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.
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