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The Art of E&M Auditing

Our new book:  “The Art of E&M Auditing” is now available.  It has approximately 400 information-packed pages that include:

  • A detailed look at both sets of Documentation Guidelines (95 & 97), including a detailed look at the 3 key components (History, Exam, MDM).  We make further distinctions between the two sets of Guidelines
  • A chapter that is dedicated to Compliance:  HIPPA, False Claims Act, Pre and Post-Payment Audits, the OIG and their 2003 work plan, etc.
  • Medical Necessity
  • Diagnosis Coding
  • We go into detail about the different types of E&M services, including an excerpt from the Medicare Carriers Manual about Consults
  • Our chapter on the Auditing Process walks you thru 10 sample cases from different specialties and using both 95 and 97 exams
  • We cover the reporting process
  • A Chapter that reviews the Rules For Physicians in a Teaching Environment

 

Our Appendix´s list the following:
  • 1995 Documentation Guidelines (complete)
  • 1997 Documentation Guidelines (complete)
  • Teaching Physician Guidelines
  • OIG Compliance Plan
  • Medicare ABN Standards with ABN forms and instructions
  • Web References
  • Terminology
  • Abbreviations

The book has been pre-approved for 8 CEU's from the AAPC

 
We would like to thank everyone who played a roll in making this book possible.  I would like to especially thank Sherry Crouse from C&M Healthcare Solutions, LLC, here in Indiana.  Sherry has done a wonderful job of researching, compiling, and writing material for the book.

 

 
 
For more information, or to order the book, call:  1-800-786-4231
 
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Last modified: February 22, 2008