Solutions for Managing Hospitalist Payer Audits
PRE-RECORDED AUDIO CONFERENCE
Date: Tuesday, June 19, 2012
Time: Request for replay on any day
Length: 60 Minutes
Speaker:Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC
Expert Tips To Survive Payer Audits And To Protect Your Practice From Loosing Appeals And Dollars...
The Hospital Medicine specialty is undoubtedly one of the fastest growing medical specialties in the country. Hospitalists often face major challenges in managing inpatients whose treatments and management frequently extends to skilled nursing facilities, critical care, observation areas and also office or clinic management in some cases. As hospitalists use a lot of code sets, they are indeed at high risk for coding errors. Unlike many other medical specialties, hospitalists often assign their own codes without understanding a lot of nuances that eventually decide how levels are determined and claims are paid.
Register now with this 60-minute audio event where our expert speaker Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, will provide you expert insights on the high risk of coding areas that you regularly manage with special emphasis on critical care, prolonged services and the high level initial and subsequent level visits that have the highest risk for payer audit if coded incorrectly. Ms. Edelberg will provide vital information on documenting those acute unexpected problems during a routine hospital stay and how to use supporting rationale for diagnostic studies and orders for medications, consults and treatment for unforeseen problems. Register with this event and also get a plan for managing payer audits and Ms. Edelberg will also discuss instituting corrective action with physicians and coders.
Take A Look At What's Included In This Power Packed Session:
Outline of the audit process and how to meet payer deadlines for response.
How to investigate payer claims of incorrect coding and defending your case with solid arguments and supporting information.
Important elements of each inpatient level and how to evade overcoding once documentation fails to meet coding requirements;
How to identify and document critical care and when one must NOT code for these services.
How to build your documentation to support the services you offer and AVOID audits.
When to bill for prolonged services and when documentation doesn’t support it.
Significant audit hot spots and how to sidestep them before you are audited.
Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, AHIMA-Approved ICD-10-CM/PCS Trainer, is president of Edelberg Compliance Associates in Baton Rouge, LA. She has been past member of AAPC National Advisory Board; past AAPC Chapter President, Certified in Healthcare Compliance (CHC); Certified medical auditor (CPMA); Certified Ambulance Coder and Certified Professional Coder (CPC, CCS-P); Faculty for American College of Emergency Physicians National Coding and Reimbursement Conferences; Past Instructor University of North Florida Coding Program; Author of Procedure Coding for Emergency Medicine published by American College of Emergency Physicians, the Emergency Medicine Study Guide, the Emergency Medicine Competency Examination; and was author of the Emergency Department Answer Book; Founding editor and member of the Editorial Advisory Board for ED Coding Alert; Serves on the editorial advisory boards of ED Management and APC Advisor. Publishes coding and compliance newsletters including “. . . Because You Asked!"