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Risk Analysis vs. Forensic Auditing

Presenter Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC
Broadcast Date 8/17/2016
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
Risk Analysis vs. Forensic Auditing Webinar

When asked to perform an audit it is important to understand the type of audit you have been asked to perform and on that basis, how you characterize and communicate the results.  Forensic Auditing differs substantially from Risk Auditing based on the criteria that can be applied and the significance (from a disclosure perspective) of the results. This program will outline the difference between these two types of audits as well as clarify the types of criteria, how to delineate conditions of participation from conditions of payment, as well as the difference between coding and reimbursement rules and how these differences influence your audit conclusions.

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

About The Author

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

Mr. Miscoe has a bachelors of science degree from the United States Military Academy, a juris doctorate degree from Concord Law School, is a Certified Professional Coder, Certified Ambulatory Surgical Coder, Certified Urology Coder, Certified Chiropractic Professional Coder, Certified Professional Compliance Officer, Certified Professional Medical Auditor, the President of Practice Masters, Inc., and the founding partner of Miscoe Health Law, LLC.  He is the President Elect of the AAPC National Advisory Board, is a member of the AAPC Legal Advisory Board and is the Chair of the AAPC Ethics Committee. He is admitted to the practice of law in California as well as to the bar of the United States Supreme Court and the US District Courts in the Southern District of California and the Western District of Pennsylvania.

Mr. Miscoe has over twenty years of experience in healthcare coding and over sixteen years as a compliance expert, forensic coding expert and consultant.  He has provided expert analysis and testimony on a wide range of coding and compliance issues in civil and criminal cases and his law practice concentrates exclusively on representation of healthcare providers in post-payment audits as well as with responding to investigations pertaining to HIPAA issues by the HHS Office of Civil Rights. He has an extensive national speaking background and has been published in numerous national publications on a variety of coding, compliance and health law topics. 

 

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