In a textbook environment, everything comes through easy and perfect for professional fee reimbursement – but that is not the real-world experience! Over the past decade, health information professionals have seen many changes to the documentation and coding world. With the implementation of electronic medical records, there have been many compliance risks in professional fee coding and reimbursement.

This presentation will provide an in-depth look at the most common issues seen during compliance audits for professional fee reimbursement and provide helpful tips in identifying those risks and how to avoid them. Documentation issues, templates, cloned notes, modifier usage, physician’s as the coding professional, nonphysician practitioner issues (incident to/split shared guidelines), teaching physician guidelines, critical care, and more will be explored.

Speaker: Jacquelyn Craver, RHIA, CCS, CCS-P