Developing an Auditing Program for the Physician Practice

Event Information
Product Format
Prerecorded Event
Presenter(s)
Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC
Length
60 minutes
Product Description

Determining the Need, Scope and Sample of an Audit!

Physicians, practice managers, coders often know that they need an auditing program but aren’t sure where to start.

Join Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, in this informative session to review the basics of why we need to audit, where to get started, how to choose the scope and the sample for the audit. In this session, Kim will throw light on everything you need to know to develop and implement an audit program of your own for your physician practice. 

This presentation discusses an umbrella approach to auditing the physician practice – to use the expertise within the practice and know when to bring in outside assistance. The focus is on coding and billing auditing but other areas are discussed as well.

In addition, Kim will also discuss:

  • Sample audit form
  • Where to find info on what areas to focus on in audit program
  • Resources for areas of audit other than coding and billing
  • Tips for reviewing results with providers
  • How to empower people within the organization to review their areas

Session Highlights:

  • Identify the areas for audit – billing/coding, HIPAA, OSHA, STARK, Anti-kickback, employment policy, etc.
  • Avoid audit mistakes: auditing with the wrong focus, internal auditing only, choosing the wrong auditors, etc.
  • Overview of the Federal False Claims Act
  • Reading the back of the CMS-1500 claim form—why it’s important?
  • Is a coder qualified to judge – and to discuss with a physician – medical necessity issues?
  • Determining the scope of the audit, choosing the audit sample, time frame, etc.
  • What areas to focus on in audit program?
  • Insights on auditing for diagnosis coding
  • Insights on CERT issues, Recovery Audit issues, EHR auditing issues, and more
  • Overview of HIPAA Audits
  • What is the best way to report the results to have the most effect?
  • Resources for areas of audit other than coding and billing
  • Tips for reviewing results with providers
  • How to empower people within the organization to review their areas
  • Structuring a follow-up education
  • The benefits of performing the audit under Attorney-Client Privilege

Who should attend

Physician Practice Managers, Coders, Auditors, Providers

Order Below or Call 1-866-458-2965 Today

You can also order through:
Phone

1-866-458-2965

Fax

1-919-287-2643

About Our Speaker

Kim Garner Huey - Health Care Management Expert

Kim Garner-Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians.


Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a bachelor’s degree in health care management and went on to...   More Info
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