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CEMA-O Online Bootcamp June 2019
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CEMA-O Online Bootcamp June 2019

6/25/2019 to 6/27/2019
When: June 25-27, 2019
12:00 pm - 4:00 pm ET
Where: Online
United States
Presenter: Shannon DeConda
Contact: Alyssa Gibson
800-247-9699


Online registration is closed.
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Your Coding and/or Auditing Staff can earn their Certified Evaluation and Management Auditor in Orthopedics Credential through AAOE to demonstrate your organization’s commitment to compliance. 

Orthopaedic practices regardless of size and geographic location are and will continue to be at significant risk for audit refunds based on recent OIG Reports and CMS focused audits initiated and conducted by Medicare Administrative Contractors (MACs) and their designated contractors (ZPIC/UPICs, RACs, CERT, etc.) However, The CMS and its contractors are not your only risk… Commercial Payors have increased their aggressiveness and focus on audits and recoupment.

Benefits of an Orthopaedic Certified Auditor:

  • Mitigate risk tied to up-coding or selection of wrong category(s) of CPT Codes;
  • Ensure Compliance with Federal and Commercial Payor Guidelines to avoid unnecessary scrutiny;
  • Maximization of reimbursement through complete and accurate coding;
  • Maintain compliance with your existing OIG Compliance Plan;
  • Avoid potential whistleblower claims
    • Of the $2.9 billion in settlements and judgments reported by the government in fiscal year 2018, over $2.1 billion arose from lawsuits filed under the qui tam provisions of the False Claims Act. 

 

Topics Covered Include

  • Standardization in auditing
  • Medical Necessity
  • Audit policy parameters
  • Grey areas of auditing policies
  • Medical decision making
  • History of the encounter
  • Defining the 1995 & 1997 exams

 

Agenda

  • June 25-27, 2019, 12:00 - 4:00 p.m. each day

 

AAOE has partnered with The National Alliance of Medical Auditing Specialists (NAMAS) to deep dive  into all areas of E&M auditing, by breaking down each section to give you a solid understanding, along with the real skills you need to make an immediate impact once back in the office. 

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