Government vs. Commercial Health Plan Reviews
[layerslider_vc id=”24″]Join TMG Health for a Complimentary Webinar on
Wednesday, May 18, 2016
at 1:00 PM (ET)/10:00 AM (PT) (45 Minutes + Q&A)
Registration is now closed for this webinar
Register for this WebinarAudits are a necessary investigative tool used to protect the integrity of the healthcare industry. By performing medical records reviews, audits promote and foster provider integrity, diminish ambiguity, and help prevent and detect Fraud, Waste and Abuse.
While the importance of audits remains the same, the manner in which they are performed is determined by the needs of the health plan. Auditing for government plans and commercial plans varies distinctly, each sector holding unique needs while calling for strict compliance.
Compliance, customization, and best practices are essential in order to perform a quality audit. Get the tools you need to customize your audits based on plan determination and requirements.Please join TMG Health and Advize Health to explore the best practices essential to perform a quality audit. Webinar discussion points include:
- Identifying the unique needs of commercial health plans vs. government plans
- Adapting audit practices to suit your needs without sacrificing precision and accuracy
- Examining the differences between commercial and government audits and the differences in requirements; knowing how to identify the most common trends for both
- Acquiring tools to build confidence in your ability to customize audits, while remaining in compliance
- Leveraging best practices for audits across the industry
Attendees are eligible for 1.5 AAPC CEUs
Melissa Jewett, CPC, CPMA
Quality Assurance Auditor – Advize Health
Melissa Jewett is a Quality Assurance Auditor at Advize Health, a firm providing medical auditing and consulting services. A seasoned professional, Ms. Jewett has worked in the coding and billing industry for nearly 16 years and became a Certified Professional Coder (CPC) in 2004 and Certified Professional Medical Auditor (CPMA) in 2014. Her focus areas include education, coding general surgery, OB/GYN, podiatry, and family medicine. Ms. Jewett has presented webinars for Advize Health’s education services, and her article “Does Incident-to have you perplexed?” was published in the HIMSS Business Edge Newsletter in January 2016.
Rebekah Evans, CPC, CPC-I
Quality Assurance Specialist – Advize Health
Rebekah Evans is a QA Specialist with Advize Health, a firm providing medical auditing and consulting services. Ms. Evans has worked in the healthcare industry for 15 years and became a Certified Professional Coder (CPC) in 2003. Her focus areas include educational instructor, project management, surgical and E/M code auditing, chart auditing, claims processing, customer service, custom reporting, data analysis, and policy/procedure writing and implementation. Ms. Evans is an excellent educator, conducting presentations and webinars, as well as writing content for Advize Health’s newsletter and blog.