Episode 5: Remediation – The Importance of an Action Plan Post-Audit

Episode 5: Remediation – The Importance of an Action Plan Post-Audit

While auditing coding and documentation is critical to validating your compliance efforts, once you have results that fall short of your established accuracy threshold, remediation is the next step in the process. Figuring out who is subject to remediation, what that consists of and how to validate whether your measures worked are key elements to creating an effective response to deficient coding and documentation. Tune is as the team explores how best to craft a successful remediation strategy.

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Episoder(11)

Episode 11: Surviving a Federal Program Integrity Agreement feat. Jim Anliot

Episode 11: Surviving a Federal Program Integrity Agreement feat. Jim Anliot

Jim Anliot, Director of Healthcare Compliance Services at Affiliated Monitors, Inc., features to discuss how best to navigate a federal program integrity agreement.  Not only can you prepare yourself ...

12 Apr 202251min

Episode 10: Evaluating Emergency Departments in Your Compliance Program

Episode 10: Evaluating Emergency Departments in Your Compliance Program

Sharon Nicka, founder and president of Nicka & Associates, joins the show to discuss the import of evaluating ED’s in your compliance program.  Covering hot topics in the emergent care space, the team...

12 Okt 202137min

Episode 9 - The Importance of Independent Reviews of Revenue Cycle Plans

Episode 9 - The Importance of Independent Reviews of Revenue Cycle Plans

Independent reviews of a revenue cycle are crucial to ensuring the financial health of your organization.  Whether its looking at your organization’s processes to identify charge capture opportunities...

18 Jun 202139min

Episode 8: The Importance of Physician Documentation and How Scribes Can Help

Episode 8: The Importance of Physician Documentation and How Scribes Can Help

Ensuring compliant coding begins with high-quality documentation.  This task need not fall exclusively on the shoulders of the physicians rendering services.  Whether it is to supplement existing effo...

20 Apr 202145min

Episode 7: Handling and (Hopefully) Avoiding CMS’s Targeted Probe and Educate Program ft. Teresa Mason

Episode 7: Handling and (Hopefully) Avoiding CMS’s Targeted Probe and Educate Program ft. Teresa Mason

CMS’s Targeted Probe and Educate (“TPE”) Program is yet another mechanism to ensure accurate and compliant claims are submitted for reimbursement to Medicare.  This episode Teresa Mason of Epstein Bec...

23 Mar 202155min

Episode 6: The Dangers of Comingling Outsourced Billing & Coding

Episode 6: The Dangers of Comingling Outsourced Billing & Coding

While outsourcing functions of the revenue cycle, often times it can feel convenient and synergistic to have one entity perform both the billing and coding functions.  But buyer beware, there are pitf...

22 Mar 202129min

Episode 4: Who Performs Your Compliance Audits and When

Episode 4: Who Performs Your Compliance Audits and When

Selecting the right auditing team is critical to getting the feedback your organization needs to improve on any outstanding deficiencies.  This holds true whether you’re performing internal or externa...

6 Nov 202036min

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