Billing and Coding Documentation Rules and the Importance of Compliance - HBMA Store

Billing and Coding Documentation Rules and the Importance of Compliance Presented by Angela Miller, BBA, CHC, CMC, CDC, CDBS

This Presentation is sponsored by

Webinar Level: Intermediate
Webinar Live Date: November 18th, 2022
This program is valid for 1 CHBME credit.

Description:
We will discuss the various unacceptable billing issues that are found by the government.  We will discuss the critical importance of documentation to support what was billing.  We will discuss laws in more details and how the penalties add up. 

Webinar Objectives:

• Identify areas of risk of errors, the laws that can be violated, and the keys to documentation and matching that to billing.
• Be able to discuss the meaning of the laws as well as penalties that can be associated with errors.

Speaker Bio:
Angela Miller, BBA, CHC, CMC, CDC, CDBS, of Medical Auditing Solutions in Dallas, TX is a 25+ year Healthcare Consultant who is certified in healthcare compliance, medical coding, and dental coding.  As a healthcare compliance and billing expert, she works with hospitals, physician practices, dentists, mental health, DME suppliers and various other healthcare providers.  She is experienced in OIG Compliance programs, HIPAA requirements, billing and coding issues, process improvement, accreditation, payer audits and defense audits, and investigations.  Angela has extensive experience with Medicare, Medicaid, and Commercial Plans.  She is very experienced with assessment systems and identifying problems that cause cash flow problems as well as identifying gaps in claims processing internally.  Angela prepares all projects as though they are for a defense case.  She understands the needs of attorneys for their clients and when a client needs legal counsel to better support their business.

Angela creates and provides Regulatory compliance programs, policies, training related to management,  billing, coding and cash flow & collections analysis.  She is experienced in private and government audits and investigations, self disclosures and internal investigations and understands the importance of being proactive based on her experience.

Angela spent 12 years in corporate compliance with a durable medical equipment (DME) supplier.  She rose from billing to compliance and for the final five years, served as the Compliance Officer for a large US DME company.  Angela, with support of the executive team, improved cash flow by working closely with staff; provided specifically tailored training which ensured faster cash turnaround; and reduced audits and overpayments. 

In January 2005, she started the company to work with healthcare providers in the same areas with about 80% of clients being defense cases, meaning a payer or government post payment audit/investigation.  It is important to her to see providers be successful and this industry is difficult to really have successful and timely billing and collections.