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 for such an unfortunate occurrence, you can

Episode 10: Evaluating Emergency Departments in Your Compliance Program

Oct 12th, 2021 37m 15s

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 delves into areas of concern to be mindful

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

Jun 18th, 2021 39m 52s

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, validating coding accuracy, or maintaining

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

Apr 20th, 2021 45m 24s

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 efforts, assist providers that struggle to docu

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

Mar 23rd, 2021 55m 42s

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 Becker Green joins the team to delve into what

Episode 6: The Dangers of Comingling Outsourced Billing & Coding

Mar 22nd, 2021 29m 22s

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 pitfalls to taking this approach. The Coding Co

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

Dec 4th, 2020 38m 26s

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 t

Episode 4: Who Performs Your Compliance Audits and When

Nov 6th, 2020 36m 47s

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 external audits to validate your organization’s cod

Episode 3: Crafting a Compliance Auditing Plan

Oct 2nd, 2020 41m 20s

Crafting a coding compliance plan hinges on setting clear timelines and standards for validating your organization’s coding efforts. Determining how providers and coders must perform, when the veracity of their documentation and code assignmen

Episode 2: The First Step to Compliant Coding - Finding the Right Coder

Sep 21st, 2020 40m 57s

Setting your organization up for success by intelligently resourcing your coding needs is the first step in any compliance program. Join the team as they explore your options for selecting the best coding personnel upfront to ensure fewer issu

Episode 1: How To Build A Better Coding Compliance Plan

Sep 14th, 2020 30m 59s

Join Ross Ronan, Mark Babst, and Neal Green for the inaugural episode of the Coding Compliance Podcast! In this week's episode, the team discusses considerations everyone should take into account when crafting an effective compliance plan. Let

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