Auditing in the OB Office, and Surgical Suite: Clinical Audits, Coding Audits, Reimbursement Analysis

Event Information
Product Format
Prerecorded Event
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA approved ICD-10-CM/PCS trainer
Conference Date
Wed, Jun 13, 2018
60 minutes
Product Description

Get In-Depth Strategies for Ob Physician Office Audits

This session by coding and auditing specialist Lori-Lynne A. Webb will provide in-depth strategies and the most up-to-date concepts for Ob physician offices. This session will help you put in place a plan to best implement the multiple types of audits. You will understand how they can be used to find your practices' strengths and weaknesses via specific, targeted audits utilizing data analysis from CPT and ICD-10 coding and billing claims.

The concept behind this important session is to educate physicians and staff regarding the different types of audits that can be performed. This session will help determine which types may work best for your practice. You will get tips to implement as an ongoing practice – this is extremely important especially when it comes to revenue review, and where you may need to educate, implement, or celebrate successes and learn from your failures.

In this session, you will learn time-saving tips, documentation “macros” and proven strategies to help implement better clinical and office based auditing with the medical records, patient care records and billing records to create a better work-flow and revenue flow by utilizing data analysis within your practice. It is essential that you educate yourself, and your billing and clinical staff team members.

This session will help you move forward in an uncertain auditing world and help you understand what type of audit will work best. You will learn how to move forward to get the information you need. Webb will bring new ideas and education to the auditing area, and empower you to feel more comfortable in doing these "difficult" processes to ensure and enhance your practice’s overall health.

Session Highlights

Here’s a sampling of what this webinar will cover:

  • The differences between a clinical audit, a diagnostic coding audit, a procedure based audit, a revenue based audit and insurance claims audit
  • How to determine what data is needed for your specific targeted audit focus
  • What makes up a "full audit cycle" from start to finish
  • To understand your data – e.g. trend rates, revenue implications, clinical/physician education
  • To understand compliance program audits and revenue cycle management implications

Session Takeaways

You will be able to:

  • Conduct a clinical audit with targeted focus
  • Conduct a billing/coding audit with a targeted focus
  • Perform post-billing and revenue stream analysis using data analytics

Session Agenda

  • Medical necessity in auditing
  • Documentation tips
  • Purpose of auditing and monitoring
  • Internal vs. external audit
  • Types of audits
    • Pre-payment
    • Retrospective
    • Focused review
  • Auditing for  E&M and operative/procedure services
  • Auditing the surgical medical record
  • Audit objectives
  • Evaluating for compliance
  • Beginning the audit process
  • Audit tools
  • Communicating audit results
  • Corrective action plans

Who Should Attend

These strategies and auditing concepts for practice compliance, auditing, correct billing and revenue outlook make this a vital learning event for those that are tasked with areas of "compliance, coding, billing, clinical documentation, and data analysis. This session is primarily focused for:

  • Clinical and clerical auditors
  • Data analysis office team members
  • Coders
  • Billers
  • Office managers
  • Physician practice directors

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Lori Lynne - ICD 10 Training Expert

Lori-Lynne A. Webb - CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA approved ICD-10-CM/PCS trainer, is an independent coding, compliance, and auditing specialist. She has 20+ years of multi-specialty coding experience and teaches coding, compliance, auditing and billing skills for clinical and clerical staff, utilizing AMA and AHIMA curriculum. She specializes in women’s ob-gyn services, maternal fetal ultrasound services, urology and general surgical procedures, to include physician based and...   More Info
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