Shows
Auditing Antics: Navigating Medical Coding and AuditingAudit Under the Mistletoe: 2025 Wrap-Up & 2026 Prep‘Tis the season for reflection—and preparation! In this special holiday episode of Auditing Antics, “Audit Under the Mistletoe: 2025 Wrap-Up & 2026 Prep,” we cozy up with a review of the year’s key coding and compliance insights and set the stage for a successful 2026. Whether you’re a coder, auditor, or compliance professional, this episode will help you end the year informed, inspired, and ready to tackle 2026 with confidence—no mistletoe mishaps required!#AuditingAntics #MedicalCoding #HealthcareCompliance #AuditPlanning #TPE #RevenueCycle #CodingUpdates #2026Audits #HolidayWrapUp #ComplianceTips #HealthcareAudits #CodingLife #AuditReady #MedicareCompliance #HIPAA #RiskManagement #CodingCompliance #AuditSeason #HealthcareRevenue #RevenueIntegrity #MedicalAudit #ComplianceMatters #CodingExcellence #HealthcareUpdates #AuditInsights #MedicalBilling #ComplianceStrategy #YearEndReview...
2025-12-1745 minAuditing Antics: Navigating Medical Coding and AuditingBehind the Charts: E/M Data AnalyzedJoin us on Auditing Antics as we break down the world of Evaluation & Management (E/M) services, one data element at a time. In this episode, we’ll analyze key data elements, uncover common documentation pitfalls, and explore how accurate coding drives compliance and revenue integrity. Perfect for auditors, coders, and compliance pros looking to sharpen their skills with real-world insights and practical tips.#AuditingAntics #EMData #DataAnalyzed #MedicalCoding #HealthcareCompliance #RevenueIntegrity #AuditLife #CodingAudit #EMServices #EvaluationAndManagement #HealthcareAuditing #DocumentationMatters #CodingCompliance #RevenueCycle #AuditInsights #MedicalAuditing #DataDriven #AuditEducation #HealthcareData #CodingTips #ComplianceTips #AuditTips #EandMServices #AuditDeepDive #CodingLife #AuditAnalytics #HealthcareCoding #MedicalRevenue #ComplianceAudit #ChartReview #EMCoding #AuditEducation #HealthcareAudit #RevenueCycleManagement #DataDissected #Co...
2025-12-0345 minAuditing Antics: Navigating Medical Coding and AuditingCoding Nightmares: The Scariest Audit FindingsGather 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/contactSign up for our updates and the latest compliance news here! https://www.stephanieallardconsulting.com/Find our AUDITING ANTIC...
2025-10-2929 minAuditing Antics: Navigating Medical Coding and AuditingPolicy on Pause - Navigating Medicare Telehealth During a Federal ShutdownIn 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...
2025-10-2231 minAuditing Antics: Navigating Medical Coding and AuditingAuditing Antics Podcast: Diagnosing the Risk – ICD-10-CM, HCCs, and Compliance CrossroadsJoin 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 AU...
2025-10-0831 minAuditing Antics: Navigating Medical Coding and AuditingAuditing Antics Podcast: No Chart Review, Just Downcode: What Providers Need to KnowLink to On-Demand Telehealth Event:https://www.stephanieallardconsulting.com/online-shop/p/the-future-is-now-2025-the-next-era-of-telehealth-compliance-and-codingStarting 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...
2025-10-0140 min
The Coding Compliance PodcastEpisode 11: Surviving a Federal Program Integrity Agreement feat. Jim AnliotJim Anliot, Director of Healthcare Compliance Services at Affiliated Monitors, Inc., features to discuss how best to navigate a federal program integrity agreement. Not only can you prepare yourself for such an unfortunate occurrence, you can prevent it from happening too. Tune in as we discuss what to expect, best practices to adhere to and stumbling blocks to avoid if your organization falls subject to a corporate integrity agreement or program integrity agreement with the OIG.
2022-04-1351 minThe Coding Compliance PodcastEpisode 10: Evaluating Emergency Departments in Your Compliance ProgramSharon Nicka, founder and president of Nicka & Associates, joins the show to discuss the import of evaluating ED’s in your compliance program. Covering hot topics in the emergent care space, the team delves into areas of concern to be mindful of and best practices to avoid compliance pitfalls. Tune in to get the latest and greatest in the coding and compliance world as it relates to emergency medicine.
2021-10-1237 minThe Coding Compliance PodcastEpisode 9 - The Importance of Independent Reviews of Revenue Cycle PlansIndependent reviews of a revenue cycle are crucial to ensuring the financial health of your organization. Whether its looking at your organization’s processes to identify charge capture opportunities, validating coding accuracy, or maintaining compliance with the Department of Justice’s guidelines for compliance plans, independent reviews serve to provide senior leadership with clarity as to the efficiency and success of their revenue cycle teams. Tune in as Ben Colton of ECG Management Consultants joins the guys to offer valuable insights and a meaningful discussion that all revenue cycle managers will want to hear!
2021-06-1839 minThe Coding Compliance PodcastEpisode 8: The Importance of Physician Documentation and How Scribes Can HelpEnsuring compliant coding begins with high-quality documentation. This task need not fall exclusively on the shoulders of the physicians rendering services. Whether it is to supplement existing efforts, assist providers that struggle to document sufficiently, or validate that everything is being captured at the point of care in the medical record, scribes can play a valuable role in optimizing revenue, decreasing denials, and avoiding compliance exposure. Tune into the latest episode of the Coding Compliance Podcast as Cassy Panter and Charlie Coe of ScribeAmerica join the team in exploring the value and import of utilizing scribes to safeguard your providers’ documen...
2021-04-2045 minThe Coding Compliance PodcastEpisode 7: Handling and (Hopefully) Avoiding CMS’s Targeted Probe and Educate Program ft. Teresa MasonCMS’s Targeted Probe and Educate (“TPE”) Program is yet another mechanism to ensure accurate and compliant claims are submitted for reimbursement to Medicare. This episode Teresa Mason of Epstein Becker Green joins the team to delve into what do TPE’s consist of, how to best handle them and which steps can be taken ahead of time to avoid being targeted for a TPE audit. Tune in to make sure you are prepared to avoid or survive a TPE audit.
2021-03-2355 minThe Coding Compliance PodcastEpisode 6: The Dangers of Comingling Outsourced Billing & CodingWhile outsourcing functions of the revenue cycle, often times it can feel convenient and synergistic to have one entity perform both the billing and coding functions. But buyer beware, there are pitfalls to taking this approach. The Coding Compliance Podcast Team explores what to look out for and consider when outsourcing billing and coding helping you avoid unforeseen deficiencies and ensuring you make the most informed decision when selecting the appropriate external support.
2021-03-2329 minThe Coding Compliance PodcastEpisode 5: Remediation – The Importance of an Action Plan Post-AuditWhile auditing coding and documentation is critical to validating your compliance efforts, once you have results that fall short of your established accuracy threshold, remediation is the next step in the process. Figuring out who is subject to remediation, what that consists of and how to validate whether your measures worked are key elements to creating an effective response to deficient coding and documentation. Tune is as the team explores how best to craft a successful remediation strategy.
2020-12-0438 minThe Coding Compliance PodcastEpisode 4: Who Performs Your Compliance Audits and WhenSelecting the right auditing team is critical to getting the feedback your organization needs to improve on any outstanding deficiencies. This holds true whether you’re performing internal or external audits to validate your organization’s coding and documentation efforts. The Coding Compliance Podcast lays out some of the key factors to bear in mind when picking your auditors and setting up an audit schedule to help you get the best compliance program in place.
2020-11-0636 minThe Coding Compliance PodcastEpisode 3: Crafting a Compliance Auditing PlanCrafting a coding compliance plan hinges on setting clear timelines and standards for validating your organization’s coding efforts. Determining how providers and coders must perform, when the veracity of their documentation and code assignment should be reviewed, the methodology for auditing their cases, and what to do if they fail to meet organizational standards are some of the key components for developing and implementing a plan that validates the integrity of your coding compliance. Listen in as the team dives into this critical process and gives some pointers on best practices.
2020-10-0241 minThe Coding Compliance PodcastEpisode 2: The First Step to Compliant Coding - Finding the Right CoderSetting your organization up for success by intelligently resourcing your coding needs is the first step in any compliance program. Join the team as they explore your options for selecting the best coding personnel upfront to ensure fewer issues down the line and help you create the foundation of a compliant coding program.
2020-09-2240 min
The Coding Compliance PodcastEpisode 1: How To Build A Better Coding Compliance PlanJoin Ross Ronan, Mark Babst, and Neal Green for the inaugural episode of the Coding Compliance Podcast! In this week's episode, the team discusses considerations everyone should take into account when crafting an effective compliance plan. Let the guys help you reduce liability exposure and optimize revenue by navigating you through the intricacies of coding compliance.
2020-09-1430 min