Master Auditing Basics

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Are you too muddled by compliance regulations to even figure out the self-auditing process?

Don’t wait for third parties to call you on the carpet. We can help.

Now you can identify and correct coding problems before insurance or government payers challenge your claims.

Master Auditing Basics provides you with in-depth guidance for effective review of medical documentation. The experts at TCI show you how to conduct internal and external reviews of coding accuracy, policies, and procedures to ensure you’re running an efficient and liability-free practice.

With this invaluable resource, you’ll determine outliers before payers find them, protect against fraudulent claims and billing activity, and nail down reimbursement deficiencies and opportunities that protect your bottom line:

  • Get the inside scoop on government regulations and guidelines—RAC, MUE, NCCI
  • Conquer the Centers for Medicare and Medicaid Services (CMS)
  • Master the purpose of Recovery Audit Contractors (RACs)
  • Ensure proper payments with comprehensive Error Rate Testing (CERT)
  • Nip Errors in the bud with the National Correct Coding Initiative (NCCI) and Medically Unlikely Edits (MUEs)
  • Know the ins and outs of corporate integrity agreements and compliance plan guidance
  • Chart out the audit process—type of audit, steps to take, analyzing results, formalizing reports, communicating results, and follow up
  • Protect against kickbacks, civil monetary penalties, and align with the False Claims Act
  • Nail down E/M auditing documentation guidelines
  • Conquer auditing for medicine services, injection procedures, radiology services, and anesthesia services
  • Perfect surgery auditing
  • Master documentation guidelines for medical necessity, signature requirements, teaching physicians, incident-to services, split-shared visits
  • Brush up on coding—diagnosis, CPT®, modifiers, HCPCS
  • Rely on these audit tools and worksheets
  • Hone your auditing skills with real-world exercises
  • Tackle the Federal False Claims Act
  • Master documentation guidelines by specialty


And much more!

ORDER ONLINE or call 1-800-508-2582 today to get your copy of Master Auditing Basics.

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