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Artwork for Auditing Antics: Navigating Medical Coding and Auditing

Auditing Antics: Navigating Medical Coding and Auditing

Stephanie Allard Consulting, LLC
Medical Coding
Telehealth
CMS
Artificial Intelligence
Centers For Medicare & Medicaid Services
Mental Health
Skin Substitutes
Medical Auditing
Unitedhealthcare
Electronic Medical Records
Auditing
Medical Necessity
Documentation
Medicare
Psychotherapy
Healthcare Compliance
Compliance
E&M Guidelines
Stress
FDA

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 indus... more

PublishesWeeklyEpisodes66Foundeda year ago
Number of ListenersCategory
Health & Fitness

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Artwork for Auditing Antics: Navigating Medical Coding and Auditing

Latest Episodes

Telehealth has become a routine part of healthcare delivery, but one of the most important compliance requirements is often overlooked: location.In this episode of Auditing Antics, Stephanie and Michele discuss why the physical location of both the p... more

Artificial intelligence is no longer a future concept in healthcare. It is already impacting documentation, coding, auditing, revenue cycle operations, and compliance. The question is no longer whether AI will affect healthcare coding, but how quickl... more

For this episode of Auditing Antics, we are diving into one of the biggest misconceptions in the healthcare coding and compliance industry: credentials alone do not automatically advance your career. While certifications can open doors, true career g... more

As Mental Health Awareness Month comes to a close, this episode of Auditing Antics: Navigating Medical Coding and Auditing focuses on one of the most questioned areas in healthcare today: behavioral health documentation, billing, and audit risk. Step... more

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Podcast Host
Number of Listeners
Find out how many people listen to this podcast per episode and each month.

Recent Guests

Claudia Valdez
Influencer from Cuba referenced in discussion
Episode: Coding the Future: Bridging English and Spanish in Healthcare
Ron Chapman II
Federal criminal defense attorney
Safe Harbor (collaborator)
Episode: When Healing Meets Scrutiny: UPIC Enforcement in Skin Substitutes
Eric Rubenstein
Former OIG investigator and health care compliance professional
Episode: From Denials to Defense: Surviving Medical Coding Investigations
Scott Kraft
Medical auditor and colleague at Doctors Management
Doctors Management
Episode: Compliance Fatigue: Why Providers Push Back (And What to Do)
Khush Singh
Dr., clinician with expertise in coding and auditing
Independent clinician / industry expert
Episode: What’s Hiding in Your HCCs? Why RADV Audits Matter More Than You Think
Sean Weiss
Compliance expert and AI healthcare advisor
Episode: Reimbursing Intelligence: Navigating Coding Compliance for Healthcare Tech

Hosts

Stephanie Allard
Host with extensive experience in medical coding and auditing; provides practical guidance and industry insights.
Michele
Co-host with deep expertise in coding and auditing topics; contributes practical perspectives and hands-on auditing strategies.

Reviews

5.0 out of 5 stars from 15 ratings
  • Great Insights for Medical Coding & Auditing Professionals

    I really enjoy Stephanie Allard’s weekly live sessions with Michele. They provide clear explanations of current issues in medical coding, billing, and auditing, along with helpful guidance on avoiding costly billing mistakes. Their discussions are timely, practical, and very relevant for professionals in the revenue cycle and compliance space. Highly recommended for anyone in the industry.

    Apple Podcasts
    5
    adeane75
    United States3 months ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Professional and practical—great for codecs and auditors.
Narrative examples help translate complex rules into doable steps.
Clear, actionable guidance on payer policies and audits.
Solid host pairing with real-world auditing experience.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Apple Podcasts
#163
Brazil/Health & Fitness

Talking Points

Recent interactions between the hosts and their guests.

Behavioral Health Q&A: Documentation, Billing, and Audit Risk
Q: What happens when a provider's notes are late or incomplete, making it hard to support the underlying E&M before adding psychotherapy codes?
There must be education and internal process changes; you cannot code or bill without adequate documentation, and administrators should address workflow issues to prevent reliance on rushed or speculative billing.
Behavioral Health Q&A: Documentation, Billing, and Audit Risk
Q: How can we accurately code telehealth behavioral health services when notes do not specify whether the visit was audio, video, or telehealth in general?
Codes stay the same for the encounter type, but modifiers and place-of-service details must be documented; the majority of the encounter should be through video, with documentation supporting telehealth status and patient location.
Behavioral Health Q&A: Documentation, Billing, and Audit Risk
Q: If the rendering provider on the claim differs from the person documented as performing the service, is it acceptable to submit the claim that way?
Billing should reflect the actual provider who performed the service and must be credentialed; payer policies vary, and if clinicians are in training, there may be specific allowances with supervising clinicians and modifiers.
Behavioral Health Q&A: Documentation, Billing, and Audit Risk
Q: What should be coded when psychotherapy notes document patient conversation but no explicit therapeutic interventions?
Documentation must specify the techniques and modalities used, not just general discussions; detailed treatment approaches and interventions are required to justify the CPT codes and associated billing.
Behavioral Health Q&A: Documentation, Billing, and Audit Risk
Q: If the provider build an E&M with psychotherapy, where in the documentation should there be a clear separation between the E&M work and the psychotherapy work?
The psychotherapy must have its own distinct section and cannot be in the same block as the E&M notes; the HPI and psychotherapy discussions should be separated to clearly delineate what was done in each part of the visit, ensuring proper support for billing.

Audience Metrics

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Frequently Asked Questions About This Podcast

What is This Podcast about and what kind of topics does it cover?

This show centers on medical coding, auditing, and compliance, with a practical, field-tested perspective from coders and auditors who routinely navigate CMS rules, payer policies, and real‑world workflow challenges. Episodes repeatedly tackle topics like AI's impact on coding, credential value and career paths, behavioral health billing, psychotherapy documentation, telehealth policies, risk adjustment, and operational pitfalls that affect revenue integrity. The format blends teaching moments, pragmatic checklists, and anecdotes from practice, offering actionable guidance for professionals aiming to improve accuracy, reduce denials, and stay compliant in a complex healthcare environment. A notable strength is the hands‑on focus, including ... more

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this podcast launched a year ago and published 66 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on this podcast?

Recent guests on this podcast include:

1. Claudia Valdez
2. Ron Chapman II
3. Eric Rubenstein
4. Scott Kraft
5. Khush Singh
6. Sean Weiss

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