The Physician Auditor’s Toolbox

CHCS Home / eLearning Home

The Physician Auditor’s Toolbox

Course Overview

Course Content

Course Instructor

Instructor: Betty A. Hovey
BSHAM, CCS-P, CDIP, CPC, COC, CPMA, CPCD, CPB, CPC-I



CEUs: 1

CEU’s Expire 5/31/23

Duration: 1 Hour

Skill Level: Intermediate



Date: Available June 2, 2022



Time: OnDemand

or

Course Overview

Auditing for physician practices is different than auditing for a facility. To be successful as a professional fee auditor, there are certain tools that are “must haves” for your toolbox. In this presentation, listen to Betty Hovey, BSHAM, CPC, CCS-P, CDIP, COC, CPMA, CPCD, CPB, CPC-I as she discusses the following useful resource tools:

Agenda

^

Comparative Billing Reports (CBRs)

^

Office of Inspector General (OIG) Work Plan

^

Comprehensive Error Rate Testing (CERT) Program

^

National & Local Coverage Determinations (NCDs) & (LCDs)

^

Commercial Payor Policies

^

Medicare Physician Fee Schedule Database (MPFSD)

^

National Correct Coding Initiative (NCCI) Edits

^

CPT Assistant

^

Coding Clinic

^

Encoders

Learning Objectives

N

Learning Objective 1

After this presentation, attendees will be able to access the resources necessary to perform professional fee audits for practices.

N

Learning Objective 2

After this presentation, attendees will be able to demonstrate best practices to deliver audit results.

N

Learning Objective 3

After this presentation, attendees will be able to utilize the tools necessary to perform physician/other provider audits.

We will walk through how each tool is important to a professional fee auditor, how they can be accessed, and how they should be used. Tips on writing the audit report and giving the results to the physicians/other providers will also be covered. A handout will also be available for attendees listing the tools and how to access them as a handy reference.

This webinar is not only helpful for full-time auditors, but also coders that work in a physician practice and need to help their physicians and other providers stay compliant.

Course Content

Course Introduction

Introduction to Physician Auditor’s Toolbox

Webinar

Webinar – The Physician Auditor’s Toolbox

Accreditation Quiz – Physician Auditor’s Toolbox

Course Instructor

Betty A. Hovey

BSHAM, CCS-P, CDIP, CPC, COC, CPMA, CPCD, CPB, CPC-I

Betty is a nationally recognized health care consultant and speaker with over thirty years of health care experience. She has spent years on the “front lines,” managing practices, and directing health care system departments. Betty has educated medical coders, managers, health plans, administrators, physicians, and nonphysician practitioners all across the country. She has co-written manuals on ICD-10-CM, ICD-10-PCS, and CPT specialty areas.

Disclaimer: The information in the following presentation contains the views of the presenters only. Participants are cautioned that information contained in this presentation is not a substitute for medical or legal advice. The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The participant and/or participant’s organization(s) are solely responsible for compliance and reimbursement decisions, including those that may arise in whole or in part from participants use of or reliance upon information contained in the presentation. The information presented is accurate as of the date of this recording.