Best Practices for Physician Auditing

Is your practice audit safe? Do you have compliance risks? The first issue will be where do you start to determine your risk. Some key questions to ask: Is this a compliance or educational audit? Is this a baseline audit or a more focused audit? Do you have an internal audit team or do you need to hire external auditors? The type of audit will determine where to start, how many services to review and the type of service(s) to be audited. Is there a time limitation? Has there been a previous audit that showed issues that need attention? Have there been internal or external complaints that need to be reviewed? This webinar will discuss best practices and all of these issues as well as how to determine a pull and how many services should be included in the audit.

Webinar Objectives

• How to determine the scope/sample of the audit
• Government suggestions for auditing.
• The difference between a concurrent versus retrospective audit.
• What is the difference in an educational audit and a compliance audit
• What is an attorney client privilege audit.
• How does the type of practice change the audit focus.
• What are the risk areas depending on the type of physician practice.

Webinar Highlights

• Auditing for office services
• Incomplete documentation for office ancillary services such as injections, cerumen impaction removal, nebulizer treatments etc
• “Incident to”
• Initial, subsequent hospital and observation services.
  • Shared care
• Auditing for surgical and specialty practices
• Modifier usage

Who Should Attend

• Office managers
• Compliance team and officers
• Coders
• Providers
• Denial management staff