2017 Updates to CMS’ Hospital Outpatient Prospective Payment System

About The Author

Denise Williams RN, COC

Denise Williams, RN, COC, has more than 30 years of healthcare experience, including a background in multiple areas of clinical nursing.  Twenty of these years has also been spent in the areas of Revenue Integrity and Compliance Auditing, currently with Revant Solutions, Inc.  Denise is recognized as a leading authority in the area of medical coding, revenue cycle and reimbursement, Medicare and third party payer compliance, and charge master coordination and maintenance.  

She has performed numerous Evaluation and Management, OP Surgical, Emergency Department, and Observation Coding chart reviews from the documentation, compliance and reimbursement perspectives. She is a leading expert on charge description masters (CDMs) and has assisted in reconstruction of charging structures and processes to insure third party payer compliance. 
 
She is recognized as a prestigious author of articles on many outpatient topics, including an annual OPPS update for AAPC’s Healthcare Business Monthly.  In addition, she serves as a contributing author to articles published in HCPro’s APC Insider and Briefings on APCs

Denise is a nationally recognized speaker on various coding and reimbursement topics as well as a recognized authority on CMS’ Outpatient Prospective Payment System.  She has spoken for many Specialty Medical Societies, AAPC, Optum, HCPro, HFMA, Nursing Organizations, and state Hospital Associations, as well as individual facility and hospital systems. She has provided comment and testimony to the HOPPS panel regarding CMS policy and the operational impact to providers.  Her nursing background brings an additional perspective from the clinical arena which allows her to facilitate communication processes between the clinical and financial/revenue cycle perspectives.