Auditing Antics: Navigating Medical Coding and Auditing

Stephanie Allard, CPC, CEMA, RHIT has 20 years of experience in the medical industry and knows the complexities that the professional world is facing on a daily basis. She also knows the lack of public education about our healthcare industry in the United States which contributes to the inability for patients to advocate for themselves. Her Auditing Antics Podcast will explore the healthcare industry from the viewpoint of a medical coder, medical auditor and the patient perspective as a consumer. This series will provide insight to various services in the medical/dental industry and help you n

Auditing Antics: Navigating Medical Coding and Auditing is a health podcast hosted by Unknown Host, with 75 episodes on record and a Required Pod Score of 80.

Unknown Host hosts Auditing Antics: Navigating Medical Coding and Auditing, a health show with 75 episodes published.

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  Episode #76

  What We Know Can Help Others Educating Our Communities About Medicare Plans

  Sep 23, 202632 minS1

  Ep. 121 - Medicare Advantage: The Payer Tactics Practices Need to Know (ft. Stephanie Allard) Apple Podcasts: https://podcasts.apple.com/us/podcast/ep-121-medicare-advantage-the-payer-tactics-practices/id1746629912?i=1000791075227 Spotify: https://open.spotify.com/episode/2cpXMNNbaMWM7hRaBcqUq3 Those of us who work in healthcare understand how complex Medicare choices can be and how significantly those decisions can affect access to physicians, specialists, hospitals, medications, and other necessary services.In this episode, we discuss why healthcare professionals should take the initiative to share what we know with our patients, families, and communities. We break down the differences between Original Medicare and Medicare Advantage, highlight important questions people should ask before enrolling, and explore how better education can help individuals make informed choices based on their healthcare needs instead of relying solely on premiums, advertisements, or added benefits.

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  Episode #75

  Discussed or Decided? What Documentation Supports the Decision for Surgery

  Sep 9, 202642 minS1

  Surgery may be mentioned throughout multiple progress notes, but that does not mean every encounter supports a decision regarding surgery. In this episode, Stephanie and Michele explain the difference between discussing surgery as a future possibility and documenting an actual surgical decision. They review what coders should look for, including the provider’s recommendation, treatment alternatives, patient-specific risks, the patient’s choice, and the resulting plan. They also discuss decisions to proceed, postpone, or decline surgery.

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  Episode #74

  Problems Addressed: The Most Misunderstood Part of E/M Coding

  Sep 2, 202653 minS1

  Join us on Patreon! https://www.patreon.com/cw/AuditingAnticsPodcast A diagnosis appearing in the medical record does not automatically count toward the E/M level. In this episode, Stephanie and Michele break down one of the most misunderstood elements of medical decision-making: the number and complexity of problems addressed. They discuss the difference between problems that are listed, mentioned, monitored, evaluated, and actively managed—and explain how terms such as stable, worsening, exacerbated, acute, and uncertain affect code selection. Using practical examples, they show why the same diagnosis can support different E/M levels and what documentation is needed to demonstrate the provider’s work.

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  Episode #73

  Two Auditors, One Room, One Massive Proposed Rule

  Aug 26, 202625 minS1

  For the first time on the Auditing Antics Podcast, Michele Strickland and Stephanie Allard are recording live and together in person! In this episode, Michele and Stephanie break down the biggest highlights from the CY 2027 Medicare Physician Fee Schedule Proposed Rule and talk through what these proposals could actually mean for healthcare organizations and physician practices. From the proposed Modifier 25 payment reduction and changes to G2211, to new ACO incentives, remote patient monitoring requirements, telehealth updates, MIPS changes, and continued pressure on physician reimbursement, there is a lot for practices to pay attention to. As always, they go beyond simply reading the rule and discuss the real world impact on coding, compliance, reimbursement, and practice workflows. And this episode is a little more fun because after all of their remote podcast recordings, Michele and Stephanie are finally sitting across from each other recording Auditing Antics together in person! https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/fy-2027-ipps-final-rule-home-page

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  Episode #72

  Healthcare AI: Getting Implementation and Oversight Right

  Aug 19, 202652 minS1

  AI is rapidly becoming part of healthcare operations, but implementing the technology is only the beginning. How do organizations know their AI tools are secure, accurate, compliant, and continuing to perform as intended?In this episode of Auditing Antics, we’re joined by Bennett Borden, Founder and CEO of Clarion AI Partners, to discuss the use, implementation, governance, and ongoing monitoring of AI in healthcare. Bennett brings a unique background spanning service with the CIA and U.S. Intelligence, law, data science, and AI governance.We’ll discuss what healthcare organizations should consider before implementing AI, why human oversight and ongoing monitoring matter, and how to make sure AI innovation doesn’t create new compliance and security risks. Click here to learn more about Bennett and Clarion AI Partners https://clarionai.com/

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