Common High-Risk Medical Coding Areas: How to Mitigate Risk
TASA ID: 1482
On February 4, 2014, The TASA Group in connection with medical coding expert, Mary Falbo presented a free one-hour webinar on how; from a legal perspective, the common high-risk coding and compliance areas that attorneys need to know to help their clients mitigate risk in the medical coding areas.
The session addressed some important discussions that, as counsel to physician practices and health care clients, should know:
- The common high-risk coding and compliance areas within their specialty
- Understanding some of the on-going areas of investigation by the Office of the Inspector General, Medicare and Third-Party Payers and
- Learning key steps that attorneys' clients can take to mitigate repetitive common coding and compliance errors
About the Presenter:
Mary I. Falbo holds a Master of Business Administration from LaSalle University and received her Certified Professional Coder (CPC) certificate from the American Academy of Professional Coders in 1998.
Ms. Falbo is the president of Millennium Healthcare Consulting, Inc., providing services to health care providers regarding managing the business side of medicine. In addition to offering chart audit reviews to ensure CMS documentation compliance, Millennium conducts educational sessions on evaluation and management coding, Medicare regulations, billing updates, and other coding topics. The firm produces customized compliance programs to practices in response to the OIG's compliance guidelines, special fraud alerts and identified risk areas. Millennium is also the Independent Review Organization/Billing Dispute Administrator for Aetna/Cigna and other third-party payor class action lawsuits.
Ms. Falbo is a member of the PA Medical Group Management Association, American Academy of Professional Codes and AHIMA, and Editorial Advisory Board for the Coding Institute's publications of Internal Medicine and Family Coding Alerts, OB/GYN Coding Alert, Orthopedic Coding Alert, and other various specialties. She is the technical editor for Decision Health's Internal Medicine Coding newsletter.