Karen Northcutt, BS, RN, COC

Karen M. Northcutt, BSRN, COC is the co – founder and Executive Vice President of Medical Management Plus, Inc. (“MMP, Inc.”), Birmingham, Alabama. MMP, Inc has been in business since 1989 providing healthcare consulting services. Prior to co-founding MMP, Inc., she was a registered nurse with experience in medical / surgical and urgent care nursing. Karen earned her bachelors degree in Nursing at the University of Alabama at Birmingham (UAB) in 1984.

Ms. Northcutt directs all revenue integrity services including charging, billing, clinical composition audits, HCPCS/CPT/ICD-10 coding, Charge Description Master Reviews, medical record documentation audits, UB04 audits and Corporate Compliance consulting projects. Ms. Northcutt has worked primarily with acute care facilities throughout the Southeast ranging in size from 35 to 902 staffed beds and representing not-for-profit, for-profit corporations, major teaching, general and tertiary provider status.

Ms. Northcutt assisted the Alabama Hospital Association in establishing and facilitating the Revenue Integrity Committee (RIC) in 2002. In this capacity Ms. Northcutt assists the Alabama Hospital Association in facilitating the statewide Revenue Integrity Committee in identifying common reimbursement issues and clarification of billing / documentation guidelines with Alabama’s MAC, Palmetto Government Benefit Administrators (GBA), Medicaid of Alabama, Blue Cross Blue Shield of Alabama and select Medicare Advantage Plans. In this capacity as a provider representative, Karen presents issues and facilitates discussion and promotes resolution with representatives of the major payers in the state of Alabama.