Resource Center

Learn which personality types are drawn to compliance, how to set expectations as a new compliance professional, and why it's okay not to know everything right out of the gate.

Learn how the real-world application of E/M Consultative Services can benefit your organization and we'll cover clinical vs. billing consultative services.

Use this cheatsheet to achieve the highest level of specificity when auditing for Pressure Ulcers.

Learn how to understand what to look for in the diagnostic interview code, use add on code for “interactive complexity,” and report crisis psychotherapy.

Get the full scoop on how to have a effective conversations with providers that get results, all in this eBrief.

You’ll get incident-to requirements, examples of what not to do, and tips on How to Audit Incident-To all in this eBrief.

Learn the new specifics of student documentation for E/M Services and HPI, dangers of improper documentation, and the teaching physician’s responsibility to verify and attest.

Learn more about pass rate thresholds and how results are reviewed and how industry leaders define their pass rate thresholds.

Learn about advice on how to approach auditing with a different perspective that will make you more effective in your day-to-day.

Learn the pertinent CMS Rules, how you can prepare for the proposed changes and a breakdown of why we believe certain changes will/will not take place.

Learn about edit categories, edits for mutually exclusive procedures and sequential procedures, and myriad ways that edits maintain accurate billing and coding practices.

Cover how every department must work together to reduce risks, risk analysis is dependent on gap analysis and management plans, and how to mitigate risk analysis information from the OCR.

See how the new Audit Manager Facility can take your work as an auditor to another level and improve efficiency rates by 40%.

Learn the dangers of physicians, or a practice, getting involved in prescribing medical marijuana and how you and your organization can recommend it and remain compliant.

Get tips from expert auditors on how to discuss the assessment and plan with your providers and get thorough documentation on images and medication.

Learn how to prepare for a CMS audit before it happens, stay calm during a CMS audit, and effectively explain yourself to CMS.

Find out how to get every cent you deserve and learn which regulation requires you to hire an outside billing company.

Find out how you stack up against your peers, get pro tips on how to improve, and see where the auditing industry is headed and where it will take you.

Understand the difference between monitoring and auditing, when and why to conduct program audits, and proper submission and payment of claims.

Hear from patients' rights advocate, Michael Warner, teach how to give patients the opportunity to take control of their information and in return greatly increase accuracy.

Better understand coding distinctions and to properly determine which category to use with E/M services.

Over 1,000 coding, auditing, compliance and healthcare executives contributed to our 2018 Compliance and Auditing Benchmark report.

An audit trail reduces the risk of fraud, improves transparency and increases audit accuracy for better billing and a killer bottom line.

Hear from compliance expert, Rebecca Lathis, explains how the MSSP differ from the provider side of compliance in this podcast episode.