Auditing Antics: Navigating Medical Coding and Auditing

Telehealth has become a routine part of healthcare delivery, but one of the most important compliance requirements is often overlooked: location.In this episode of Auditing Antics, Stephanie and Michele discuss why the physical location of both the patient and the provider matters during a telehealth encounter. From state licensure requirements and payer policies to documentation expectations and audit risk, knowing where care is being delivered can have significant compliance implications.

Artificial intelligence is no longer a future concept in healthcare. It is already impacting documentation, coding, auditing, revenue cycle operations, and compliance. The question is no longer whether AI will affect healthcare coding, but how quickly the industry will change and what professionals can do to prepare.In this episode of Auditing Antics, Stephanie Allard and Michele Strickland take an honest look at the realities of AI in healthcare coding. They discuss where AI is already being used, the opportunities and risks it creates, and why simply collecting credentials may not be enough to remain competitive in the years ahead.Join us as we explore how coders, auditors, consultants, and compliance professionals can adapt, build valuable skills, and position themselves for long term success in an evolving healthcare landscape. This is a practical conversation about career growth, professional relevance, and preparing for a future that is arriving faster than many realize.

For this episode of Auditing Antics, we are diving into one of the biggest misconceptions in the healthcare coding and compliance industry: credentials alone do not automatically advance your career. While certifications can open doors, true career growth often comes from how you apply your knowledge, build experience, develop professional relationships, and navigate opportunities throughout your journey.We will discuss how coders, auditors, and compliance professionals can strategically choose certifications that align with their goals instead of collecting credentials without direction. This episode explores the real-world impact of experience, mentorship, communication skills, specialty knowledge, leadership, and adaptability in an industry that continues to evolve rapidly. Whether you are new to healthcare coding or looking to expand into auditing, consulting, education, or leadership roles, this conversation will help you think beyond the letters after your name and focus on building a sustainable and meaningful career path.

As Mental Health Awareness Month comes to a close, this episode of Auditing Antics: Navigating Medical Coding and Auditing focuses on one of the most questioned areas in healthcare today: behavioral health documentation, billing, and audit risk. Stephanie and Michele answer real world questions surrounding psychotherapy documentation, E/M with therapy services, time based coding, telehealth requirements, medical necessity, and common behavioral health audit findings.The discussion also explores the growing compliance challenges organizations face when balancing insurance billing, self pay models, and increasing payer scrutiny. Whether you are a coder, auditor, provider, biller, compliance professional, or practice leader, this Q&A episode provides practical insight into reducing risk, improving documentation clarity, and supporting accurate reimbursement in behavioral health services.

In this episode of Auditing Antics, we break down the complex world of psychological and neuropsychological testing services from the perspective of documentation, coding accuracy, reimbursement, and compliance risk. We discuss the differences between psych and neuropsych testing, how time and testing components should be documented, common coding and billing mistakes, and the audit vulnerabilities organizations are facing with these high risk services. This episode also explores medical necessity, interpretation and reporting requirements, technician versus provider roles, and the growing scrutiny surrounding testing services by both commercial and government payers. Whether you are a provider, coder, auditor, biller, or compliance professional, this conversation highlights the areas that can quickly lead to denials, recoupments, and audit exposure if not properly supported in the documentation.

Psychotherapy services continue to be a major focus in behavioral health audits, payer reviews, and documentation denials. In this episode of Auditing Antics, we break down psychotherapy billing from an auditor’s perspective, including what documentation actually supports the service billed, how time based services are reviewed, and the common red flags that trigger denials and compliance concerns. We will discuss medical necessity, psychotherapy time requirements, add on codes, and the difference between psychotherapy documentation and E/M documentation. We also explore the growing conversation around whether practices should continue billing insurance or consider developing self pay models due to increasing audit pressure, reimbursement challenges, and administrative burden. Whether you are a provider, coder, auditor, or compliance professional, this episode focuses on the real world risks practices are facing and the steps that can help support cleaner claims, stronger documentation, and more sustainable practice operations.

Substance Abuse and Mental Health Services Administration (SAMHSA) https://www.samhsa.gov/find-helpMay is Mental Health Awareness Month, and this episode of Auditing Antics focuses on the conversations our industry avoids. Medical coding, auditing, and compliance demand constant accuracy and productivity, but rarely address the mental toll behind that work. From audit pressure and denials to decision fatigue and burnout, many professionals are carrying more than they show while still expected to perform at a high level. If the work feels heavy, you are not alone. It is time to acknowledge it, talk about it, and start changing the conversation.

This episode takes a closer look at one of the most common and dangerous billing issues in healthcare operations: reporting services under the wrong provider’s NPI. What may seem like a simple administrative shortcut can quickly turn into a significant compliance problem when the documentation, supervision, credentialing, or actual rendering practitioner do not match the claim. In this episode, I break down why billing under the wrong provider creates exposure far beyond a claim correction, including audit risk, overpayment liability, false claim concerns, and payer scrutiny around who actually performed and supervised the service. I also walk through the operational habits that often lead to these errors, how organizations confuse billing rules with staffing convenience, and what practices should be reviewing now to make sure their claims accurately reflect the practitioner who performed the work.

A focused episode answering the most common and highest-risk telehealth questions coming in right now. This episode cuts through confusion around what is actually allowed versus what is temporarily permitted, and where organizations are making assumptions that are leading to denials and audit exposure. Expect clear answers on documentation requirements, place of service selection, modifier usage, audio only limitations, consent, and how virtual supervision impacts compliance. This is a real-time breakdown of what is being questioned by payers today and what needs to change now before it turns into recoupments.

In this episode of Auditing Antics, we recognize Stress Awareness Month with an honest conversation about the mental load and stress that comes with working in medical coding, billing, and compliance, where there is constant pressure to be accurate, meet productivity expectations, stay current with changing guidelines, and navigate audit risk while knowing that even small mistakes can have significant consequences. We discuss the realities many professionals experience but do not always say out loud, including second guessing decisions, balancing speed with accuracy, managing provider expectations, and carrying the weight of compliance responsibility, and this episode is not just about acknowledging that stress but understanding where it comes from, how it impacts your work, and why it matters, especially if you have ever felt overwhelmed trying to get it right while everything around you keeps changing because this conversation reinforces that you are not alone and that the pressure you feel is real.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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 Etsy shop here! https://sallardconsulting.etsy.com

In this episode of Auditing Antics, we ask the questions every practice should be asking, but many are not, when it comes to their risk adjustment and HCC coding processes. Are your workflows built around accuracy and clinical integrity or are they driven by capture and convenience? We walk through the critical questions that uncover gaps in documentation, coding practices, provider involvement, and compliance oversight, including reliance on problem lists, pre populated diagnoses, the role of MEAT criteria, and internal audit processes. This episode highlights where risk adjustment workflows commonly break down and what that means for audit exposure. If your organization is focused on HCC recapture, vendor tools, or productivity driven coding, this conversation will challenge you to step back and evaluate whether your process truly reflects the patient’s current condition and meets compliance expectations, because this is not just about getting the codes right, it is about making sure your process can stand up to scrutiny.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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 Etsy shop here! https://sallardconsulting.etsy.com

This is not just a policy update, it is a shift in workflow. In this episode of Auditing Antics, we break down what UnitedHealthcare (UHC) is really changing and why so many providers are at risk without realizing it. If you are reviewing imaging on the same date as an E M service, that work may no longer be separately reimbursed unless it meets strict interpretation and reporting requirements. We walk through what qualifies as a true interpretation versus a simple review, why global billing is now under increased scrutiny, and how payer edits and documentation expectations will directly impact your claims. This is not just about radiology, it reflects where payer enforcement is going and how quickly reimbursement can shift when workflows and documentation do not align. If your workflow has not changed, your revenue likely will.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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 Etsy shop here! https://sallardconsulting.etsy.com

In this episode of Auditing Antics, we explore how coding skills evolve through auditing and what it really means to take your knowledge to the next level. While coding provides the foundation, auditing requires a broader focus on documentation integrity, medical necessity, and compliance risk. We break down the key mindset shifts and practical skills needed to move beyond code selection and into analyzing the full clinical picture, helping you strengthen your approach and grow with confidence in a more advanced, compliance focused role.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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 Etsy shop here! https://sallardconsulting.etsy.com

Visit the etsy shop at sallardconsulting.etsy.comSpravato treatment includes a required two-hour observation period, but many clinics are unclear about what that time should actually involve. In this episode, we explore what needs to happen during the monitoring period and how clinical care responsibilities differ from billing and compliance expectations. We discuss patient monitoring, staff roles, physician involvement, and documentation, along with common workflow approaches that can unintentionally create compliance or billing risk for practices.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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 Etsy shop here! https://sallardconsulting.etsy.com

Go to https://www.stephanieallardconsulting.com/online-shop/p/peripheral-vascular-lower-extremity-interventions-coding-and-compliance-essentials-1 and use code VASC15 at checkout for a discount on the upcoming Peripheral Vascular Lower Extremity Interventions: Coding and Compliance Essentials Event!There’s a phrase in compliance that should make every practice pause:“We’ve always done it this way.”In this episode of Auditing Antics, Stephanie and Michele unpack one of the most dangerous patterns in healthcare billing — the normalization of deviance. A coding practice that started small. A billing habit no one questioned. Claims that paid for years without issue. Until one denial. One probe. One data review changed everything.We walk through how long-standing habits become compliance blind spots, why teams genuinely believe they’re doing it right, and how the math of recoupments can unravel years of “routine” billing in a matter of months.Because payment history is not proof of compliance.And comfort is not a compliance strategy.If you’ve ever heard “but it’s always paid,” this episode is for you.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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 Etsy shop here! https://sallardconsulting.etsy.com

Most audits don’t start with a complaint.They start with a pattern.Long before a human reviewer opens a chart, payer analytics are scanning utilization trends, benchmarking providers against peers, and flagging statistical outliers. Sudden shifts in coding levels. High-frequency services. Modifier usage patterns. Even documentation that looks too consistent.In this episode of Auditing Antics, Stephanie and Michele break down how data science drives audit selection and why many providers are flagged without ever realizing their billing trends stand out. We’ll talk about outlier patterns, utilization spikes, and the quiet metrics payers monitor behind the scenes.Because in today’s compliance environment, you’re not just being reviewed by auditors. You’re being watched by the numbers. If you’ve ever thought an audit felt random . This episode will change how you look at your data.Reach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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 Etsy shop here! https://sallardconsulting.etsy.com

Physicians document to reflect clinical care. Auditors review to validate compliance and billing accuracy. Same chart with a completely different lens.In this episode of Auditing Antics, we break down the mindset gap between providers and medical coding auditors. Why does something that feels clinically obvious sometimes fail an audit? Why does intent not always translate to compliant documentation? And what are auditors actually trained to look for that providers may not realize?We’ll explore how clinical thinking and compliance thinking intersect, and where they often disconnect, plus practical ways to bridge that gap. In compliance, it is not about questioning care but instead discussing what the record supports.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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 Etsy shop here! https://sallardconsulting.etsy.com

Burnout impacts morale and accuracy.In this episode of Auditing Antics, Stephanie and Michele unpack how exhaustion, staffing strain, and constant regulatory shifts quietly increase compliance risk. When teams are stretched thin coding patterns may change. Small oversights turn into denials, downcoding, or audit findings.We’re connecting the dots between human fatigue and operational exposure because compliance mistakes can happen when energy is depleted and teams are struggling to focus.Reach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

Find the Medical Coding Workroom Here!https://www.stephanieallardconsulting.com/medical-coding-workroom-1Find the Membership (that includes the Medical Coding Workroom) Here! Use code AUDITINGANTICS26 for a 26% discounthttps://www.stephanieallardconsulting.com/membershipGot coding questions you’ve been sitting on because the answer isn’t quite clear? This live Auditing Antics Q&A is where real-world healthcare coding and billing questions get real-time, audit-focused answers. We’re breaking down E/M leveling, documentation defensibility, payer downcoding, modifier misuse, and high-risk billing patterns before they turn into denials, takebacks, or audit findings.

What happens when a vaccine visit ends with education, but no immunization is administered? In this episode, we break down when immunization counseling may be reportable, what documentation is required, and the audit risks when vaccines are refused or deferred. Join us to learn about the new 2026 vaccine counseling codes.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-podcast⁠View 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-shop⁠View our Etsy shop here!⁠https://sallardconsulting.etsy.com⁠

Automatic E/M downcoding has become an increasingly common, and often unquestioned, practice in payer reviews and internal audits. In this episode of Auditing Antics, we break down what automatic downcoding is, why it happens, and when it crosses the line from compliance review into improper reimbursement reduction. We discuss how payers apply internal “rules” that override documented medical decision-making, the compliance risks this creates for providers, and how organizations can identify, challenge, and defend against inappropriate downcoding. If you’ve ever seen well-supported E/M services reduced without explanation, this episode will help you understand what’s happening and what to do next.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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

Remote Patient Monitoring is often marketed as easy, hands-off revenue, but that mindset is exactly why RPM programs fail audits. In this episode of Auditing Antics, we explain why RPM is not passive income, what active provider involvement and documentation are required, and how treating RPM like an automated service can lead to denials, recoupments, and compliance risk.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

This episode explores a common misconception in healthcare documentation: using words or phrases from the E/M guidelines does not automatically support a higher level of complexity or risk. We discuss why documentation must reflect the actual medical decision-making, patient condition, and care provided, and offer practical guidance for creating notes that align with compliance and coding standards.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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

In this episode, Skin Substitutes 2026: CMS Coverage vs Payment, we break down the growing confusion surrounding CMS’s decision to withdraw the Final Local Coverage Determinations for skin substitutes and what that decision does, and does not, mean for providers. With many assuming the LCD withdrawal delays or stops upcoming reimbursement changes, we separate fact from fiction and explain why that assumption creates real compliance and financial risk.Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

‘Tis the season for reflection—and preparation! In this special holiday episode of Auditing Antics, “Audit Under the Mistletoe: 2025 Wrap-Up & 2026 Prep,” we cozy up with a review of the year’s key coding and compliance insights and set the stage for a successful 2026. Whether you’re a coder, auditor, or compliance professional, this episode will help you end the year informed, inspired, and ready to tackle 2026 with confidence—no mistletoe mishaps required!#AuditingAntics #MedicalCoding #HealthcareCompliance #AuditPlanning #TPE #RevenueCycle #CodingUpdates #2026Audits #HolidayWrapUp #ComplianceTips #HealthcareAudits #CodingLife #AuditReady #MedicareCompliance #HIPAA #RiskManagement #CodingCompliance #AuditSeason #HealthcareRevenue #RevenueIntegrity #MedicalAudit #ComplianceMatters #CodingExcellence #HealthcareUpdates #AuditInsights #MedicalBilling #ComplianceStrategy #YearEndReview #NextYearPrep #AuditChecklist #HolidayCompliance #PodcastForCoders #HealthcarePodcast #MedicalCodingPodcast #CompliancePodcast #RevenueCyclePodcast #AuditPodcast #MedicareAudit #HealthcareLeadership #MedicalCompliance #CodingCommunity #HealthcareProfessionals #AuditTalk

Join us on Auditing Antics as we break down the world of Evaluation & Management (E/M) services, one data element at a time. In this episode, we’ll analyze key data elements, uncover common documentation pitfalls, and explore how accurate coding drives compliance and revenue integrity. Perfect for auditors, coders, and compliance pros looking to sharpen their skills with real-world insights and practical tips.#AuditingAntics #EMData #DataAnalyzed #MedicalCoding #HealthcareCompliance #RevenueIntegrity #AuditLife #CodingAudit #EMServices #EvaluationAndManagement #HealthcareAuditing #DocumentationMatters #CodingCompliance #RevenueCycle #AuditInsights #MedicalAuditing #DataDriven #AuditEducation #HealthcareData #CodingTips #ComplianceTips #AuditTips #EandMServices #AuditDeepDive #CodingLife #AuditAnalytics #HealthcareCoding #MedicalRevenue #ComplianceAudit #ChartReview #EMCoding #AuditEducation #HealthcareAudit #RevenueCycleManagement #DataDissected #CodingExcellence #AuditCommunity #MedicalDocumentation #AuditReview #HealthcareInsights #RevenueIntegrityMattersReach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

In this special Thanksgiving episode, Stephanie and Michele take a heartfelt pause to reflect on the people and moments that make the world of medical coding and compliance something to truly be thankful for. From supportive teams and passionate educators to the coders and auditors who keep healthcare running smoothly, this conversation is all about gratitude, connection, and community.#AuditingAntics #ThankfulAndCompliant #ThanksgivingEpisode #MedicalCoding #HealthcareCompliance #CodingCommunity #ComplianceProfessionals #HealthcareAuditing #MedicalAuditing #RevenueIntegrity #DocumentationMatters #ComplianceTalk #CodingEducation #HealthcarePodcast #CoderLife #BillingAndCoding #ComplianceMatters #ComplianceTips #HealthcareLeaders #ComplianceCulture #HealthcareRevenueCycle #GratefulCoders #ComplianceCommunity #CodingProfessionals #HealthcareIndustry #ProfessionalGrowth #ComplianceEducation #HealthcareHeroes #MedicalBilling #ContinuousLearning #GratitudeInHealthcare #ComplianceAwareness #ComplianceLifeReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

In this episode, Stephanie and Michele tackle your most pressing medical coding and compliance questions in real time! From tricky documentation scenarios to evolving regulatory updates, they’re diving into what’s keeping coders and compliance pros up at night. Tune in for practical insights, real-world examples, and a few laughs along the way.#AuditingAntics #MedicalCoding #ComplianceTalk #HealthcareCompliance #CodingEducation #AskUsAnything #LiveQandA #HealthcareAuditing #MedicalAuditing #CodingCommunity #ComplianceTips #HealthcareRegulations #DocumentationMatters #CodingLife #ComplianceProfessionals #HealthcarePodcast #CoderLife #BillingAndCoding #RevenueIntegrity #ComplianceEducation #Podcast #StephanieAllardConsulting #AuditingAnticsPodcastReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

Join us with special guest Yoelvis Reyes, CPC, CRC, for an inspiring discussion exploring the evolving world of medical coding where English and Spanish-speaking professionals come together to share insights, opportunities, and challenges shaping the future of our field. We’ll dive into AI’s impact on coding, the growing demand for bilingual talent, key traits employers seek, and how education in Spanish can open new doors in healthcare. Whether you're a seasoned coder or just starting out, this conversation will help you see how to stand out, grow, and thrive in a changing industry.Check out Codingforhealth and Yoelvis here!https://codingforhealth.com/home#MedicalCoding #HealthcareCompliance #BilingualCoding #CodingCareers #HealthcareProfessionals #AIinHealthcare #MedicalBilling #HealthInformationManagement #FutureOfCoding #BilingualProfessionals #RemoteCoding #CodingEducation #HealthTech #FutureOfHealthcare

In this episode of Auditing Antics, Stephanie sits down with Ron Chapman II, one of the nation’s top federal healthcare defense attorneys, to unpack the growing wave of UPIC audits and investigations in wound care—especially those involving skin grafts and cellular/tissue-based products. A former prosecutor and U.S. Marine Corps Judge Advocate, Ron brings a powerful dual perspective on how enforcement actions take shape and what providers can do to stay protected. Together Stephanie and Ron will explore recent audits they are collaborating on and identify the fine line between medical necessity and overutilization, how documentation can make or break a case, and what recent UPIC trends reveal about the government’s next moves in wound care.Federal Criminal Defense Attorney Ronald W. Chapman IIhttps://ronaldwchapman.com/Safe Harbor Grouphttps://safehg.com/#AuditingAnticsPodcast #Podcast #WoundCareAudits #UPIC #UPICAudits #HealthcareCompliance #MedicalAuditing #AuditReadiness #HealthcareLaw #HealthLaw #ComplianceMatters #MedicalCoding #MedicalBilling #RevenueIntegrity #SkinGrafts #CellularTherapies #CTPs #WoundManagement #HealthcareInvestigations #OIG #CMSAudits #ProgramIntegrity #FraudWasteAbuse #ComplianceLeadership #HealthcareRisk #ProviderEducation #LegalInsights #HealthcareDefense #AuditTrends #WoundCareCompliance #AuditStrategy

Gather around the (virtual) campfire as we share real-life “horror stories” from coding audits gone wrong! From missing modifiers to documentation disasters. Learn how to turn these coding nightmares into compliance success stories.#MedicalCoding #AuditHorrorStories #HalloweenSpecial #CodingCompliance #MedCoderLife #MedicalAuditing #RevenueIntegrity #HealthcareCompliance #CodingEducation #HealthcarePodcast #ComplianceCommunity #RevenueCycle #MedicalBilling #CodingAudit #CPTCoding #ICD10 #ComplianceTips #HIMProfessionals #HealthcareHumor #SpookySeason #CodingLife #AuditorLife #HealthcareLeadership #ComplianceAwareness #DocumentationMatters #Podcast #AuditingAntics #StephanieAllardConsultingReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

In this episode, we unpack how a federal government shutdown could affect Medicare telehealth services—from delays in policy updates and payment processing to disruptions in provider support and patient access. We’ll explore what providers and beneficiaries should know, how to stay compliant during uncertainty, and what safeguards may (or may not) be in place to keep telehealth running. Tune in for practical insights on navigating healthcare operations when Washington goes dark.#Medicare #Telehealth #GovernmentShutdown #HealthcarePolicy #MedicalBilling #Compliance #HealthIT #MedicareAdvantage #HealthcareReform #HealthLaw #CodingCompliance #HealthcareLeadership #RevenueCycle #HealthEquity #MedicalCoding #MedicalCoder #MedicalAuditing #AuditingAntics #Podcast #StephanieAllardConsultingReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

In this eye-opening episode of Auditing Antics podcast, we turn the spotlight on you the auditor and coder. What risks come with reviewing others’ work, and how can you avoid becoming part of the compliance problem yourself? We’ll explore real-world scenarios where professional judgment, documentation, and ethical lines blur and share practical steps to protect your license, credibility, and career.#AuditingAntics #MedicalAuditing #ComplianceRisk #HealthcareCompliance #MedicalCoding #AuditorLife #RiskManagement #RevenueIntegrity #HealthcareEthics #AuditEducation #ComplianceAwareness #HealthcareLeadership #HealthcareRegulations #AuditCulture #DocumentationMatters #ProfessionalIntegrity #ComplianceJourney #MedicalAuditor #HealthcareFraudPrevention #Podcast #StephanieAllardConsultingReach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

Join us as we discuss the essentials of ICD-10-CM diagnosis coding, common documentation pitfalls, and the compliance red flags every auditor, coder, and compliance professional should recognize. Whether you’re coding for accuracy or auditing for integrity, this episode delivers real-world insight with compliance clarity.#AuditingAntics #ICD10CM #MedicalCoding #CodingCompliance #HealthcareAuditing #CompliancePodcast #HealthcareCompliance #ClinicalDocumentation #DiagnosisCoding #MedicalAuditors #AHIMA #AAPC #RevenueIntegrity #HealthcareEducation #ComplianceMatters #MedicalBilling #AuditFindings #HealthcareProfessionals #CodingAccuracy #DocumentationMatters #CodingLife #ComplianceCorner #CodeTalk #HealthcarePodcasts #AuditorInsights #StephanieAllardConsultingReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

Link to On-Demand Telehealth Event:https://www.stephanieallardconsulting.com/online-shop/p/the-future-is-now-2025-the-next-era-of-telehealth-compliance-and-codingStarting October 1, 2025, both Aetna and Cigna are set to implement automatic downcoding policies for evaluation and management (E/M) services, without even reviewing clinical documentation. In this episode of Auditing Antics, we break down what this means for providers, the compliance and reimbursement risks ahead, and how you can prepare to push back. Join us as we discuss the implications of payers playing doctor and the ripple effects for coding integrity, audits, and ultimately patient care.#EMServices #EMAuditing #MedicalCoding #CodingUpdates #CodingChanges #HealthcareCoding #HealthcareAuditing #RevenueCycle #ComplianceMatters #CodingCompliance #PayerPolicy #InsuranceChanges #DowncodingDebate #ProviderAdvocacy #ProtectProviders #FairReimbursement #CodingIntegrity #PayerWatch #HealthcareEquity #HealthcareNews #HealthcarePolicy #HealthSystem #MedicalNews #PracticeManagement #ProviderSupport #DocumentationMatters #CodingCommunity #AuditorLifeReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

In this episode of Auditing Antics, we dive into the latest CMS updates for E/M services, effective Sept 2025. We will break down the changes you need to know to stay compliant and optimize coding accuracy. Perfect for auditors, coders, and compliance professionals looking for a clear, practical guide.#MedicalCoding #EMUpdates #CMS2025 #HealthcareCompliance #AuditingAntics #Telehealth #CriticalCareBilling #HealthcareAuditing #EMservices #MedicalAudit #RevenueCycle #CPTCoding #Podcast #StephanieAllardConsultingReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

The global surgical package can be tricky. Trying to figure out what is included, what’s not, and how to code it right. In this episode, we clear up the confusion with practical tips to help stay compliant!#MedicalCoding #BillingCompliance #GlobalSurgicalPackage #HealthcareBilling #CodingTips #RevenueCycle #MedicalBilling #Medical #Healthcare #Compliance #HealthccareCompliance #MedicalAuditing #RemoteWork #Podcast #StephanieAllardConsulting #AuditingAnticsPodcastReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopView our Etsy shop here!https://sallardconsulting.etsy.com

It’s time for your questions to take the spotlight! In this Q&A session, we’re diving into the everyday challenges medical coders, billers, and compliance professionals face. From gray areas in documentation to tricky billing scenarios and compliance red flags, we’ll tackle it all with practical strategies and clear guidance. Tune in for straightforward answers that can help you avoid denials, reduce audit risk, and strengthen your coding confidence.🚀 Don’t miss this opportunity to stay ahead in telehealth!1.5 CEU's for AAPC, AHIMA, QPro, PMI, BMSC CEU's📌Register now:https://www.eventbrite.com/e/the-future-is-now-2025-the-next-era-of-telehealth-compliance-and-coding-tickets-1622301299859?utm-campaign=social&utm-content=attendeeshare&utm-medium=discovery&utm-term=listing&utm-source=cp&aff=ebdsshcopyurl#MedicalCoding #ComplianceTalk #HealthcareAuditing #RevenueCycle #CodingTips #ComplianceMatters #HealthcarePodcast #AskTheAuditor #MedicalBilling #HealthcareCompliance #StephanieAllardConsulting #AuditingAnticsPodcast

In this episode, we shine a light on one of the most common—and costly—mistakes in medical coding: making assumptions. Whether it’s inferring a diagnosis, assuming laterality, or “filling in the blanks” when documentation is unclear, assumption-based coding opens the door to compliance risks, denials, and even audit findings.#MedicalCoding #RevenueCycle #Compliance #MedicalBilling #HealthcareCompliance #CodingEducation #AuditReady #DocumentationMatters #RevenueIntegrity #HealthcareFinance #CoderLife #DenialManagement #HealthLaw #CodingTips #ICD10 #CPTCoding #StephanieAllardConsulting #AuditingAnticsPodcastReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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

Timely provider signatures aren’t just a formality—they’re the green light for revenue flow. Learn how late or missing sign-offs can cost your organization, and strategies to keep documentation on schedule.#MedicalCoding #HealthcareCompliance #MedicalAuditing #CMS #Documentation #AuditReady #MedicareCompliance #CodingEducation #HealthcarePodcast #AuditingAntics #ChartAudits #MedicalNecessity #ComplianceMatters #Healthcare #Medical #RevenueIntegrity #ClinicalDocumentation #MedicalCoderReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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-shopEtsy shop for coding/compliance merch! https://sallardconsulting.etsy.com

In this episode of Auditing Antics, we dive into the growing concerns surrounding the use of templates in documentation and how CMS views their impact on medical necessity, specificity, and over-documentation. Understanding the risks of cloned or boilerplate notes is critical to protecting your organization from denials or recoupments.🩺✨ We are excited to announce our new merchandise collection, designed specifically for those of us in the medical coding, billing, auditing, education, and compliance industry!Our collection features mugs, apparel, stickers, and more — each thoughtfully created to reflect your dedication and to bring some fun to your work every day. Whether you’re looking to add a touch of personality to your workspace or share your passion for accuracy and compliance, these items are a perfect fit.💫 Explore the collection here!https://sallardconsulting.etsy.com#MedicalCoding #HealthcareCompliance #MedicalAuditing #CMSCompliance #Documentation #TemplateRisks #ClonedNotes #CopyPaste #AuditReady #MedicareCompliance #CodingEducation #HealthcarePodcast #AuditingAntics #ChartAudits #MedicalNecessity #ComplianceMatters #Healthcare #Medical #RevenueIntegrity #ClinicalDocumentation #MedicalCoderReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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

When you're an in-network provider, charging for administrative tasks could violate your payer agreement. We dig into real-world examples and offer practical tips to navigate this growing gray area without triggering compliance issues.#MedicalBilling #HealthcareCompliance #RevenueCycle #MedicalCoding #AuditReady #AdminFees #InNetworkProviders #PayerContracts #HealthcareLaw #AuditingAntics #BillingCompliance #PracticeManagement #MedicalAuditing #HealthLaw #ComplianceMatters #StephanieAllardConsultingReach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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

When your medical practice is facing an external investigation, preparation and understanding are your best defense. In this episode with Sean Weiss and Eric Rubenstein, we will break down how to navigate the complex process of medical coding and billing investigations whether prompted by the government, a commercial payer or a whistleblower complaint. Tune in for practical tips and expert insight that every compliance officer, coder, auditor and healthcare leader should know.Reach Out For Compliance Help Now!https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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

During this episode we will be joined by special guest Scott Kraft and dive into the real-world challenges of working with providers who are overwhelmed, frustrated, and sometimes resistant when it comes to coding and compliance. We will explore the reasons behind pushback, the impact of burnout, and how to bridge the gap between clinical care and regulatory requirements.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-podcast⁠⁠View 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

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 #StephanieAllardConsultingLLCReach 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-podcast⁠View 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

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-podcastView 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

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/Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contactSign 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-podcastView 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

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/contactSign 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-podcastView 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

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/contact⁠Sign 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-podcast⁠View 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

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/contactSign 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-podcastView 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