AUDITCON 2022

Two Days. All About Auditing.

AUDITCON is a virtual-only medical auditing conference offering three tracks, one for beginners and two dedicated tracks for working pros. Whether you’re thinking of breaking into auditing or already thriving in it, we’ve tailored each track to maximize what you can take from the conference.

Beginner Track
This track provides in-depth information on the steps required to complete an audit process from start to finish. Each session builds off the previous one. To fully understand and benefit from each session, participants must attend the entire beginner’s track.

Advanced Tracks
The two advanced tracks take a comprehensive look into audits for the 2021 E/M guidelines for office/other outpatient services, risk adjustment, payer recovery, telemedicine/telehealth, and service-specific audits. We’ll discuss changes coming for 2023, and more. Participants taking the advanced tracks may choose from any of the advanced sessions.

Join Us!
This is a virtual-only conference, so you can enjoy all of AUDITCON from anywhere with an internet connection. Bust out your favorite PJs and curl up with your favorite warm beverage as you earn 12 CEUs, grow your network and indulge the world of auditing.

Nov 3-4 | 12 CEUs | 3 Tracks | 23 Sessions | Networking Lunch

Register today for just $695

Thursday, November 3, 2022

General Session

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9:00 AM - 10:00 AM, MDT | 1.00 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

GS1: Career Opportunities for Auditors

Sandra Kay Giangreco Brown, COC, CPC, CPC-I, COBGC

Are you new to coding or auditing? Curious about the potential job opportunities that the Healthcare Auditing field offers? Do you want to gain a better understanding of what skills might be required in order to be an auditor? Join this session to hear about the incredible opportunities, skills that you might need and how you can prepare to take your career to the next level! We will also focus on what steps a new coder can take to be able to step into the role of an auditor in the future!

Breakout Session 1

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10:15 AM - 11:30 AM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPPM

1A (Beginner): We Audit (Identify Risk and Opportunity)

Amy C Pritchett, AAPC Fellow, CPC, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC

In this session, we will focus on “Why We Audit.” The reasons why we audit are sometimes abstract; however, many times it is obscure. Are we looking to identify risk? Are we looking to improve revenue, or even to locate opportunities? After this presentation, your questions will be answered. We will begin with Auditing 101, and we will move onto the more expert aspects of auditing. We will also delve into how we present audit findings and educate staff about ongoing opportunities for improvement.

10:15 AM - 11:30 AM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

1B (Advanced Administrator): How to Audit Your Auditors'

Jessica Whitney, CPC, CPMA

Medical coding is both a technical and frequently changing field. CMS recommends that organizations have their coding reviewed by an external, independent party. Regardless of the investment organizations make in highly skilled auditors and coders, it is important to obtain an unbiased evaluation to ensure accuracy and adherence to current rules and regulatory compliance. Externally auditing coders and auditors also help identify misconceptions and errors and ensure that current coding updates are incorporated into your organization’s protocols. This session will discuss the importance of auditing your internal coders and auditors and how to build an audit program that incorporates external audits.

10:15 AM - 11:30 AM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CEDC, CEMC, CPB, CPCO, CPPM

1C (Advanced Auditor): Audit Approach for Emergency Department – 2023 Guidelines

Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC

During this session we will discuss the new 2023 E/M guidelines for emergency department services, documentation improvements to support the new guidelines, and best audit approach to achieve continued monitoring and feedback to providers.

Breakout Session 2

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12:30 PM - 1:45 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

2A (Beginner): Differences Between Coder and Auditor | PANEL

Amy C Pritchett, AAPC Fellow, CPC, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC; Christine Hall, CPC, CPB, CPMA, CRC, CPC-I, CEMC; Angela B Clements, CPC, CPMA, CEMC, CGSC, COSC, Approved-Instructor

During this session, an expert panel will answer audience questions regarding the role of a coder vs. the role of an auditor. They will also answer questions on how a coder can transition into an auditor role. This is a great platform to get your questions answered.

12:30 PM - 1:45 PM, MDT | 1.25 CEUs COC, CPC, CPC-P, CPB, CPPM

2B (Advanced Administrator): How to Set up an Audit Program

Jaci Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC

In this session we will discuss the details of setting up an internal audit plan. We will discuss the importance of having a plan in place and how to make a plan that is not difficult to implement and enforce.

12:30 PM - 1:45 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CEMC, CPB, CPCO, CPPM

2C (Advanced Auditor): Audit Approach for Hospital and Observation – 2023 Guidelines

Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC

During this session we will discuss the new 2023 E/M guidelines for hospital and observation services, documentation improvements to support the new guidelines, and best audit approach to achieve continued monitoring and feedback to providers.

Breakout Session 3

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2:15 PM - 3:30 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

3A (Beginner): Best Practices for Provider Communication

Jaci Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC; Angela B Clements, CPC, CPMA, CEMC, CGSC, COSC, Approved-Instructor

Communication of audit results are vital to a provider's future success of documentation and coding. Two experienced auditor/educators will role play the communication between the auditor and the provider to provide effective and professional communication techniques. We will discuss how preparing beforehand can provide a successful outcome. The role playing will reflect actual scenarios and look at how to handle various personalities and some uncomfortable situations.

2:15 PM - 3:30 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

3B (Advanced Administrator): Best Practices to Communicate to the C Suite

Sandra Kay Giangreco Brown, COC, CPC, CPC-I, COBGC; Kimberly Garner Huey, COC, CPC, CPCO

You’ve performed the audits and prepared the reports – now to discuss the results with leadership. How do you present these findings to individuals who come to the table with a different perspective, who may not have the expertise in coding that you do? This session explores the regulations and how to present them along with communication tactics, so that the organization can see the optimum result and change from the hard work of the audit.

2:15 PM - 3:30 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CEMC, CPB, CPCO, CPPM

3C (Advanced Auditor): Telemedicine Audit PANEL

Christine Hall, CPC, CPB, CPMA, CRC, CPC-I, CEMC; Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC; Marianne Durling MHA, RHIA, CCS, CDIP, CPC, CPCO, CDEI, CIC, Approved-Instructor

During this session, a panel of experts representing various industry and specialty perspectives will be discussing best practices for review, audit and monitoring of telemedicine and telehealth services. With the plethora of regulatory and payer changes over the past two years and continued payer investigations, now is the time to ensure your organization has the appropriate measures in place for risk mitigation along with continued training and education for providers and staff.

Breakout Session 4

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4:00 PM - 5:15 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

4A (Beginner): Best Practices for Client Communication

Lori Cox, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC

This session will be geared towards coders, auditors, compliance officers and practice managers working for professional businesses outside of a healthcare system. These individuals frequently juggle many different clients at the same time, all wanting things done a certain way. We will discuss communication techniques with emails, phone calls and online meetings as well as having conversations with clients that have a different perspective on the information you are giving them. We will also discuss a few marketing efforts and how not to overwhelm clients with so much information that they get confused.

4:00 PM - 5:15 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

4B (Advanced Administrator): Corrective Action and Benchmarking

Kristen Viviano, CPC, CRC, Approved-Instructor

You've done the audits; now it's time to review and compare the results. In order to do this you need benchmarks. Determining reasonable benchmarks can be a difficult process. Even more is the process of having difficult conversations with employees and potentially going down a path of corrective action. In this session, we will discuss tips for the creation of benchmarks and how to implement corrective action plans.

4:00 PM - 5:15 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM, CRC

4C (Advanced Auditor): Risk Adjustment Audits

Jacob Swartzwelder, CPC, CIC, CRC, CEMC, Approved-Instructor

Attendees will review Risk Adjustment guidelines, and their application to various types of Risk Adjustment audits. We will explore appropriate personnel to involve when creating internal Risk Adjustment guidelines and robust audit plans. Lastly, we will discuss auditing pitfalls and provider education challenges (and how to mitigate them).

Friday, November 4, 2022

General Session

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9:00 AM - 10:15 AM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

GS2: Approach to Handling Focus of OIG Workplan

CJ Wolf MD MEd CPC COC, COC, CPC

When it comes to auditing, you want to use your limited time and resources on the highest risk areas. One resource often used to determine risk areas is the OIG Workplan. However, the OIG oversees many different federal programs so their Workplan is often expansive. This session will highlight approaches to assessing the Workplan items and determining which are most applicable to which types of organizations. Some may directly or indirectly affect your organization type while some other items might not be applicable at all. We will also review select audit reports and findings after the OIG has completed their Workplan item. Reviewing their findings will give you deeper insights into the details of the risk area.

Breakout Session 5

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10:30 AM - 11:45 AM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

5A (Beginner): I Always Feel Like Somebody Is Watching Me…CERT, TPE

Christine Hall, CPC, CPB, CPMA, CRC, CPC-I, CEMC

In this presentation we will discuss two areas of the Medicare Claims Integrity Audits. The two areas are Comprehensive Error Rate Testing (CERT) and Target Probe and Educate (TPE). We will review their background and purpose. What to expect if you're selected for review. How to successfully pass these reviews or avoid them altogether?

10:30 AM - 11:45 AM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

5B (Advanced Administrator): Payer Contract Auditing

Leonta Williams, CPC, CPCO, CRC, CEMC, CHONC

Auditing is a requirement in almost every arena. In healthcare, it is a necessary criterion to ensure the best quality care, discover documentation, operations, and reimbursement risks, etc. But how many of us are allocating resources to properly evaluate the contracts held with payers? In this session, we will focus on the steps to take to audit your payer contracts. We will discuss how to leverage denial management data and other metrics to stop or reduce high volume pre-pay audits. There are numerous action items that you can put into place today to hold payers more accountable and improve your revenue cycle. Payers have invested a ton of resources in terms of finance and labor to audit you, let us turn the tide and move the scale more towards our direction.

10:30 AM - 11:45 AM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CEMC, CPB, CPCO, CPPM

5C (Advanced Auditor): Behavioral Health Audits

Heather Greene, MBA, RHIA, CPC, CPMA, CIC, CDIP

Behavioral health has more support now than we have ever had. Growing fast, there are several areas which require attention to stay compliant in documentation and billing practices. No matter if you are seeing an uptick in behavioral health audits or just wanting to make sure you have a solid compliance plan in place. In this session, we will explore the OIG's recommended compliance, several common pitfalls and possible solutions related to behavioral health services. After attending the session, you will be able to: 1. Identify top behavioral health pitfalls. 2. Understand possible solutions, 3. Understand the components of a compliance plan.

General Session

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11:45 AM - 12:45 PM, MDT

GS3: Networking Lunch

Breakout Session 6

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12:45 PM - 2:00 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

6A (Beginner): The Basics for Choosing Your Scope for Audit

Kathleen Michele Rowland, BSN, RN, CHC, CPC, CPC-I, CEMC

Audits have become necessary with the increased oversight of federal and commercial payers in their effort to reduce costs. One of the biggest challenges within an audit process can be identifying the scope of the audit. No matter what kind of audit is being performed – internal, external, –the critical step of identifying the scope of audit should be the first step. We will discuss the auditor’s role in the audit process. We will also review the use of data mining and its use in defining the scope of audit.

12:45 PM - 2:00 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

6B (Advanced Administrator): Vendor Evaluation and Monitoring

Colleen Gianatasio, CPC, CPCO, CPC-P, CDEO, CPMA, CPPM, CRC, CPC-I

Vendors are an extension of your team so the choice you make impacts not only your company's bottom line but also your reputation. Join us for this interactive session where we will discuss how to select the right vendor partner, how to grow the relationship, and how to measure the success of the partnership. Please let me know if you need anything else!

12:45 PM - 2:00 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CEMC, CPB, CPCO, CPPM

6C (Advanced Auditor): The New Split/Shared Rule for 2022 and 2023

Lori Cox, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC

In the CMS Final Rule, released in November of 2021, the criteria for split/shared services changed dramatically. This has caused confusion in the industry as the criteria are not completely clear and this will change for 2023. By the time we get the new rule down, we will have to start all over. Are doctors going to spend more time performing (and documenting) split visits with NP/PA teams, or let NPs/PAs bill more visits at 85% of the physician fee schedule? This concept will be interesting to see as it plays out this year and next. In this session, we will discuss: * Eligible providers to bill these visits * Accepted places of service * Documentation requirements * 2023 Time criteria * How to navigate the gray areas

Breakout Session 7

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2:30 PM - 3:45 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

7A (Beginner): Getting Results from Your Audit Reports

Stephani Scott, CPC

Having knowledge allows us to solve problems. That is why we perform audits. The challenge is getting the behavior changed so that you see improvements and mitigate risk for your organization. The first step to achieving results is knowing how to get the attention of those who can make improvements. It is all about telling a remarkable story to the right audience. When the story has /an impact, change is inevitable. In this session learn how to tell a remarkable story by learning how to: * Develop a strategy * Analyze audit results * Understand the audience * Develop & deliver effective audit reports

2:30 PM - 3:45 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

7B (Advanced Administrator): At Risk Audit Program – Higher Dollar and Higher Utilization

Lisa Rae Roper, CPC, Approved-Instructor

Does higher dollar and higher utilization mean the same thing in all healthcare organizations? The answer is, NO. Healthcare organizations base their answers on the type of services delivered, the volume of services, and the make-up of the organization. Regardless, of how higher dollar or higher utilization is defined risk-based audit programs help organizations identify areas of risk earlier and align resources to meet organizational priorities. This session will explore ways to: • Use data-mining to determine areas of risk, • Identify interdepartmental workflows that cause risk, • And, review pro-fee specialties using risk-based audits to find and mitigate errors.

2:30 PM - 3:45 PM, MDT | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEI, CDEO, CEMC, CPB, CPCO, CPPM

7C (Advanced Auditor): How to Audit for Teaching Physician Documentation Compliance

Maryann C Palmeter, CPC, CPCO, CPMA, CENTC

Auditing services in an academic environment where residents and fellows assist teaching physicians in patient care is very different than in non-academic settings. This session will afford you the opportunity to add to your skill set if you have not audited services in a “teaching setting” before. During this session we will focus on how to perform audits on teaching physician services. We will cover the presence and participation requirements, concurrent vs. overlapping surgeries, E/M services both outside of the primary care exception and under the primary care exception, diagnostic tests, and moonlighting arrangements. We will also review some of the COVID-19 PHE flexibilities impacting teaching physician presence that will go away when the PHE ends.

Amy Pritchett, CPC, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC, AAPC Fellow

Amy Pritchett, CPC, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC, AAPC Fellow

Amy Pritchett, CPC, CDEO, CPMA, CRC, CPC-I, CANPC, CASCC, CEDC, AAPC Fellow, is a senior consultant with Pinnacle Enterprise Risk Consulting Services with more than 20 years of medical billing and coding experience. Her high-level auditing skills encompass both facility and professional fee services. Specializing in revenue cycle management, inpatient/OP/OBS/ANC/ED/SDS, her broad expertise includes RAC reviews, charge master reviews, inpatient MS-DRGs and APR-DRGs, outpatient coding assessments, and clinical documentation improvement. Having managed large coding departments and teams, Pritchett is an exceptional leader and trainer. She brings to Pinnacle vast experience and talent that can transform entire coding departments and achieve improved performance, quality, and accuracy. She is also exceptional at locating areas for improvement and developing processes that address specific issues to maximize individual and team potential. Prior to Pinnacle, she held several director, management, and lead educator positions, where she was responsible for facility coding, auditing, and review, P/L, revenue cycle, and the managing of pro-fee audit for specialty clients including physician evaluation and management leveling. Pritchett was also responsible for the oversight of hundreds of coders and multiple locations, where she provided staff with ongoing training. She is a certified ICD-10-CM/PCS instructor and serves as an adjunct professor of medical billing and coding within the University of South Alabama Medical Billing and Coding program, where she has taught for seven years. In addition, she has had several speaking engagements with AAPC. She also volunteers several nights a week with Volunteers of America, where she teaches medical coding and billing in a program created for local members of the community.

Angela Clements, CPC, CPMA, CEMC, CGSC, COSC, AAPC Approved Instructor

Angela Clements, CPC, CPMA, CEMC, CGSC, COSC, AAPC Approved Instructor

Angela Clements, CPC, CPMA, CEMC, CGSC, COSC, AAPC Approved Instructor, has over 20 years of experience in the healthcare industry. She served as Region 5 representative on AAPC's National Advisory Board from 2013-2015 and as the member relations officer from 2015-2018. Clements has extensive experience in multi-specialty coding, documentation, and auditing. She’s also a frequent speaker at local medical managers’ meetings, as well as other AAPC local chapters in her region.

Christine Hall, CPC, CPB, CPMA, CRC, CEMC, AAPC Approved Instructor

Christine Hall, CPC, CPB, CPMA, CRC, CEMC, AAPC Approved Instructor

Christine Hall, CPC, CPB, CPMA, CRC, CEMC, AAPC Approved Instructor, is the CEO and senior consultant for Stirling Global Solutions, LLC. She has a degree in health information management and sociology, along with 30-plus years of healthcare administration and information management experience. She is chairwoman of AAPC’s Billing Advisory Committee, a skilled educator, and a national public speaker. Hall has a strong core in compliance, ethics and regulatory affairs, revenue cycle management, coding, credentialing, and practice management. She is a subject matter expert in specialty coding, risk adjustment, telehealth, and reimbursement. Hall has had the pleasure of working with many of the gold star standard organizations in healthcare such as AAPC, AHIMA, and various national medical associations and societies. She serves as the education officer of the Palm Beach, Fla., local chapter.

C.J. Wolf, MD, M.Ed., CPC, COC

C.J. Wolf, MD, M.Ed., CPC, COC

C.J. Wolf, MD, M.Ed., CPC, COC, has been involved in healthcare for over 22 years beginning with his years in medical school. Dr. Wolf made a career change to healthcare administration, reimbursement, and compliance. He has worked in various coding, reimbursement, or chief compliance officer roles for lntermountain Healthcare, the University of Texas MD Anderson Cancer Center, the University of Texas System, and an international medical device company. He currently holds faculty appointments at two universities and provides coding, compliance, and training services through Compliance Reality.

Colleen Gianatasio, MHS, CPC, CPCO, CPC-P, CDEO, CPMA, CPPM, CRC, CCD, CCDS-O, AAPC Approved Instructor

Colleen Gianatasio, MHS, CPC, CPCO, CPC-P, CDEO, CPMA, CPPM, CRC, CCD, CCDS-O, AAPC Approved Instructor

Colleen Gianatasio, MHS, CPC, CPCO, CPC-P, CDEO, CPMA, CPPM, CRC, CCD, CCDS-O, AAPC Approved Instructor, has over 20 years of experience in all aspects of the business of healthcare. As director of ambulatory CDQI for Mount Sinai Health Care Partners, she is responsible for provider engagement and clinical documentation improvement for accurate coding. Gianatasio specializes in developing innovative coding curricula and instruction to support compliance with federal guidelines and appropriate reimbursement processes. She enjoys teaching a variety of coding, documentation, and auditing classes, and is president of AAPC's 2022-2025 National Advisory Board.

Heather Greene, RHIA, CPC, CPMA, CRC, CDIP

Heather Greene, RHIA, CPC, CPMA, CRC, CDIP

Heather Greene, RHIA, CPC, CPMA, CRC, CDIP, has approximately 20 years of experience in a variety of health information management (HIM) roles, including as a coding instructor and an HIM manager. She is a coding and documentation consultant for First Call Consulting Group. Greene performs coding and documentation audits and physician and HIM education for clients nationally. Additionally, she is a frequent speaker/author on HIM topics for various organizations such as the AAPC, AHIMA, and AHLA. Greene holds a B.S. in health information management and an MBA.

Jaci Kipreos, CPC, COC, CDEO, CPMA, CRC, CPC-I, CEMC

Jaci Kipreos, CPC, COC, CDEO, CPMA, CRC, CPC-I, CEMC

Jaci Kipreos, CPC, COC, CDEO, CPMA, CRC, CPC-I, CEMC, has been in the field of medical coding and auditing for over 30 years and received a Bachelor of Science degree in finance from Virginia Tech. She has worked in a variety of practice settings and has expertise in coding for family practice, urgent care, obstetrics and gynecology, general surgery, and Medicare’s teaching physician guidelines, with an emphasis on compliance with evaluation and management guidelines. Kipreos has been an instructor for various AAPC workshops for the past 10 years and is a frequent speaker at AAPC’s national and regional HEALTHCON conferences. She has also provided presentations for the American Association of Nurse Practitioners state event in Virginia and the national event for the American Association of Medical Assistants. Kipreos is a past president of the Richmond and Charlottesville, Virginia local chapters, and served as president of AAPC’s National Advisory Board from 2015-2018.

Jacob Swartzwelder, CPC, CIC, CRC, CEMC, AAPC Approved Instructor

Jacob Swartzwelder, CPC, CIC, CRC, CEMC, AAPC Approved Instructor

Jacob Swartzwelder, CPC, CIC, CRC, CEMC, AAPC Approved Instructor, brings over 15 years of healthcare experience working in private offices, hospitals, consulting firms, and international coding companies. He specializes in evaluation and management (E/M) auditing, risk adjustment, operational risk reduction, and leadership development. Swartzwelder is a SAFe 5 Practitioner and an AAPC 2022-2025 National Advisory Board (NAB) member and co-chair of the Career Advancement committee. He also owns and manages Compliant Approach Partners, LLC.

Jessica Whitney, CPC, CPMA

Jessica Whitney, CPC, CPMA

Jessica Whitney, CPC, CPMA, began her career in healthcare 25 years ago at Blue Cross of Idaho working in both provider relations and claims. After several years, she transitioned to practice management and has managed in both small, privately owned as well as large multi-specialty hospital-owned practices. She has spent over 20 years refining her expertise in practice management with a strong focus in coding and revenue cycle management for practices of all sizes. Whitney also has in-depth knowledge of the credentialing and contracting process as well as experience in reimbursement analysis. She is a national speaker and author, with experience in primary care, telehealth services, pain management, OMM, and podiatry. As director of RCM & Client Engagement with AAPC Services, she manages the revenue cycle line of business and coordinates the training team for Audit Services, routinely participating in coder, auditor, and provider education.

Kathy Rowland, BSN, RN, CHC, CPC, CPC-I, CEMC

Kathy Rowland, BSN, RN, CHC, CPC, CPC-I, CEMC

Kathy Rowland, BSN, RN, CHC, CPC, CPC-I, CEMC, has over 25 years in the areas of healthcare administration and management. For the last 20 years, her consulting practice has focused on the development and implementation of practice-based compliance plans, auditing, education, and litigation support. Rowland has a consulting practice, Integrity Compliance LLC, located in Franklin, Tenn.

Kimberly Huey, COC, CPC, CPCO

Kimberly Huey, COC, CPC, CPCO

Kimberly Huey, COC, CPC, CPCO, is an independent coding, reimbursement, and compliance consultant with a passion for helping small physician practices navigate the ocean of regulations.

Kristen Viviano, MHA, CPC, CRC, AAPC Approved Instructor

Kristen Viviano, MHA, CPC, CRC, AAPC Approved Instructor

Kristen Viviano, MHA, CPC, CRC, AAPC Approved Instructor, has been working in the healthcare industry for over 10 years. She has experience working interdepartmentally with health plans and provider organizations to foster unique approaches for coding, documentation, and performance improvement strategies. Viviano has experience managing all aspects of risk adjustment and CDI initiatives with diverse teams of experts and turning data into actionable information to improve program outcomes and enhance efficiencies. After recently becoming a certified AAPC instructor, she is eager to share her risk adjustment knowledge with fellow coders and help support newer members of the coding community.

Leonta 'Lee' Williams, MBA, RHIA, CPC, CPCO, CRC, CEMC, CHONC, CCS, CCDS

Leonta "Lee" Williams, MBA, RHIA, CPC, CPCO, CRC, CEMC, CHONC, CCS, CCDS

Leonta "Lee" Williams, MBA, RHIA, CPC, CPCO, CRC, CEMC, CHONC, CCS, CCDS, is director of education at AAPC. She holds multiple credentials across several professional organizations and has more than 20 years of health information management experience as a coding director, auditor, educator, trainer, practice manager, and mentor. Williams is the founder and past president of the Covington, Ga., local chapter and served as secretary on AAPC’s 2018-2021 National Advisory Board.

Lisa Rae Roper, MS, MHA, CCS-P, CPC, PCS, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer, AAPC Approved Instructor

Lisa Rae Roper, MS, MHA, CCS-P, CPC, PCS, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer, AAPC Approved Instructor

Lisa Rae Roper, MS, MHA, CCS-P, CPC, PCS, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer, AAPC Approved Instructor, has extensive experience in healthcare dedicated to project and business management, physician practice management, training development, coding, auditing, compliance, and reimbursement. She owns a consulting firm where she focuses on management and training with physician organizations, hospitals, and other healthcare entities. Before going into consulting, Roper was the business office manager for Mercy Integrated Health, an affiliate of Catholic Healthcare West (CHW) St. Joseph's Hospital in Arizona. This company provided coding, billing, auditing, operational, and software management for multi-specialty physicians, residents and faculty physicians, and multiple external clients. Roper currently serves as the coordinator of Allied Health and Safety for the Missoula County Public Schools Adult Education Division where she develops and supervises healthcare programs and is a lead/mentor instructor. She serves as an adjunct instructor with universities and other organizations. Roper is also a frequent speaker, author, and contributor to nationally recognized organizations and publications.

Lori Cox, MBA, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC

Lori Cox, MBA, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC

Lori Cox, MBA, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC, has 20 years of experience working in the business side of medicine. She began her career in patient accounts and then moved into billing and coding for a multi-specialty clinic. She was eventually promoted to billing supervisor and then to compliance officer, where she wrote, maintained, and trained employees and providers on fraud and abuse. In 2015, Cox received her MBA from Quincy University in Quincy, Ill. She has traveled the country educating coders and physicians on complex coding topics such as hem/onc and E/M guidelines. Cox is the member relations officer for AAPC's National Advisory Board, an active member of her AAPC local chapter, and regional director for AAPC Services.

Marianne Durling, MHA, RHIA, CPC, CPCO, CIC, CDEI, CCS, CDIP, AAPC Approved Instructor

Marianne Durling, MHA, RHIA, CPC, CPCO, CIC, CDEI, CCS, CDIP, AAPC Approved Instructor

Marianne Durling, MHA, RHIA, CPC, CPCO, CIC, CDEI, CCS, CDIP, AAPC Approved Instructor, has a very diverse background, having spent 40 years working in almost every aspect of healthcare. She is currently a compliance director at a large academic medical center. Durling has a master’s degree in healthcare administration and a post-baccalaureate certificate in health information administration. She has authored articles for professional publications and speaks nationally. Durling has served on AAPC’s National Advisory Board, several terms as an officer in her local chapter, and on the HEALTHCON Education Committee.

Maryann Palmeter, CPC, CPCO, CPMA, CENTC

Maryann Palmeter, CPC, CPCO, CPMA, CENTC

Maryann Palmeter, CPC, CPCO, CPMA, CENTC, has decades of experience in the healthcare arena with over 20 years dedicated to compliance. Palmeter is employed with the University of Florida Jacksonville Physicians, Inc. as the director of physician billing compliance, where she provides professional direction and oversight to the Billing Compliance Program of the University of Florida College of Medicine - Jacksonville.

Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC

Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC

Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC, has over 26 years of experience in the healthcare industry. She is a nationally recognized speaker and thought leader in the business of healthcare and serves as a coding liaison to the AMA CPT® Editorial Panel. Over the past 12 years at AAPC, Jimenez has held a variety of responsibilities including leading the development of certification exams and exam preparation materials, overseeing the operations for exams, and distance learning and education licensing program departments. As the senior vice president of products, she oversees all AAPC product lines. Prior to joining the AAPC, Jimenez spent many years running billing and coding departments, audit services, provider education programs, and client services. At Concorde Career Institute, she served as assistant academic dean, program director for the coding and medical assistant programs, and director of graduate services. Jimenez received a Bachelor of Arts degree in psychology from Florida Atlantic University and is a member of the Salt Lake City, Utah, local chapter.

Sandy Giangreco Brown, BS, MHA, CPC, COC, COBGC, AAPC Approved Instructor, RHIT, CHC, CCS, CCS-P, PCS

Sandy Giangreco Brown, BS, MHA, CPC, COC, COBGC, AAPC Approved Instructor, RHIT, CHC, CCS, CCS-P, PCS

Sandy Giangreco Brown, BS, MHA, CPC, COC, COBGC, AAPC Approved Instructor, RHIT, CHC, CCS, CCS-P, PCS, is senior director of Audit & Revenue Integrity, Waud Capital Partners, where she manages and develops relationships with portfolio companies, providers, compliance, and coding staff; provides auditing services; and performs education sessions for both client staff and providers. Brown has more than 33 years of experience in healthcare and medical records management, coding, auditing, and compliance in the hospital, outpatient, and physician settings. She loves presenting and sharing education and continues to teach both nationally and locally in her areas of specialty including ob-gyn, general surgery, cardiology, anesthesia, E/M, oncology, and radiology coding. Brown is a frequent presenter for AAPC, AHIMA, HCCA, and others and she teaches courses for AAPC.

Stephani Scott, CPC

Stephani Scott, CPC

Stephani Scott, CPC, has over 25 years of experience in the healthcare industry working closely with physicians and staff in Health Information Management. She has worked in a variety of settings including hospitals, long-term care, large multi-specialty physician practice, and EHR software design and development. Scott was a part owner of a consulting company for many years providing services in best practices for physician practice management services including coding and documentation audits, compliance, and revenue cycle management. She has extensive experience in inpatient and outpatient auditing and coding compliance. Throughout her career, Scott has enjoyed teaching E/M coding, compliance, and EMR utilization to many physicians and staff locally and nationally.

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