Session Description:
When auditing professional fee (pro-fee) services, it’s essential to ensure that only physician-generated documentation is considered for coding, billing, and compliance purposes. Including documentation from facility staff can create compliance gaps and lead to inaccurate reporting and potential penalties. This webinar is designed to guide auditors through the process of auditing physician-based services, highlighting the importance of focusing solely on physician documentation. Attendees will learn how to identify and address compliance risks when non-physician documentation is incorrectly used and understand best practices for maintaining pro-fee compliance.
Learning Objectives:
Understand the Scope of Physician Documentation – Learn the parameters of pro-fee services and understand why only physician-generated documentation should be used for audit purposes.
Address Common Compliance Gaps – Discover common compliance gaps created when facility staff documentation is inappropriately considered and learn how to correct these issues during an audit.
Implement Best Practices for Pro-Fee Auditing – Apply best practices to ensure that audits of physician-based services remain compliant, accurate, and focused solely on physician documentation, avoiding improper reliance on facility staff notes.
NAMAS presentations are submitted for approval to the AAPC and requested for 1 credit hour for Core A and all applicable certifications, including CPMA.
