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Risk Adjustment Auditing

A Risk Adjustment guide for coding and auditing highlighting pro-tips from the experts you know and trust.

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How to Build a Relationship with Your Compliance Committee

Learn how to engage sr. leadership to actively support the committee and create opportunities that give you a seat at the table.

 

 

ICD-10-CM, Explained (Part 2)

Read what our experts wrote on neoplasms, endocrine, nutritional, and metabolic diseases, and neurodevelopmental disorders.

 

How to Crack Preventative Medicine Coding

Understand how preventive medicine coding works, distinguish between wellness and a problem-services, and ensure your provider is getting paid correctly.

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How to Conduct Smarter Audits with Analytics

Uncover provider outlier patterns, identify common billing trends and draw provider comparisons between internal and national peers.

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The Psychology Behind Why Physicians Undercode

Find out the biggest mistakes physicians are currently making and learn what coders and auditors should look out for in physicians documentation.

 

 

The Past, Present, and Future of Risk Adjustment

Leverage best practices to implement risk adjustment, use risk adjustment to increase your revenue, and know where risk adjustment is headed to stay ahead of the curve.

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How the Pros Implement a Compliance Program

Tackle compliance like a large hospital group, manage unique challenges of micro-hospitals and navigate policies and procedures for hospital licensing.

 

 

Taking the Trauma Out of Technology

Learn healthcare tech trends and advances, how to make tech work for you and what the US government has to say about technology in compliance.

 

 

Ask an Auditor: Unpacking 99211

Take the confusion out of the code and learn how to bill 99211 in these common and often confusing cases.

 

2019 Compliance and Auditing Benchmark Report

Read what over 1,000 professionals are saying in our 2019 Compliance and Auditing Benchmark Report.

 

 

The State of Coding and Auditing in 2019

Better understand how to communicate audit results to providers, why productivity standards are a must and how organizations can better manage quality.

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ICD-10-CM, Explained (Part 1)

This mini ICD-10-CM refresher course examines Conventions, General Coding Guidelines and Certain Infections and Parasitic Diseases.

 

Billing Compliance in Academic Medical Centers

Learn from experts about teaching physicians, documentation, the complexity of the clinical environment, education and potential EMR concerns.

 

 

Recognize the Differences Between Medical Necessity & MDM

Break down how to properly document medical necessity and medical decision making and how to quantify something as difficult as “cognitive effort” for MDM.

 

 

Consultation or Referral Auditor Quiz

Here's your chance to test your consultation skills. Can you tell us which dates qualify?

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What Auditors Should Know About CIAs

Deepen your understanding of the history and implementation of CIAs, reexamine common components of a CIA and gain a practical perspective through examination of current CIAs.

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Pre-Payment Review: A Documentation Checklist

Assist providers when responding to medical record documentation requests pertaining to evaluation and management services with help from this checklist.

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Modifier 26 Cheatsheet

Use this cheatsheet to clarify and save you time on tedious research for Modifier 26.

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Top Coding and Auditing Trends for 2019

Learn impactful subjects like coding and auditing staffing trends, common coding and auditing challenges and practical solutions for an effective audit plan.

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An Auditor’s Guide to Understanding Infusion Services

We'll guide you through CPT Hydration codes, Therapeutic, Prophylactic and Diagnostic Injections and Infusions, and the Chemotherapy administration codes, for clinic-based billing.

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Have no Fear: The MFS Final Rule is Here

Get help navigating the MFS changes including the History of Present Illness (HPI) documentation changes, services using technology, HCPCS code G2012 and code G2010.

 

Audit Solutions for New Guideline and Regulatory Changes

Learn where to find important inpatient change notifications, possible implications of changes each year, why it’s important to audit, and why using good software is helpful.

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The Two-Midnight Rule: Scary Mistakes to Avoid

Avoid coding and documentation errors with examples of appropriate use versus problematic use from our expert auditor, Lori Cox.