E/M Benchmarks: A Guide To Identifying Risk Factors
Broadcast: May 18, 2017 at 8:30AM
On Demand Availability: May 18, 2017
Author: Katherine Abel, CPC, CPB, CPMA, CPPM, CPC-I
Benchmarks are a tool commonly used by practices to determine whether a provider’s evaluation and management (E/M) services reported fall within the same utilization as their peers.
When a provider deviates outside of the expected use of E/M codes, there is a potential risk for an audit. Comparison of data, without understanding the meaning, may result in unnecessary internal audits and an increased level of anxiety within the practice. The results may cause a provider to unnecessarily alter coding habits to fit within the national range. Learn how to analyze benchmark data and apply the results to your practice without causing undue anxiety. In this workshop, we will review E/M benchmark data, compare data, analyze the meaning of the data, determine if and what to audit based on the results of the comparison, and audit medical records.
Why is this topic important? Misinterpreting benchmark data as it is applied to your practice can have a devastating effect. Understanding how to apply benchmark data effectively allows you to utilize the information to benefit your practice and provide a foundation to determine a provider’s risk of audit and identify potential risk areas in the practice.
Who would benefit from this topic? Managers involved in billing and/or coding departments, practice managers, billing companies, auditors, coders, providers.
How would this benefit the individual and/or their company? Effective use of benchmark data allows you to utilize the information to benefit your practice and provide a foundation to determine a provider’s risk of audit and identify potential risk areas in the practice.
What information/new skills will the attendee take away from this webinar? Effective application of benchmark data, understanding the risk involved based on comparison the benchmark data, and auditing skills.
Presentation Length: 4 Hours
Author: Katherine Abel
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