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EPISODE #17

3/19/2018

1 Comment

 
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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.


Show Notes

  •  Department of Justice
  • Medicaid Antifraud Control Unit
  • Que Tam (Whistleblowing)
  • IRF PAI (not EARTH PIE)
  • Inpatient Rehabilitation Prospective Payment System (includes info on CMG)
  • Uniform Data System
  • IRVEN
  • eRehabData 
  • Rehabilitation Coding Certification (IRF-Revenue Integrity Specialist (IRF-RIS))
  • Inpatient Rehabilitation Bootcamps (IRF Pro Labs Workshops)
  • 60 percent rule
  • AQ Consulting, LLC 
  • AQ-IQ
  • Coffee with the Coder  (every other Monday at 10:10am EST)
  • Paula Digby on LinkedIn
  • Upcoming Events
    • IRF PRO LABS April 25-27, 2018 in Berwyn, Illinois
    • IRF PRO LABS May 2-4, 2018 in Memphis, Tennessee 
  • AQ-IQ bookshop (use PROMO CODE: GEEK for special pricing)

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1 Comment
Oxnard Home Theater link
8/15/2022 08:42:30 am

Hello mate great blog ppost

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