Auditing Surgical Operative Reports: Clinical Documentation and Compliance Challenges

Product Id : HE38
Instructor : Dr. Dreama Sloan-Kelly - MD, CCS
Aug 28, 2018 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes

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Description

Knowing how to audit surgical operative reports is important for any surgical compliance program, as well as for the financial health of any surgical group. Attend this webinar to learn how to audit surgical operative reports. After this webinar, you will be able to audit surgical operative reports, identify possible compliance issues, and identify possible lost revenue.

During this webinar, our expert speaker Dr. Dreama Sloan-Kelly will walk you through the subject of auditing surgical operative reports, explaining various concepts in detail and providing useful information which will help you perform your duties better. The session agenda includes topics such as compliance, major risk areas, factors that can make you a target for an audit, the biggest errors people make, how to approach the audit process, the operative report, preparing for your audit, how diagnosis codes are evaluated, auditing the diagnosis codes, evaluating the procedure codes, auditing modifiers, and managing data.

Topics under discussion include: What federal and commercial payer auditors look for; how to spot the key terms that support the CPT and ICD-10 codes billed; how to communicate with the surgeon regarding the clinical documentation needed to support the CPT and ICD-10 codes billed; how to search for missed revenue by a comparison of the documentation and the CPT codes billed; guideline requirements for the surgical operative report; best approach for the audit process; appropriate evaluation of the procedure codes; tips on auditing procedure codes, and many others.

All webinar attendees will be provided handouts which will help them remember and make the most of what they have learnt during the training session.

Training Highlights:

  • Find out what federal and commercial payer auditors look for
  • Learn how to spot key terms that support the CPT and ICD-10 codes billed
  • Understand how to communicate with the surgeon regarding what clinical documentation will be needed to support the CPT and ICD-10 codes billed, in order to ensure that everything is billed with utmost specificity
  • Discover how to search for possible missed revenue by a comparison of the documentation and the CPT codes billed
  • Go through guideline requirements for the surgical operative report
  • Understand the best approach for the audit process
  • Learn how to evaluate the procedure codes appropriately'
  • Obtain tips on auditing procedure codes
  • …and much more

Who will benefit:

  • Clinical documentation improvement specialists
  • Practice Managers
  • Office Managers
  • Medical Coders
  • Medical Billing personnel
  • MR Auditors
  • MDs
Speaker Profile:

Dreama Sloan-Kelly, MD, CCS has over 14 years of experience in the medical field. A graduate of Wellesley College and Tufts University School of Medicine, she has a varied background including clinical, billing, and coding. Dr. Sloan-Kelly is President/CEO of Kelly, Sloan, and Associates, LLC and speaks at various seminars and webinars, imparting her knowledge in an upbeat, matter of fact, manner. Her goal is get the pertinent information to the attendee, minimize the nonsense, and make sure everyone has fun at the same time. Dr. Sloan-Kelly works with practices one on one, through coding consulting. She offers in-services seminars that can be held on or off-site. Dr. Sloan-Kelly has learned in most seminars you spend a whole day only getting 20% of what you need, and 80% you leave – she has made it her goal to carve out the 20% that you need and giving you the take home message that will help you and your practice.


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