Federal and State government payers as well as commercial payers are taking a closer look at E/M billing. Even the Office of the Inspector General has identified vulnerabilities in Medicare program payment related to alleged note cloning, and local Medicare contractors have implemented prospective medical review on certain high level E/M visits.
Join Maryann C .Palmeter, CPC, CENTC in this webinar, where she will help you learn how to compare individual provider and practice data against national Medicare data; identify whether or not your practice is billing in line with Medicare data; identify the risky practice of "cluster billing;" determine next steps to take if outliers are identified; and learn why certain variances may be justified. By analyzing data, you will identify potential opportunities to decrease denials, decrease risk associated with external audits, and even boost reimbursement.
Maryann will also show from where you can obtain E/M data, and get a walk through the process of analyzing the data. Plus, you will be provided with a template that you can use to plot data for your own practice, and learn some common mistakes to avoid when interpreting the data.
Topics covered in the session:
Some of the discussion points:
Who should attend : Auditors, coders, compliance professionals, nonphysical practitioners, physicians, and reimbursement directors
Maryann C. Palmeter, CPC, CENTC is employed with the University of Florida Jacksonville Healthcare, Inc. as the director of physician billing compliance, and is responsible for providing professional direction and oversight to the billing compliance program of the University of Florida, College of Medicine - Jacksonville. She has over 30 years of extensive health care experience in both government contracting and physician billing and has been involved in...
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