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You are here > Home > Reading Lists & Books > Nursing Management > Auditing Evaluation and Management Coding Auditing Evaluation and Management Coding: A Step-by-step Guide to Enhancing Your Practice's Revenue and Compliance    Joe Rivet, CPC, CCS-P, Sharon Bolarakis, CPC Softcover book + companion CD-ROM Size: 8.5" x 11" book plus CD ISBN 1578398150 978-1578398157 HCPro Inc. August 2006 Price $129.00   Auditing Evaluation and Management Coding gives you the expert advice and guidance you need to perform an E/M audit at your practice. Your physicians bill evaluation and management (E/M) codes every day. E/M coding is an essential part of your practice’s revenue cycle but it’s also on the Office of Inspector General’s (OIG) hit list. This means that it’s more important now than ever to accurately report these codes. Conducting an E/M audit will help your practice enhance its revenue and stay under the OIG’s radar. This CD-ROM and book resource package gives you everything you need to easily conduct an E/M audit and ensure you receive the reimbursement you deserve: enhance compliance and recognize areas of risk at your practice identify patterns of undercoding and upcoding spot revenue opportunities improve documentation This resource package provides you with a complete audit program. This easy-to-follow book and CD-ROM guides you through the entire E/M audit process from start to finish. You’ll have all the tools, templates, policies, and procedures you’ll need to establish a quality E/M audit program at your practice. You will also be able to: differentiate between the guidelines use an audit tool to review your records organize your E/M audit perform a risk assessment develop an audit report devise a compliance plan schedule follow-up audits and much more This book includes a CD-ROM with customizable tools and forms. With Auditing Evaluation and Management Coding, you’ll also receive advice and guidance about how to select an E/M code, conduct an entire audit of your E/M services, and report your E/M audit findings. Readers will benefit from case studies and a supplemental chapter on how to level each E/M service. There's even included quiz questions at the end of each chapter so you can test your knowledge, as well as several case studies you can audit on your own using the audit tool provides. Take a look at what's inside: Choosing an E/M code - Offers a step-by-step approach to choosing an E/M code, including determining the history, exam, medical decision-making, counseling, coordination of care, nature of presenting illness, and time portions of the service. Performing a risk assessment - Outlines areas that tend to be high-risk, as well as ways your practice can identify which areas to focus on during your audit. Understanding the structure of an E/M audit - Explores how to structure an audit, including identifying sample size, establishing a baseline, tracking audit results, and determining an audit cycle. Auditing E/M levels using an audit tool - Walks the reader through the audit process using an audit tool and a case-study scenario that highlights the differences between the 1995 and 1997 guidelines. Packaging your audit - Explains how to draft a provider audit summary, a practice audit summary, revenue reports, and an action plan. Devising a compliance plan - Shows practices how to implement a new provider orientation, target outlier physicians, hold physician education sessions, and draft an audit policy/procedure. All the tools and resources you need are contained here - everything you need to conduct an E/M audit at your practice, including: an E/M audit tool used by auditors across the country 15 real case studies for each level of E/M office visit service that demonstrate how to assign a code using the 1995 vs. 1997 documentation guidelines links to CMS audit tools used by carriers and other E/M audit forms used in the industry expert guidance on how documentation can affect code assignment, compliance, and reimbursement step-by-step instructions on how to structure your audit and report your findings easy-to-follow example scenarios for each level of E/M office visit service Auditing Evaluation and Management Coding will give you the confidence to perform an actual compliance audit and bill your practice appropriately. With this valuable book and CD-ROM, you can rest assured your billing practices are in compliance and your practice is getting all the revenue it deserves. Softcover book + companion CD-ROM Size: 8.5" x 11" book plus CD ISBN 1578398150 978-1578398157 HCPro Inc. August 2006 Price $129.00   Auditing Evaluation and Management Coding gives you the expert advice and guidance you need to perform an E/M audit at your practice. With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing its clients assistance and expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, regulatory compliance, nursing, quality/patient safety, infection control, and workplace safety. 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