Auditing Antics: Navigating Medical Coding and Auditing

Auditing Antics: Navigating Medical Coding and Auditing

By Stephanie Allard Consulting, LLCHealth & Fitness
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Auditing Antics: Navigating Medical Coding and Auditing episodes

  • 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-shop


    Etsy shop for coding/compliance merch!

    https://sallardconsulting.etsy.com

    31 min
  • 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

    31 min
  • 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

    43 min
  • 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/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

    1 hr 3 min
  • 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-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


    42 min
  • 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 #StephanieAllardConsultingLLC

    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

    39 min
  • 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-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

    38 min
  • 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/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

    1 hr 1 min
  • 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/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

    30 min
  • 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/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

    41 min

About Auditing Antics: Navigating Medical Coding and Auditing

From the publisher's feed

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…

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