July 2020 Zoom Meeting

Tuesday, July 28, 2020 (6:00pm-7:30pm)

 


Topic: Red Collar Crime – Healthcare Fraud


We will discuss the language of Healthcare, Tools, Resources, Anti-Fraud Techniques, New Healthcare Fraud trends and New Cases. We will also look at what is coming our way in 2021.

Speaker:
Jacqueline Bloink, MBA, RHIA, CFE, CPC, CMRS

Over 20 years of actual experience in the Medical Coding, Reimbursement (Billing) and Compliance Industry. Holding such roles as Coding / Reimbursement Manager; Practice Administrator; Compliance Director and Officer; Corporate Responsibility Auditor; and College Professor/Instructor.

Healthcare Delivery Settings include: Multi-Specialty Groups (60 plus sites); University Hospital – Medicine Department (Cardiology, Dermatology, Gastroenterology, Hepatology, Geriatrics, Internal Medicine, Palliative Medicine, Hematology – Oncology, Infectious Diseases, Inpatient Medicine, Integrative Medicine, Nephrology, Pulmonary, Allergy, Critical Care, Sleep Medicine, Rheumatology, and Research Teaching Facility); Hospital Network System; Laboratory/Pathology; Radiology; Children’s Hospital; Telehealth Group; Private Physician Consults.

Consultant and Legal Support as an Expert Witness in cases that involve allegations of Healthcare Fraud, Reimbursement Evaluation (Usual, Customary and Reasonable – UCR), and Forensic Medical Coding – Billing. Legal teams include both Defense and Plaintiff counsel / clients.

  • Forensic Medical Coding and Reimbursement Analysis;
  • Retrospective (past) and Prospective (future) CPT, HCPCS and DRG – Usual, Customary and Reasonable (UCR) Claim – Bill Review;
  • Revenue Cycle Management – Reimbursement Review Analysis;
  • Healthcare Compliance Program Review;
  • Healthcare Fraud Allegation Analysis

Website and Bio

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