Use of electronic medical records may increase risk of inaccurate and/or incomplete statements; inadequate pre-billing audits may increase claim errors that are being identified on payer audits; increasing incentives for whistleblower claims increase vulnerability. That means, payer audits are increasing.
Our speaker, Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, will walk you through common problems, solutions and ways to audit records and improve audit outcomes. You’ll understand how your internal audit processes can catch errors before claims go out. She’ll present examples of records from actual audits with explanation of how problems occurred and how they can be addressed on appeal. And remember, appeals and rebuttals must address coding issues AND medical necessity/patient risk factors equally.
Here's a glimpse at some of the issues Caral will address:
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
Who should attend? ED Physicians; ED Coders; ED Auditors; Compliance Directors, Revenue Managers; Billing Managers
- Thomas J. Force, Esq.
- Jim Sheldon-Dean,
- Jeanne J. Chamberlin ,
- Dr. Dreama Sloan-Kelly, MD, CCS
- Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS, AHIMA-Approved
- Toni G. Cesta, Ph.D., RN, FAAN
Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, leads the overall growth and operational delivery of Edelberg + Associates’ in coding, compliance and education. Caral is a well-regarded author, lecturer and industry expert in healthcare revenue cycle management, coding and compliance. Caral maintains a long list of certifications and affiliations which include: dual coding certifications from the American Health Information Management Association (AHIMA) and the American Academy of Professional...
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