Auditing Antics: Navigating Medical Coding and Auditing

PODCAST · health

Auditing Antics: Navigating Medical Coding and Auditing

Stephanie Allard, CPC, CEMA, RHIT has 20 years of experience in the medical industry and knows the complexities that the professional world is facing on a daily basis. She also knows the lack of public education about our healthcare industry in the United States which contributes to the inability for patients to advocate for themselves. Her Auditing Antics Podcast will explore the healthcare industry from the viewpoint of a medical coder, medical auditor and the patient perspective as a consumer. This series will provide insight to various services in the medical/dental industry and help you n

  1. 60

    The Compliance Risk of Billing Under the Wrong Provider

    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.

  2. 59

    Telehealth Q&A: What You’re Still Getting Wrong in 2026

    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.

  3. 58

    The Mental Load and Stress of Medical Coding, Billing, and Compliance

    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

  4. 57

    Questions Every Practice Should Ask About Their Risk Adjustment Process

    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

  5. 56

    Are You Ready for the UnitedHealthcare Radiology Change Effective April 1, 2026?

    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

  6. 55

    Taking Coding Skills to the Next Level Through Auditing

    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

  7. 54

    Spravato® Workflow: What Actually Has to Happen Clinical vs Billing

    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

  8. 53

    It Paid for Years… Until It Didn’t

    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

  9. 52

    The Algorithm Already Saw You: Audit Triggers Hidden in Your Data

    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

  10. 51

    Physician vs. Medical Coding Auditor: Different Minds, Same Medical Record

    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

  11. 50

    From Burnout to Billing Errors: Protecting Performance Under Pressure

    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

  12. 49

    Auditing Antics Q&A: Real-Time Healthcare Coding & Billing Answers

    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.

  13. 48

    No Vaccine Given, Still Billable? Immunization Counseling Explained

    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

  14. 47

    E/M Levels Under Fire: The Rise of Automatic Downcoding

    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

  15. 46

    Why Remote Patient Monitoring (RPM) Fails When Treated as Passive Income

    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

  16. 45

    Why E/M Phrases Do Not Automatically Support Risk

    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

  17. 44

    Skin Substitutes 2026: CMS Coverage vs Payment

    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

  18. 43

    Audit Under the Mistletoe: 2025 Wrap-Up & 2026 Prep

    ‘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

  19. 42

    Behind the Charts: E/M Data Analyzed

    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

  20. 41

    Thankful & Compliant: Gratitude in Healthcare Coding

    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

  21. 40

    Let’s Talk Compliance: Live Q&A with Stephanie and Michele

    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

  22. 39

    Coding the Future: Bridging English and Spanish in Healthcare

    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

  23. 38

    When Healing Meets Scrutiny: UPIC Enforcement in Skin Substitutes

    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

  24. 37

    Coding Nightmares: The Scariest Audit Findings

    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

  25. 36

    Policy on Pause - Navigating Medicare Telehealth During a Federal Shutdown

    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

  26. 35

    Mitigating Personal & Professional Risk in Healthcare Compliance and Medical Coding

    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

  27. 34

    Auditing Antics Podcast: Diagnosing the Risk – ICD-10-CM, HCCs, and Compliance Crossroads

    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

  28. 33

    Auditing Antics Podcast: No Chart Review, Just Downcode: What Providers Need to Know

    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

  29. 32

    CMS E/M Updates September 2025 Explained

    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

  30. 31

    Cut Through the Confusion: Global Package Explained

    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

  31. 30

    Straight Talk on Coding & Compliance: Q&A Edition

    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

  32. 29

    The Assumption Pitfall: When Coders Read Between the Lines

    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

  33. 28

    E-Signature to Earnings: How Timely Sign-Offs Protect Revenue

    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

  34. 27

    Copy, Paste, Deny: When Templates Go Too Far

    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

  35. 26

    Contracted but Charged: Are Your Administrative Fees to Patients Breaking the Rules?

    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

  36. 25

    From Denials to Defense: Surviving Medical Coding Investigations

    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

  37. 24

    Compliance Fatigue: Why Providers Push Back (And What to Do)

    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

  38. 23

    Skin in the Game: Medicare’s Move to Stop Pricing Abuse

    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

  39. 22

    Your First Line of Defense: Internal Coding and Billing Audits

    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

  40. 21

    What’s Hiding in Your HCCs? Why RADV Audits Matter More Than You Think

    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

  41. 20

    Under the Microscope: Risk Adjustment and the Rising Tide of Audits

    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

  42. 19

    What Does It Mean to Train and Mentor Medical Coders, Auditors and Billers?

    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

  43. 18

    Reimbursing Intelligence: Navigating Coding Compliance for Healthcare Tech

    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

  44. 17

    Live Medical Coding, Billing and Compliance Q&A's with Industry Experts

    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/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-shop

  45. 16

    From Accuracy to Anxiety: Exploring Mental Health Among Medical Coding & Billing Professionals

    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-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

  46. 15

    Behind the Guidelines: Making Policies Work

    During this episode we will discuss what it takes to turn written policies into impactful action. Join us as we review strategies to make policies work not just on paper in a binder on a shelf, but in actionable practice.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

  47. 14

    Creation of Compliance Policies Through Cross-Department Collaboration

    In this episode we will explore the different departments, leaders and employees within a small and large organizations that need to come together for the creation of policies. Join us as we identify how key departments and leaders can collaborate effectively to create clear, actionable, and sustainable policies and procedures. 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

  48. 13

    From Policy to Practice: Creating Internal Policies for Compliance Success

    Join us for the first episode in a series related to medical documentation and coding policies and the role they play within a compliance program as a whole and to offer structure for consistency and adherence to guidelines. Creating policies is not just about checking a box to say it is present and complete. Instead, it is about building a strong foundation for compliance and organizational integrity.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

  49. 12

    Critical Decisions: A Compliance Deep Dive Into Coding Critical Care Services

    Coding for critical care services is not dictated based on diagnosis, practitioner specialty and/or the setting/unit where the patient is seen. So what supports compliant documentation for billing of critical care services? Join us during this episode as we dive into the coding guidelines and discuss common struggles we face when coding, auditing and educating in this specialty. Sign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/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

  50. 11

    Telehealth Services: Care Beyond the Clinic

    With the Recent Extension What Does Telehealth Look Like Through September of 2025? While 5 months seems like a long time, developing a contingency plan now will allow your practice to quickly pivot if the regulatory environment should change after the extension period expires. Stay informed!Download the FREE telehealth guide on our homepage at ⁠https://www.stephanieallardconsulting.com/⁠Sign up for our updates and the latest compliance news here!https://www.stephanieallardconsulting.com/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

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ABOUT THIS SHOW

Stephanie Allard, CPC, CEMA, RHIT has 20 years of experience in the medical industry and knows the complexities that the professional world is facing on a daily basis. She also knows the lack of public education about our healthcare industry in the United States which contributes to the inability for patients to advocate for themselves. Her Auditing Antics Podcast will explore the healthcare industry from the viewpoint of a medical coder, medical auditor and the patient perspective as a consumer. This series will provide insight to various services in the medical/dental industry and help you n

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Stephanie Allard Consulting, LLC

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