Wiki Georgetown, Texas-Family Practice--Need charts audited

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Note: The following project was submitted by a non-member. This thread has been left open so you can reply to it. If you believe you are qualified and wish to be contacted, please post your contact details so the non-member may get in touch with you.

Project Description:
--4 provider family practice (2 physicians with PAs)
--no OB, little pedi
--on location
--need's charts audited to set standards and for provider contract renewal considerations
--to ensure compliance
 
Follow-up to project

I would be glad to performing this project for you. My name is Bill Maurice and I've been in the coding, billing, and reimbursement industry for 18 years.
See below BIO/CV

I can be reached at 309-303-0748 cell. email: bmaurice@e-codesolutions.com

Thank You,

Bill

Mr. Bill Maurice, RHIT, CCS-P

Mr. Bill Maurice, RHIT, CCS-P has over 18 years experience specializing in medical coding, billing, healthcare claim analytics, education, compliance, and comprehensive reimbursement assessments. He has worked with and provided work for some of the most prestigious Academic Medical Intuitions and Physicians Groups in the country, such as, The University of Southern California (USC), Kaiser Permanente, and Evanston Northwestern (ENW). He was a Senior Reimbursement/Coding Specialist for a large third party medical billing company. Mr. Maurice developed, designed, and implemented both the company's physicians coding department and later Corporate Compliance Program. As Corporate Compliance Officer, he was assisted by a healthcare attorney that helped design the Officer of Inspector General's (OIG) Healthcare Compliance Program for Third-Party Medical Billing Companies.

Over the past 6 years, he has concentrated his work on both the sides of the health-care payment system (providers and payers). Mr. Maurice has developed reimbursement payment policies for Third-Party Payers and Providers. He has concentrated his unique skill set in “third-party payer” reimbursement methodologies, he has provided insight to managed care contracting solutions, training on “The Employee Retirement Income Security Act (ERISA)”, as well as, educating payer(s) and providers on clean claims payments ensuring appropriate reimbursement for the healthcare provider. He has been project manager and reviewer for the “Medicare Risk Adjustment” projects (Medicare Advantage Plans).

Mr. Maurice worked for one of the largest public accounting and consulting firms in the country (McGladrey & Pullen, LLP). He was a senior healthcare consultant and worked on many major projects, such as, developing compliance risk assessments and he has performed several reimbursement audits (working with over 2000 Providers). He was asked by the United States General Accounting Office (GAO) to give advice, as to the complexities of the Medicare and Medicaid programs communicating with physician practices. During previous years, Mr. Maurice served as the Director of Coding and was responsible for physician billing compliance, medical coding analysis, and auditing. He served as Director of Billing and Health Information for a large multi-specialty physicians group. His accomplishments and responsibilities included physicians revenue, coding and validation of the groups third party payments, health information regulations, and operations for three satellite clinics.

He was Health Care Billing Consultant and Director of Physicians Billing for a practice management software vendor. In these roles, he was responsible for all billing functions, medical coding analysis, auditing, and training.

He is a Registered Health Information Technician (RHIT) and Certified Coding Specialist – Physician Based (CCS-P) by the American Health Information Management Association (AHIMA) and received his Associates Degree from Spoon River College, Canton, Illinois. He has also completed several selected courses in Health Information at Illinois State University. Mr. Maurice has served on the downstate Medicare Part B Provider Advisory Committee. He is a member of the American Health Information Management Association (AHIMA), Central Illinois Health Information Management Association (CIHIMA), Radiology Business Management Association (RBMA), and the Healthcare Compliance Association (HCCA).
 
I would appreciate being considered for your audit project. I'm just up the highway from you in the DFW area. I earned the AAPC E/M specialty credential (CEMC) in 2007 and the new professional medical auditor credential (CPMA) in 2009. Please call me at 972-395-7141 x134 or e-mail ldhall05@hotmail.com. Thank you.
 
Family Practice Consultant

Hello,
My name is Melissa Freeman and hold 3 certifications RHIT,CCS-P,CPC and over 8 years experience in HIM field. I live about 30 minutes from Georgetown, in Killeen, TX and would love to come in to talk to you about consulting with your practice. Please contact me at 254-286-7280 or melissa.freeman@us.army.mil.
v/r
Melissa Freeman, RHIT, CCS-P, CPC
 
I would be very interested in performing these audits for you. I have over 18 years experience in coding and auditing. I am currently employed as a Coding Educator/Auditor for a large multispecialty group practice with 140+ providers and 10 satellite clinics/ASC's. I can be reach by email at jennifer_west80@hotmail.com or by phone at 304-675-1639.

Thank You,
 
Have you found someone to do this for you yet? I work for a consulting firm and we perform coding and documentation reviews, would you be interested in us emailing you a proposal for our services?
 
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