Auditing Antics: Navigating Medical Coding and Auditing

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/contact

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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 #StephanieAllardConsulting

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-podcast

View 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

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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:

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Starting 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.

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#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