A Conversation with Two Auditors: Lessons Learned about MDM | Webinar

A Conversation with Two Auditors: Lessons Learned about MDM

Recorded September 28, 2023

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Guest presenters Pam D’Apuzzo, CPC, ACS-EM, ACS-MS, CPMA and Debra Rossi, CCS, CCS-P, CPC, CPMA of VMG Health

Medical practices can prepare for audits, improve documentation and decrease compliance risk by sharpening their focus on high-risk areas, high volume services, and/or identifying confusing areas of MDM and developing and following consistent guidelines from appropriate resources.

Topics we’ll be discussing include what is a medically appropriate history and exam, what are the problems addressed and how do you represent them in MDM, details of documentation that support data review, assessing and assigning management risk, critical care changes, split/shared pitfalls and medical necessity for visits with office procedures. Hear about MDM element credit based on AMA and CMS guidelines documentation tips, copy and paste and template usage.

After the webinar, participants will be able to:

• Identify potential audit risk areas including copy and paste and medical necessity.
• Explain best practices for documentation related to Medical Decision-Making elements of Problems addressed, Amount and Complexity of Data reviewed and Assignment of level of Management risk.
• Understand critical care and shared/split E/M pitfalls.
• Recognize the importance of meeting medical necessity guidelines.
• The importance of regular and consistent documentation review and communication with providers.

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