There are some 15,000 procedure codes, 300 modifiers, nearly 70,000 ICD-10 diagnoses codes, and 757 DRG groups.  For physician practices and hospitals, there are nearly a trillion possible combinations of codes and modifiers, and, without an internal coding and billing risk assessment plan that includes granular identification of risk areas and prioritizing audit tasks and functions that could spell big trouble. Especially given that the frequency and magnitude of audits continue to increase day by day and the payers have access to all your data.

There is a better way to manage your risk.

Join Frank Cohen during this RACmonitor webcast and learn how you can leverage the Comprehensive Error Rate Testing Program (CERT) to improve your compliance workflow by assessing the value of audit risks at your facility. Frank will walk you through common billing and coding errors to empower you to recognize issues within your organization and mitigate financial damage through value-based auditing practices.  You’ll walk away ready to implement risk-based audit strategies, improving the effectiveness of your compliance plan.

Are you ready for a decrease in the number of errors in claim submissions, reduced risk of audit-related damages, and a smoother, more efficient reimbursement process from Medicare?  Register now.

Why This Is Relevant:

There are some 15,000 procedure codes, 300 modifiers, nearly 70,000 ICD-10 diagnoses codes, and 757 DRG groups.  For physician practices, there are nearly a trillion possible combinations of codes and modifiers, and, without predictive models or advanced analytics, it is impossible to know, with any degree of certainty, which provider, codes or claims should be reviewed for the greatest impact.  For hospitals, the problem is the complexity of coding for a DRG, considering combining diagnosis and treatment codes. Using outdated methods to identify risk results in more noise than signal and wastes time and resources with false positives.

Learning Objectives:

• Understand the CERT program fundamentals
• Identify common billing errors and compliance risks
• Explore strategies for improving documentation and compliance
• Become proficient at navigating the CERT review process
• Leverage CERT data for quality improvement

Who Should Attend:

Chief Compliance Officers, Directors of Compliance, Compliance Managers, Compliance Professionals and Staff, Audit Managers