American Association for Physician Leadership

« Return to Books

Auditing Physician Services: Verifying Accuracy in Physicians Services and E/M Coding Third Edition (2017)

Product Currently Unavailable

Take the steps to audit your own practice . . . before the Government or Third-Party Payer does!

Additions to the 3rd Edition - Overall updating of all chapters PLUS:

  • Auditing non-face-to-face prolonged services--now covered by Medicare

  • Updates to TCM and CCM based on new CMS rules including the initiation visit before CCM

  • HCPCS codes for Collaborative Care Model and Behavioral Health Initiative

  • HCPCS code for cognitive assessment

The key topics covered include a welcome amount of in-depth coding information - topics and activities that practices perform every week.

Today, medical practices face major risks if they don’t code physician services accurately. Practices that violate the complex government regulations governing coding may face audits by the Office of the Inspector General for HHS, Recovery Audit Contractors, and Medicare Administrative Contractors, and the consequences of such audits can be severe.

However, physicians and their staff now have a comprehensive guide available which helps practices audit high-risk areas themselves, before payers get involved. Auditing Physician Services: Verifying Accuracy in Physicians Services and E/M Coding To Protect Medical Practices, written by nationally-renowned coding and auditing expert Betsy Nicoletti, MS, CPC, offers critical information, support and plain-English explanations of how to avoid high-risk coding behavior.

Auditing Physician Services, provides clear, practical, concrete explanations of complicated coding issues and E/M guidelines, advice on auditing EMR notes, and a range of worksheets allowing physicians to conduct valid, defensible audits.

The book also includes a detailed analysis of the OIG Work Plan which offers insight into how the agency selects physician practices for further review.


About Author(s)
Table of Contents
Testimonials

Betsy Nicoletti, MS, CPC, has extensive auditing experience in physician services, ensuring that code selection accurately reflects the services performed.

Joking that she is in the “protection” business, Betsy explains that her mission is to simplify complex coding and reimbursement rules for medical practices, thereby "protecting" physician practices. She is the author of The Field Guide to Physician Coding, now in its fourth edition, and Everyday Medical Coding, as well as a regular journal contributor. Betsy also speaks to groups on the national scene. When speaking to clinicians, she engages them with an in-depth knowledge of their professional lives. When speaking to fellow auditors, she guides them through the nuances of finding black and white answers in a morass of gray guidelines.

Betsy, who began her consulting business in 1999, has a master’s degree in Organization and Management from Antioch New England and is a Certified Professional Coder. She is a member of the Medical Group Management Association and the National Speakers Association.

For over 45 years.

The American Association for Physician Leadership has helped physicians develop their leadership skills through education, career development, thought leadership and community building.

The American Association for Physician Leadership (AAPL) changed its name from the American College of Physician Executives (ACPE) in 2014. We may have changed our name, but we are the same organization that has been serving physician leaders since 1975.

CONTACT US

Mail Processing Address
PO Box 96503 I BMB 97493
Washington, DC 20090-6503

Payment Remittance Address
PO Box 745725
Atlanta, GA 30374-5725
(800) 562-8088
(813) 287-8993 Fax
customerservice@physicianleaders.org

CONNECT WITH US

LOOKING TO ENGAGE YOUR STAFF?

AAPL providers leadership development programs designed to retain valuable team members and improve patient outcomes.

American Association for Physician Leadership®

formerly known as the American College of Physician Executives (ACPE)