IEPG Audit Toolkit

New for 2010 - all 3 for Only $199!!!

Part I - Self Audit Toolkit

Revised and Updated for 2009!

The OIG's Individual and Small Group Physician Practices Compliance Program guidelines suggests routine medical records audits as an efficient way to monitor fraud and abuse in your practice.  You have two choices: hire an outside consultant to perform the audit or do it yourself!

The Inga Ellzey Practice Group has developed an easy-to-follow self-audit program that will allow your compliance officer,  office manager, or physician to perform random sample audits of your practice's medical records.  This exclusive tool kit includes: 

• Easy step-by-step methods of performing a random record sampling
• Easy-to-follow procedures for performing Evaluation and Management (E/M) or office procedure record audits
• Detailed explanations on proper coding for E/M services and repair services
• 5 different audit templates with step-by-step checklists
• 2 coding matrixes for verifying E/M and consultation services

 

Part II- E/M Code Utilization Analysis

Are you vulnerable for a Fraud and Abuse audit?

If you are a Medicare participating provider, the Center for Medicare and Medicaid Services (formerly HCFA) monitors the frequency with which you perform various level of care for evaluation and management (E/M) and consultation codes.  Physicians that undercode or overcode are frequently targeted for fraud and abuse audits.  Your coding practices and procedures may place you at risk of being target for one of these audits.

The Inga Ellzey Practice Group now offers a low-cost service to analyze your coding patterns and compare them to CMS's nationally accepted averages, specifically for dermatology.  We'll help you find out quickly, if you are vulnerable for an audit.  Once we analyze your data, we'll include an extensive report to help determine what your analysis means, and how to take corrective action to reduce your vulnerabilities.

As part of the service, we will:

• Analyze and graph your E/M and Consult CPT^® Code distributions (99201 to 99205, 99211 to 99215, 99241 to 99245, 99251 to 99255, and 99261 to 99263) and compare them to CMS's nationally accepted averages specifically for dermatology.
• Provide you with a 15-page report explaining your vulnerabilities and how you can take action to correct them.
• Provide you with instructions on how to self-audit your medical records to determine if you are choosing the correct level of care.
• We’ll also include a laminated E/M Coding matrix to assist you in determining the proper level of care for future visits.

 

Part III - E/M Template Kit

The 1997 E/M Documentation Guidelines are presently in effect. Due to the significant amount of auditing targeting E/M visits and the use of the modifier 25, dermatologists across the country asked for help in developing a progress note to document the history, exam, and medical decision making components correctly and efficiently. So here it is!

This product includes...

• 3 different formats (1, 2 or 4 problems)
• Laminated for durability and easy photocopying
• Easy check-off format!
• Meets the current criteria for new or established patients
• Comprehensive instructions with completed sample forms
• E&M matrix to help you choose the correct level of care at a glance
• So easy, even your staff can complete the form!

Download sample forms.  There are 3 forms (single problem, two problem, and four problem). Sample forms are completed examples

 

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