Where Should You Audit Next? Prioritizing Coding & Billing Risk

Audit resources are limited. The list of potential coding and billing risks is not.

In this on-demand webinar, CJ Wolf, MD, explores how healthcare organizations can make more informed decisions about where to focus their auditing efforts. Rather than simply repeating last year’s audit plan, you’ll learn how to evaluate competing risks based on regulatory scrutiny, reimbursement exposure, organizational relevance, recurring findings, and the resources available to your team.

The session also reviews current areas of OIG scrutiny, including home health, sacroiliac joint injections, expanded laboratory panels, chronic care management, inpatient neurostimulator implantation, therapeutic shoes for patients with diabetes, antipsychotic drug use in nursing homes, and deductible and coinsurance refunds.

You’ll come away with a clearer approach to building a risk-driven audit plan, determining which issues deserve attention first, and focusing your audit resources where they can have the greatest impact.

This session is designed for audit, revenue cycle, revenue integrity, coding, and compliance professionals involved in coding and billing oversight.

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