Auditing for Risk and Revenue
April 17, 2019 11:00am MT
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The audit process and plan must change to adapt to the changes in the delivery of healthcare services and the changes in the payment methodology. This presentation will address how to update the scope of an existing audit plan to adjust to the changing environment of the healthcare setting and payment policies. The presentation will introduce real life examples of these changes and suggest how they can be incorporated into the scope of the audit. The new audit plan should be able to recognize risk and verify reimbursement.
About The Author
Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC
Jaci has been working in the field of medical coding and auditing for over 30 years and has been a Certified Professional Coder (CPC) since 1994 and attained her COC for facility- based coding issues in 2005. She has also obtained her credential as a Certified Professional Medical Auditor and is certified in the specialty of Evaluation and Management Coding. In 2019 Jaci obtained her certification in documentation improvement, CDEO, and incorporates this into the compliance audits that she conducts.
Kipreos has worked in a variety of practice settings and has particular expertise in coding for family practice, urgent care, OB/GYN, general surgery, Medicare’s Teaching Physician Guidelines, with a particular emphasis on compliance with Evaluation and Management guidelines.
Jaci is a past president of local chapters of AAPC in both Richmond, VA and Charlottesville, VA. She also served as the President for the AAPC National Advisory Board from 2013-2015. Jaci received her B.S. in Finance from Virginia Tech
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