Auditing Physician Services: Verifying Accuracy in Physician Services and E/M Coding to Protect Medical Practices THIRD EDITION

Protect your practice from governmental and third-party payer audits. Overall updating of all chapters PLUS: New! Auditing non-face-to-face prolonged services--now covered by Medicare Updates to TCM and CCM based on new CMS rules including the initiation visit before CCM New! HCPCS codes for Collaborative Care Model and Behavioral Health Initiative New! HCPCS code for cognitive assessment BONUS! Download 28 Audit Worksheets to use again and again! This THIRD EDITION of the BEST SELLING BOOK explains complex reimbursement and coding rules and provides audit sheets for key, high-risk areas including E/M services. Today, medical practices face major risks if they don t code physician services accurately. Practices that violate the complex government regulations governing coding may face audits by the Office of the Inspector General for HHS, Recovery Audit Contractors and Medicare Administrative Contractors, and the consequences of such audits can be severe. However, physicians and their staff now have a comprehensive guide available which helps practices audithig high risk areas themselves, before payers get involved. Auditing Physician Services, provides clear, practical, concrete explanations of complicated coding issues and E/M guidelines, advice on auditing EMR notes, and a range of worksheets allowing physicians to conduct valid, defensible audits. The book also includes an analysis of the OIG Work Plan which offers insight into how the agency selects physician practices for further review.