AAPC - Advancing the Business of Healthcare

Optimizing Revenue Across Inpatient and Outpatient Settings

Case Study

Explore actionable insights derived from our analysis of over 500K medical records, designed to help healthcare leaders optimize revenue amidst industry disruptions. Our findings focus on:

  • Enhancing DRG and diagnosis accuracy

  • Improving E/M services and procedural coding

  • Navigating the complexities of Medicare Advantage coding

Gain valuable strategies to mitigate risks, drive financial growth, and ensure compliance through targeted training, denial analysis, and clinical documentation improvement efforts.

About the authors

Raemarie Jimenez

Raemarie Jimenez has over 30 years of experience in the healthcare industry. She is a nationally recognized speaker and thought leader in the business of healthcare. She serves as a coding liaison to the AMA CPT® Editorial Panel. Over the past 15 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 AAPC’s chief product officer, she oversees all AAPC product lines.

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Stephani Scott

Stephani Scott has over 30 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 multispecialty 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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