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2017 OPPS & MPFS Final Rule and Highlights

Everything hospitals and physicians need to know about the 2017 Fee Schedule Final Rules.

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Proposed Rule and Final Rule of Fee Schedule

Get up to speed with how the CMS aims to improve Medicare patient quality of care and how their final rule changes impact your billing procedures.

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Living in a Medicaid and Medicare Managed World

A detailed whitepaper for understanding the specifics of Medicaid and Medicare managed care plans that will improve your reimbursement.

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Clever Auditing Approaches to 99211

Gain a strong understanding of the 99211 Level 1-established patient encounter code and how to use it to increase your revenue.

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How Auditing Best Practices Support Your Compliance

Episode 1 of the Compliance Conversations podcast. CJ Wolf M.D. interviews Auditor Mastermind Lamon Willis for auditing-driven compliance best practices

Listen to the Episode >>

Providers And Critical Care: A Love Story

Understanding critical care is paramount for the financial and compliance success of your organization. Get the essentials of critical care here.

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How to Conduct an Effective Post-Audit Interview

Checking your emotional response, opening up lines of communication and the "sandwich" method are just a few of the tips in this helpful checklist.

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Primary Care Exception Rule: Just the Facts

The ins-and-outs of Primary Exception Rule, how to attest and tips for billing and coding.

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Streamlining Audit Workflow with Technology

New auditing software can turn you into an auditing rock star but there is plenty to consider before taking the leap.

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How to Properly Vet a 3rd Party Auditor

Before you outsource, it's important to learn learn how to evaluate an external audit company to ensure you reap all the benefits.

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Medicaid: A Band-Aid for Patients and Providers

An auditor's perspective on why Medicaid, with its ever-growing budget, isn't living up to its promises.

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7 Common Auditing Mistakes

Properly crediting labs, deciphering "high complexity" MDM and tips to catch ICD-10 mistakes all covered here.

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5 Attributes of a Rock Star Coder

"5 Attributes of a Rock Star Coder" will empower you to identify prospective coding employees that will improve your business and reimbursement.

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What Auditors Wish You Knew

Get in the heads of your auditors with the "What Auditors Wish You Knew" eBrief to see the most common coding mistakes that they see.

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Auditing When There Are Conflicts of Interest

Healthcare environments are prone to conflicts of interest. Knowing how to avoid them is key to an accurate audit.

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Enhancing Your Audit Plan with an External Audit

Contrary to popular belief, bringing in an external auditor is a win-win for everyone. Why? The answers might surprise you.

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Decoding E/M Services: Traps & Tricks

Learn advanced auditing strategies to reduce E/M coding ambiguity and ways to avoid wrongful code selection.

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Is the OIG Looking at Your E/M Services

The OIG is focusing on E&M services. Now is the time to prepare. Get the insights you’ll need to meet OIG recommendations for E/M.

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10 Tips to Minimize RAC and Other Audit Risk Exposure

To minimize your Recovery Audit Contractor risk, it’s essential to learn what policies, procedures and action plans you should incorporate.

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Be on the Lookout for Misused EHR Shortcuts

Achieve EHR accuracy, not just speed, with this in-depth eBrief about the dos and don'ts of EHRs.

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11 Simple Ways to Prepare for E/M Claims Scrutiny

Knowledge is your first line of defense. The more you know, the easier it will be to find and correct potential errors in your practice before an auditor does.

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Making the Jump to Transitional Care

The full scoop on properly coding, documenting and billing TCM services for full reimbursement.

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2016 OIG Update, Simplified

Examining the Work Plan before you prepare annual compliance priorities can help reduce your compliance liabilities.

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The Risks and Rewards of EMRs, Simplified

We’ve put together a list of advantages, areas of risk and best practices to help you easily navigate the world of EMRs.

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