2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing

Video Transcription

Video Summary

In this video, the presenter discusses auditing best practices in the context of the healthcare industry. They cover topics such as benchmarking, internal audits, payer audits, and responding to payer audits. The presenter emphasizes the importance of understanding utilization of E&M codes and benchmarking for individual specialties. They also discuss compliance tools, the role of a compliance officer, and the need for frequent coder training and provider education. The presenter highlights the significance of proper documentation, including late entries, addendums, and corrections to medical records. They provide guidance on responding to audits, such as reading audit letters carefully, providing requested information, and consulting a healthcare attorney if necessary. The presenter also mentions different types of audits, including those conducted by OIG, individual payers, and ZPICs (Zone Program Integrity Contractors). They caution against falsifying documentation and emphasize the seriousness of responding to all audit requests.

Asset Subtitle

Kristin Vaughn, CPC, QMC, QMGC, CPMA, ICDCT-CM

Keywords

auditing best practices

healthcare industry

benchmarking

internal audits

payer audits

responding to payer audits