Description:
Compliance professionals should be vigilant about auditing concerns in preventive care to ensure adherence to regulatory standards and accurate billing practices. Key areas of focus include verifying that all documented preventive services meet the required criteria for coverage, ensuring proper use of coding and modifiers, and confirming that current patient conditions are thoroughly recorded. During this session, Christine Hall will also advise on verifying inappropriate billing for non-preventive services under preventive codes.
Learning Objectives:
Verification of Preventive Services Coverage: Develop the ability to verify that all documented preventive services meet Medicare or insurance coverage criteria.
Thorough Documentation of Patient Conditions: Enhance skills in reviewing the documentation of current patient conditions to accurately support preventive visits.
Identify Inappropriate Billing: Learn techniques to identify and verify inappropriate billing of non-preventive services under preventive care codes.
NAMAS presentations are submitted for approval to the AAPC and requested for 1 credit hour for Core A and all applicable certifications, including CPMA.