How to Create, Manage and Implement a Coding Compliance Plan

Duration: 90 Minutes
Instructor: Jeffrey Restuccio
Webinar Id: 800148


One Attendee


This session will provide a strategy and detailed examples how to create and implement a coding compliance plan. A plan is not a static document; it is working document that must be reviewed and implementing constantly and continually. Jeff will use his 15 plus years as an auditor, a coding training and documentation specialist to help you create a compliance plan that works for your practice.

Every Participant will receive a generic 40-page sample Coding Compliance Plan in Word or Text Format!

Why should you attend: Fraud, incorrect documentation, and coding is a major risk for any medical practice. This webinar will show you how to create a compliance plans and a strategy for implementation and ensuring your coding, billing and documentation is compliant. A formal compliance plan is critical to ensuring that coding, documentation and reporting is accurate.

Areas Covered in the Session:

  • Learn the seven components of a Coding Compliance Plan recommended by the OIG
  • The importance of a Coding Compliance Plan
  • The importance of Provider education
  • How to improve an already existing Coding Compliance Plan
  • Creating a plan "with teeth"
  • Establishing a Coding Compliance Team
  • Why periodic audits are crucial to the Plan
  • Obstacles to implementing a plan
  • The Impact of Upcoding, Downcoding and "Red Flags"
  • Tips for improving documentation
  • Using Peer Audits and Reviews
  • Why using a third-party may help
  • The difference between getting paid and coding and documentation compliance
  • The ten most common problems with implementing a Coding Compliance Plan
  • How to sell the Plan to the doctors

Who Will Benefit:
  • Coders
  • Coding Manager
  • Coding Auditors
  • Compliance Director
  • Providers

CME Credit Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Colorado Foundation for Medical Care (CFMC) and MentorHealth. CFMC is accredited by the ACCME to provide continuing medical education for physicians.

Colorado Foundation for Medical Care designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Other Healthcare Professionals Credit Statement
This educational activity has been planned and implemented following the administrative and educational design criteria required for certification of health care professions continuing education credits. Registrants attending this activity may submit their certificate along with a copy of the course content to their professional organizations or state licensing agencies for recognition for 1.5 hours.

Disclosure Statement
It is the policy of Colorado Foundation for Medical Care (CFMC) and MentorHealth that the faculty discloses real or apparent conflicts of interest relating to the topics of the educational activity. All members of the faculty and planning team have nothing to disclose nor do they have any vested interests or affiliations.

Obtaining Certificate of Credit

Colorado Foundation for Medical Care (CFMC) hosts an online activity evaluation system, certificate and outcomes measurement process. Following the activity, you must link to CFMC’s online site (link below) to complete the evaluation form in order to receive your certificate of credit. Once the evaluation form is complete and submitted, you will be automatically sent a copy of your certificate via email. Please note, participants must attend the entire activity to receive all types of credit. Continuing Education evaluation and request for certificates will be accepted up to 60 days post activity date. CFMC will keep a record of attendance on file for 6 years.

Speaker Profile
Jeffrey Restuccio is the principal owner of, a healthcare consulting company specializing in online training, live seminars, webinars, chart audits, and specialty consulting. Jeff is certified as both a CPC and a CPC-H from the Academy of Professional Coders (AAPC).

Jeff is an experienced educator and conducts training courses on CPT and ICD-9 coding and billing, auditing and compliance and has taught hundreds of live coding and billing seminars nationwide. He has audited over 10,000 medical records

Jeff teaches specialty seminars on topic such as carrier-specific rules, medical decision making, auditing, compliance plans and winning appeals. His clients include Hospital Corporation of America, Hospital Management Association, St Jude Children's hospital, the VA, DOD. and hundreds of small practices.

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