Diagnosis coding is now more important than ever in the physician practice or outpatient clinic. As offices/clinics and employers enter into risk-based contracts with payers, payment depends on much more than just CPT and putting a diagnosis code on a claim. This presentation will cover the uniqueness of documentation and coding interpretation & how claim data impacts revenue streams and patient care & services.
February 27, 2019
1.0 –Clinical Data Management
Lee has over 20 years of healthcare and consulting experience working with hospital, physician, ambulatory care, home health, long-term, skilled nursing, and payer organizations. In 2012 Lee joined Physicians East, P.A, a multi-specialty provider organization located in Greenville, NC, as the Regulatory Services Manager where he oversees Risk and Compliance Issues involving Payers, Coding/Billing, and all internal and external auditing services of the corporation. Additionally, as the Principal Consultant of LFord Consulting, Lee’s services encompass a wide range of healthcare management including: coding and reimbursement, clinical documentation improvement, auditing assessments for coding and billing, compliance audits of physician/medical practices, complete EHR implementation and management services, as well as a full suite of services directly related to ICD-10 CM & PCS assessment, implementation, education, and coding services in the provider environment.