Medicare spending on skin substitutes has skyrocketed jumping from $256 million to over $10 billion in just five years. In this episode, we explore how CMS is addressing abuse, fraud, and excessive pricing with bold policy shifts that could cut spending by 90%. Let’s talk compliance and cost control.#MedicalCoder #MedicalCoding #MedicareSpending #CMS #SkinSubstitutes #HealthcareCompliance #CMSUpdates #WoundCareBilling #HealthPolicy #MedicalCoding #AuditAndCompliance #IncidentToBilling #Health #Medical #MedicalCodingandBilling #AAPC #AHIMA #AuditingAntics #StephanieAllardConsultingLLC

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Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry!⁠ https://www.stephanieallardconsulting.com/auditing-antics-podcast⁠

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In this episode, we dive into the critical role internal audit plans play in staying ahead of payer denial patterns and revenue integrity. With denials on the rise and payers shifting requirements without warning, medical coding and compliance teams must be proactive, not reactive.Go to https://www.stephanieallardconsulting.com/ to download the audit plan now!

Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contact

Sign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/

Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry! https://www.stephanieallardconsulting.com/auditing-antics-podcast

View our compliance consulting, auditing, and education services here! https://www.stephanieallardconsulting.com/services

View our Coding Compliance Connection membership here! https://www.stephanieallardconsulting.com/membership

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I’m excited to have Dr. Khush Singh join me in the studio for an important and timely discussion related to value-based care and the growing pressure around accurate coding and documentation especially when it comes to HCCs. In this episode, Dr. Singh and I will unpack what RADV audits really focus on, why precise HCC documentation is more important than ever, and how even small gaps can lead to major issues. Not only can these audits lead to hefty repayments, but they can also uncover patterns that trigger deeper investigations under the False Claims Act (FCA).

Find Dr. Khush Singh here on LinkedIn! https://www.linkedin.com/in/drksingh/

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Sign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/

Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry! https://www.stephanieallardconsulting.com/auditing-antics-podcast

View our compliance consulting, auditing, and education services here! https://www.stephanieallardconsulting.com/services

View our Coding Compliance Connection membership here! https://www.stephanieallardconsulting.com/membership ​

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With government audits on the rise, accurate risk adjustment coding is more critical than ever. In this episode, we break down what’s at stake for physician practices, common coding pitfalls, and how to stay compliant and audit-ready.

Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contact

Sign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/

Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry! https://www.stephanieallardconsulting.com/auditing-antics-podcast

View our compliance consulting, auditing, and education services here! https://www.stephanieallardconsulting.com/services

View our Coding Compliance Connection membership here! https://www.stephanieallardconsulting.com/membership

View our online shop here! https://www.stephanieallardconsulting.com/online-shop

During this episode we will discuss why professionals that are new in the industry or in a new position advancing their career should seek out specific support as a part of their career development. The medical coding and billing industry is saturated with people who are looking anywhere to gain experience without fully understanding what practices and organizations need and what will help them achieve their longer term goals.

Reach Out For Compliance Help Now!⁠ https://www.stephanieallardconsulting.com/contact⁠

Sign up for our updates and the latest compliance news here! ⁠https://www.stephanieallardconsulting.com/⁠

Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry!⁠ https://www.stephanieallardconsulting.com/auditing-antics-podcast⁠

View our compliance consulting, auditing, and education services here! ⁠ https://www.stephanieallardconsulting.com/services⁠

View our Coding Compliance Connection membership here! ⁠ https://www.stephanieallardconsulting.com/membership⁠

View our online shop here! ⁠https://www.stephanieallardconsulting.com/online-shop⁠

During this episode Sean Weiss "The Compliance Guy" and I will discuss how AI tools are at times considered organizational resources rather than reimbursable services. That means hospitals and practices often absorb the costs without direct payment from payers, as most AI-assisted functions don't fall into existing CPT or HCPCS code categories. We will address what this means for health systems investing in AI and how to evaluate ROI beyond reimbursement.

Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contact

Sign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/

Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry! https://www.stephanieallardconsulting.com/auditing-antics-podcast
View our compliance consulting, auditing, and education services here! https://www.stephanieallardconsulting.com/services

View our Coding Compliance Connection membership here! https://www.stephanieallardconsulting.com/membership

View our online shop here! https://www.stephanieallardconsulting.com/online-shop

Join us for a live Q&A session addressing current challenges in medical coding, billing, and compliance. Industry experts Stephanie Allard and Michele Strickland will provide guidance on documentation, coding, and best practices to support accurate and compliant claims processing.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contact

Sign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/

Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry! https://www.stephanieallardconsulting.com/auditing-antics-podcast

View our compliance consulting, auditing, and education services here! https://www.stephanieallardconsulting.com/services

View our Coding Compliance Connection membership here! https://www.stephanieallardconsulting.com/membership

View our online shop here! https://www.stephanieallardconsulting.com/online-shop

Medical coding and billing professionals are vital to the healthcare system, but their mental health is often overlooked. Between intense accuracy demands, ever-changing regulations, high quotas, and the isolation of remote work, many are quietly facing burnout and stress. Sign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/Find our AUDITING ANTICS PODCAST for regular updates and discussions related to compliance in the medical coding and billing industry!https://www.stephanieallardconsulting.com/auditing-antics-podcast
View our compliance consulting, auditing, and education services here! https://www.stephanieallardconsulting.com/servicesView our Coding Compliance Connection membership here! https://www.stephanieallardconsulting.com/membership View our online shop here! https://www.stephanieallardconsulting.com/online-shop