Incorporating Coding & Billing into your Internal Audit and Compliance Plan


Course Description
This presentation provides a framework for introducing coding and billing audits into an internal audit workplan. We will share why these types of audits are necessary for your organization, what areas we see as key risks and various options for completing these audits in a timely and meaningful manner. We will discuss audit frequency, focus areas, accuracy rates and how to report the findings. This presentation is intended to provide the attendees with the information and tools to include these types of audits into their audit workflow and specific areas that their facility should focus on.

Learning Objectives:

  • Outline the steps to set up coding and billing audits
  • Discuss how to determine the focused areas
  • Determine how to prioritize the audit findings
  • Discuss follow up strategies and how to obtain management engagement

Rachel Pugliano Sr. Manager, Healthcare
Rachel works with clients to improve their revenue cycle functions as well as maintaining compliance with government regulations. Rachel's specific expertise is in the mid-cycle of the revenue cycle which includes coding, documentation improvement and charge capture.

Susan Rohde, Healthcare Consulting Manager
Susan has more than 20 years of health care experience with an emphasis on coding. She specializes in Interventional Radiology coding, surgical coding, ICD-10-CM and CPT coding for both inpatient hospital and outpatient clinic accounts. Susan also provides proper evaluation and management (E & M) codes to obtain accurate reimbursement.

CPE Information
CPE Credits: 1
Field of Study: Specialized Knowledge and Applications  
Level of Knowledge: Basic
Delivery Method: Web-Based Group Session

Additional Information:
These are web-group seminars. No prerequisites or advanced preparation required. For information regarding refund, complaint and program cancellation policies, please contact Jason McKeever at 701.476.8773.

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