high-risk parts together with E/M providers.

Today, clinical practices face significant hazards in the event that they do not code health care professional prone appropriately. Practices that violate the complicated executive rules governing coding might face audits via the workplace of the Inspector common for HHS, restoration Audit Contractors and Medicare Administrative Contractors, and the implications of such audits should be critical.

However, physicians and their employees now have a finished consultant to be had which is helping practices audit excessive hazard components themselves, earlier than payers get entangled.

Auditing health care provider providers, offers transparent, functional, concrete motives of complex coding matters and E/M instructions, recommendation on auditing EMR notes, and quite a number worksheets permitting physicians to behavior legitimate, defensible audits.

The booklet additionally contains an research of the OIG paintings Plan which deals perception into how the company selects surgeon practices for additional review.

Table of Contents

Medical perform Compliance and the OIG paintings Plan
Chapter 1: common rules of clinical Documentation
Chapter 2: Aberrant overview and administration Coding Patterns
Chapter three: tips on how to Audit assessment and administration Services
Chapter four: New sufferer Visits
Chapter five: Consultations
Chapter 6: serious Care Services
Chapter 7: Billing for 99211
Chapter eight: Incident To Billing and Shared Visits
Chapter nine: Use of Modifier25
Chapter 10: Billing for E/M prone in the course of the worldwide Period
Chapter eleven: preliminary Preventive actual Examinations and Annual wellbeing Visits
Chapter 12: instructing healthcare professional Rules
Chapter thirteen: Behavioral wellbeing and fitness providers in basic Care Practices
Chapter 14: Transitional Care administration (TCM) and persistent Care administration (CCM)
Final Thoughts
Appendix 1: E/M Documentation Auditing Worksheet
Index

BONUS: Auditing Worksheets as you Audit Your perform. Worksheets can be found for obtain on the Nicoletti e-book site in be aware layout so that you can fill within the blanks!

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