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Risky Business: Physician Practices,
Medicare and Compliance

Risky Business: Physician Practices, Medicare and Compliance


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Betsy Nicoletti, MS, CPC, Founder, www.codapedia.com

This program is how to protect your practice in an era of increasing government scrutiny. The Patient Protection and Affordable Care Act (PPACA) -- otherwise known as the healthcare reform law -- passes in 2010. The goal is to save the federal government money by reducing fraud and abuse. This increased scrutiny makes it critical that all practices immediately review and update their compliance activities. A lawyer has described the effort as " "an army of auditors." " Is your practice prepared?

Tune into this audioconference to hear how to protect your practice and you'll hear from compliance expert (and expert presenter, Betsy Nicoletti):
  • How to assess your own coding risk and areas of concern
  • How the government and its contractors use paid claims data to identify outliers
  • What other areas of risk are a concern to physician practice
  • PPACA also gave the Secretary of Health and Human Services the authority to mandate compliance plans. The OIG 2000 recommended Compliance Plan for Physician Practices may serve as a template for any mandate. This audioconference will review the basics of a good compliance plan and provide practical, actionable suggestions for decreasing physician risk.


    Betsy Nicoletti is the co-founder of Codapedia.com, a website which is dedicated to providing user-generated, free reimbursement information for physician practices. She is also the author of the Physician Auditing Workbook, published by DecisionHealth and The Field Guide to Physician Coding published by Greenbranch Publishing.

    Betsy speaks nationally on coding education.

    In addition to writing and speaking, Betsy educates physicians and coders and helps practices with complying with government regulations while collecting all of the reimbursement they are entitled to collect. The consulting firm is Medical Practice Consulting.

    Moderator: Nancy Collins, Publisher of The Journal of Medical Practice Management®