Common Audit Risks For Hospitalists

Event Information
Product Format
Prerecorded Event
Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC
60 Minutes
Product Description

Know the Best Practices for Documentation of Medical Necessity, Critical Care and Other Timed Services!

Hospitalist billing is coming under increasing payer scrutiny due to the high number of comprehensive visits billed for subsequent inpatient visits. In addition, the use of non-physician providers for inpatient visits requires an in-depth understanding of rules for split and shared visits.  

Join Caral Edelberg, CPC, CCS-P, CAC, CPMA, CHC in this power packed audio session, where she will review the content of each inpatient service level and discuss best practice for documentation of medical necessity, critical care and other timed services (prolonged care, discharge services, etc.). Caral will also shed light on the actual medical records illustrating patient inpatient encounters and apply Medicare documentation guidelines for coding discussion.  

Take a look at the topics covered:

  • Find the audit risk areas and how to avoid them
  • Insights on medical  necessity from a payer and provider perspective and how to document accordingly
  • Know the documentation, coding and billing requirements when involving physician practitioners in in-patient care
  • Transferral of care vs. consultations—know how to differentiate in your documentation and coding
  • Comprehend the medical decision making and medical necessity, and know the similarities in content and documentation

A lack of training in documentation and coding in medical school is one of the many reason for the ignorance among the hospitalists, which increases the audit risks to manifolds. Mastering the never-ending code sets—each with different rules depending on the diagnoses can be aggravating, and inexperience with coding guidelines adds to the woe. Join to get the latest billing and coding conferences on wide array of topics to understand the intricacies of coding guidelines.

Who should attend? Compliance Auditors, Providers, Coders, Administrators, Clinical Documentation Improvement Specialists, Revenue Cycle

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About Our Speaker

Caral Edelberg - Emergency Medicine Coding Expert

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...   More Info
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