What Does a Proactive Medical Coding and Auditing Strategy Look Like?

Description: What would a billing compliance auditor's job look like if they weren't constantly overwhelmed by manual tasks and mountains of unwieldy claims data? It would probably be less reactive and more proactive, focused on educating providers and protecting against future external audits. To minimize billing risks and maximize claim reimbursements, adopting an aggressive strategy for coding and auditing is a critical way to have your teams working smarter, not harder. Adopting such a strategy has never been more critical as it is today. Healthcare billing compliance requirements are becoming more extensive, resulting in greater scrutiny over providers and facilities. This increase in oversight is prompting organizations to thoroughly examine their billing compliance, auditing, and revenue integrity in an effort to limit compliance risks. By taking a proactive rather than a reactive approach organizations can preempt any expensive coding errors and billing compliance risks.

Learning Objectives:

  • Core aspects of a proactive medical coding and auditing strategy
  • Key elements of a risk based strategy
  • Why we are seeing a rise in prospective auditing
  • The impact of manual processes
  • How you can use data to maximize your program

Webinar Date: This was presented as part of the OHIMA 2024 Annual Meeting & Trade Show - March 19, 2024.
Duration:
1 hour

Speaker:  Lorie Richardson, LPN, PMP, has more than 35 years of experience in the healthcare industry. Using her nursing degree, combined with her IT experience and coding and compliance training, she has worked for the last 20 years to enhance healthcare technology and improve the patient experience. As a Registered Nurse, Lorie has 28 years pediatric ambulatory experience, as well as inpatient and outpatient surgery and oncology experience. Additionally, she has served as a team lead, HIPAA compliance officer and clinical manager. Lorie has been with Hayes for the last 15 years. As a consultant, she worked with many of the country's premier healthcare organizations. As the Director of ambulatory services, she led a healthcare IT consulting team made up of clinical and business subject matter experts and is well versed on many leading healthcare IT systems such as Epic, GE, McKesson and Allscripts. Lorie currently serves as the Vice President at Hayes, and works with Compliance and Revenue Integrity organizations all over the country.

Speaker:  Joseph Squadrito has more than 3 years in healthcare compliance as a sales engineer at MDaudit. He works with healthcare organizations to minimize billing risks and maximize revenue.

 

 

 

Click here to register for this webinar!

Cost: $25 Members / $35 Non-Members
1 AHIMA CEU*
Domain: Revenue Cycle Management

*AHIMA CEUs are also accepted by the AAPC! Check eligibility on the AAPC website.

Course Details

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