For the first time on the Auditing Antics Podcast, Michele Strickland and Stephanie Allard are recording live and together in person!

In this episode, Michele and Stephanie break down the biggest highlights from the CY 2027 Medicare Physician Fee Schedule Proposed Rule and talk through what these proposals could actually mean for healthcare organizations and physician practices. From the proposed Modifier 25 payment reduction and changes to G2211, to new ACO incentives, remote patient monitoring requirements, telehealth updates, MIPS changes, and continued pressure on physician reimbursement, there is a lot for practices to pay attention to.

As always, they go beyond simply reading the rule and discuss the real world impact on coding, compliance, reimbursement, and practice workflows.

And this episode is a little more fun because after all of their remote podcast recordings, Michele and Stephanie are finally sitting across from each other recording Auditing Antics together in person!

https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2027-ipps-final-rule-home-page

AI is rapidly becoming part of healthcare operations, but implementing the technology is only the beginning. How do organizations know their AI tools are secure, accurate, compliant, and continuing to perform as intended?In this episode of Auditing Antics, we’re joined by Bennett Borden, Founder and CEO of Clarion AI Partners, to discuss the use, implementation, governance, and ongoing monitoring of AI in healthcare. Bennett brings a unique background spanning service with the CIA and U.S. Intelligence, law, data science, and AI governance.We’ll discuss what healthcare organizations should consider before implementing AI, why human oversight and ongoing monitoring matter, and how to make sure AI innovation doesn’t create new compliance and security risks.🔗 Click here to learn more about Bennett and Clarion AI Partnershttps://clarionai.com/

Auditing Antics is now on Patreon! Check out the membership here!

https://www.patreon.com/cw/AuditingAnticsPodcast

Coding is evolving, and so is the role of coders and auditors. As AI and automation take over more routine coding tasks, the real value comes from understanding the regulations, payer policies, CMS guidance, and compliance principles behind every code. In this episode of Auditing Antics, we're discussing why compliance knowledge and critical thinking are becoming the most valuable skills in healthcare coding and auditing.

Coders are the last line of defense before a claim is submitted, yet audit after audit continues to reveal fundamental coding and documentation errors that should have been identified long before billing. In this episode of Auditing Antics, we're discussing why coding quality appears to be slipping and the growing impact it's having on compliance, reimbursement, and audit risk. We'll explore how inadequate training, production pressures, overreliance on technology, and limited quality oversight are contributing to these issues, while reinforcing that coders have a professional responsibility to recognize documentation deficiencies, apply coding guidelines correctly, and question records that do not support the codes being assigned. Coding is more than selecting codes from a note. It requires critical thinking, regulatory knowledge, and accountability. Join us as we discuss the trends we're seeing in real-world audits, why these mistakes continue to occur, and what organizations can do to strengthen coding quality before payers and auditors find the errors first.#AuditingAntics #MedicalCoding #CodingQuality #MedicalAudits #HealthcareCompliance #CodingEducation #MedicalBilling #ClinicalDocumentation #RevenueCycle #DocumentationIntegrity #ComplianceMatters #HealthcareLeadership #RiskManagement #ProviderEducation #HealthcarePodcast

Join us for an E/M Q&A on Documentation, MDM, and Time as we answer some of the most common questions providers, coders, billers, and compliance professionals face. From selecting the correct E/M level to understanding medical decision making requirements and time-based billing rules, we'll break down real-world scenarios, audit risks, and documentation tips to help you improve compliance and coding accuracy. #EMCoding #EvaluationAndManagement #MedicalCoding #HealthcareCompliance #MedicalAuditing #CodingAudit #AuditReady #MedicalDocumentation #MDM #HealthcareBilling #RevenueCycleManagement #HealthcareConsulting #ProviderEducation #CodingEducation #HealthcareAdministration #RiskManagement #AuditingAntics #CodingCommunity #MedicalCoder #ComplianceMatters

Summer can be one of the busiest times of year for healthcare coding, billing, auditing, and compliance professionals, making it easy to overlook the signs of burnout. In this episode of Auditing Antics, Stephanie and Michele discuss the realities of summer burnout in healthcare compliance and share affordable, practical ways to recharge without spending thousands on a vacation. From staycations and local adventures to setting boundaries, unplugging from work, and making time for yourself, we'll explore how small changes can have a big impact on your well-being, productivity, and long-term career success. #AuditingAntics #HealthcareCompliance #MedicalCoding #MedicalBilling #RevenueCycleManagement #HealthcareAudit #HealthcareConsulting #ComplianceProfessional #HealthcareLeadership #BurnoutPrevention #WorkLifeBalance #RevenueIntegrity #HealthcareOperations #MedicalAuditing #HealthcareEducation #HealthcarePodcast #CodingLife #ComplianceMatters #SummerBurnout #SelfCare

In this episode of Auditing Antics, Stephanie Allard and Michele Strickland discuss one of the most overlooked compliance resources in healthcare, the back of the CMS-1500 claim form. Every claim submitted includes certifications related to medical necessity, supervision, billing accuracy, and regulatory compliance, making it clear that compliance extends far beyond documentation. Join us as we explore how workflow failures involving telehealth, incident-to billing, credentialing, supervision, and revenue cycle processes can create audit risk even when the medical record appears complete, and why true compliance requires both strong documentation and operational controls.#AuditingAntics #HealthcareCompliance #MedicalCoding #MedicalBilling #RevenueCycleManagement #RCM #HealthcareAudit #CodingCompliance #ComplianceOfficer #HealthcareLeadership #PracticeManagement #RevenueIntegrity #DocumentationIntegrity #MedicalNecessity #IncidentToBilling #TelehealthCompliance #ProviderEnrollment #Credentialing #InternalAudit #HealthcareOperations #RiskManagement #ClaimsReview #ClaimsAuditing #MedicareCompliance #MedicaidCompliance #HealthcareConsulting #AuditReadiness #ProviderEducation #MedicalPracticeManagement #HealthcareAdministration #HealthcareRegulations #ComplianceTraining #FraudWasteAndAbuse #MedicalClaims #HealthcarePodcast #StephanieAllard #MicheleStrickland #AuditingAnticsPodcast

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.