Auditing Antics: Navigating Medical Coding and Auditing

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.stepha...

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 ac...

During this episode Sean Weiss "The Compliance Guy" and I will discuss how AI tools are at times considered organizational resources rather than reimbursable services. That means hospitals and practices often absorb the costs without direct payment from payers, as most AI-assisted functions don't fall into existing CPT or HCPCS code categories. We will address what this means for hea...

Join us for a live Q&A session addressing current challenges in medical coding, billing, and compliance. Industry experts Stephanie Allard and Michele Strickland will provide guidance on documentation, coding, and best practices to support accurate and compliant claims processing. Reach Out For Compliance Help Now! https://www.stephanieallardconsulting.com/contact Sign up for our updates and t...

Medical coding and billing professionals are vital to the healthcare system, but their mental health is often overlooked. Between intense accuracy demands, ever-changing regulations, high quotas, and the isolation of remote work, many are quietly facing burnout and stress. Sign up for our updates and the latest compliance news here!  https://www.stephanieallardconsulting.com/ Find our AUDITING ANT...

During this episode we will discuss what it takes to turn written policies into impactful action. Join us as we review strategies to make policies work not just on paper in a binder on a shelf, but in actionable practice. 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 rela...

In this episode we will explore the different departments, leaders and employees within a small and large organizations that need to come together for the creation of policies. Join us as we identify how key departments and leaders can collaborate effectively to create clear, actionable, and sustainable policies and procedures. Sign up for our updates and the latest compliance news here!  https://...

Join us for the first episode in a series related to medical documentation and coding policies and the role they play within a compliance program as a whole and to offer structure for consistency and adherence to guidelines. Creating policies is not just about checking a box to say it is present and complete. Instead, it is about building a strong foundation for compliance and organizational integ...

Coding for critical care services is not dictated based on diagnosis, practitioner specialty and/or the setting/unit where the patient is seen. So what supports compliant documentation for billing of critical care services? Join us during this episode as we dive into the coding guidelines and discuss common struggles we face when coding, auditing and educating in this specialty. Sign up for our up...

With the Recent Extension What Does Telehealth Look Like Through September of 2025? While 5 months seems like a long time, developing a contingency plan now will allow your practice to quickly pivot if the regulatory environment should change after the extension period expires. Stay informed! Download the FREE telehealth guide on our homepage at ⁠https://www.stephanieallardconsulting.com/⁠ Sign up...

During this episode we will discuss why the routine waiver of co-pays and out-of-pocket costs is problematic when not handled correctly internally. Depending on the actions taken by the organization this can even be considered illegal violating the False Claims Act. Join us to learn more about running this side of an organization and the policies you need to have in place to ensure compliance. Sig...

So many organizations are focusing on the financial side of incident-to and not investing enough time and attention to fully understand and ensure compliance. During this episode we will look beyond the 100% reimbursement of the physician fee schedule and uncover the complexities that practices are facing through the typical workflow that does not coincide with incident-to. Sign up for our newslet...

Join us for Episode 7 where we will tackle some of the common E/M questions in the office setting and the thought process behind the answers.

The coding and billing workflow is not only about getting claims out the door. Too many organizations do not have a strong focus on the "backend" and denial management. This can cripple the revenue of a practice. During this episode, we will discuss the various types of structures for a medical organization's billing team internally and/or externally. We will review steps and tips to...

There is a lot of confusion in the coding and billing side of the industry related to preventative services. During this episode we will discuss the differences between a full physical examination that would be relevant to the non-Medicare population and how a wellness visit is different from a workflow and documentation perspective. We will also address "split billing" and how to addres...

Many practices and hospital systems currently have providers prescribing medications and/or are wanting to practice "life style" medicine related to weight loss. These types of services are not always reimbursable by the payers, but in the "pay and chase" environment organizations are getting paid and not aware of the future compliance risks associated. During this episode we w...

During this episode we will discuss the scenario when a provider is planning to perform a service that they expect the insurance to not cover. Is the practice required to notify the patient of this tricky situation? Is the patient responsible to pay out of pocket every single time in every situation? We will review what the medical staff and a patient need to be aware of to prevent reimbursement i...

During this episode we will break down the documentation requirements for medical necessity that are often missing or not detailed in the encounter progress note. We will also review the coding requirements, common payer coverage and how the documentation and billing can impact patient out-of-pocket costs.

Welcome to the Auditing Antics Podcast! During this episode Stephanie will explain the motivation of the podcast and its relevance to not just those of us in the medical industry, but also to help the everyday consumer advocate for their healthcare.