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Your Compliance Plan and Evaluation and Management (E/M) Auditing
- Which insurance carriers are currently performing audits for evaluation and management (E/M) services
- The mandates included in the Affordable Care Act for a Compliance Plan
- The 7 components suggested by the Office of Inspector General for an effective Compliance Plan
- What should be audited as part of a Compliance Plan
- The basic documentation guidelines for Evaluation and Management (E/M) services
- Managing the audit results
- Provider education based on audit findings
Overview of the webinar
The Affordable Care Act of 2010 made it mandatory that covered entity’s have a Compliance Plan. This session will review the Office of Inspector Generals (OIG) sample for a compliance plan and discuss what is needed for an auditing program for Evaluation and Management Services (E/M).
Who should attend?
- Coder Physicians
- Billers
- Providers
- Managers
- Administrators
- Compliance Officers
- Auditors
- A/R management
- Scribe Transcriptionist
Why should you attend?
Anyone who works in a covered entity, that includes medical practices, are required to have a Compliance Plan. One of the elements of a Compliance Plan is a regularly scheduled audit process of Evaluation and Management Services (E/M). The reason someone would want to attend this session is for the following;
- Understand the elements of a Compliance Plan
- Create a Compliance Plan and Implement the plan
- Perform routine audits for coding and billing Compliance
- Realize current audits being performed by insurance carriers
- Confirm that your office is Compliant with OIG expectations
Faculty - Ms.Lynn Anderanin
Senior Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her local chapter of the AAPC. Her experience is primarily in the specialties of Orthopedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, audio conferences, and Local Chapters. Lynn became a CPC in 1993, and a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009.