Billing, Coding & Compliance

Training Includes:

The fundamentals of E/M coding

•  Real patterns of upcoding, what triggers them, and the consequences that follow
•  The audit red flags that quality managers and payers are trained to spot
•  How the OIG, RAC, and MAC operate
•  The legal framework behind fraud and abuse
•  The point where a billing error becomes a licensure and clinical risk issue
•  What quality management nurses see in provider notes every single day
•  Pre-visit billing checklist included

Benefits

• Learn what quality management professionals flag in notes.
• Reduce audit risk. Learn to recognize the exact patterns that trigger payer and federal audits before they happen
• Protect your license
• Document with confidence.