EPISODE #17

Whistleblowing, Rehabilitation, and Coffee with Paula Digby

Paula has greater than 29 years’ experience in healthcare, which includes; medical office and health information management; billing & coding supervision and process design and implementation for multiple types of healthcare providers, such as inpatient and outpatient hospital departments, inpatient rehabilitation facilities, physician’s practices and ambulatory surgery centers.  Her expertise includes performance of compliance and revenue integrity audits; medical records documentation improvement reviews; ICD-10 documentation gap analysis; education and training regarding various compliance, revenue cycle, billing and coding topics to all levels of staff including physicians; assistance and creation of clinical documentation improvement programs; litigation investigative support; and, research for biomedical and medical device companies.  Paula is and invited speaker for multiple providers and national organizations.  She has functioned as: an expert witness; a member of an independent review organization for facilities under corporate integrity agreements; and, assisted the federal government (Department of Justice) and state level Medicaid in coding, documentation and billing issues for Medicare and Medicaid legislative compliance in multiple legal cases.  Paula has worked with legal counsel for multiple provider types and her work has proven to mitigate circumstances and provide case support for providers.

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