Consultants Corner: Risk Adjustment Audits and the Costly Nature of Nuances in Coding
Download MP3This episode features MGMA independent consultant Rhonda Buckholtz. Rhonda talks about her consulting experience as well as her thoughts on risk adjustment audits and the costly nature of nuances in coding.
Resources:
MGMA Consulting: https://www.mgma.com/consulting/overview
Rhonda Buckholtz LinkedIn: https://www.linkedin.com/in/rhonda-buckholtz-28305a7/
Sponsors:
Humana: The latest Value-Based Care Report from Humana outlines many interesting findings and highlights how some physician practices found creative paths to success. Check it out now at Humana.com/VBC. Humana is working closely with physician practices on their value-based journeys.
MGMA Events: This episode is brought to you by the Medical Practice Excellence: Financial and Operations Conference 2023, which will be held in Orlando, FL, March 19-21. During our premiere spring event, attendees will gain key insights from both disciplines and learn about topics that shape the future success of medical practice organizations. Go to mgma.com/mpe23 to learn more and to register today.
If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com.
Thank you again for taking the time to listen to MGMA’s podcast network. If you have opportunities you’d like to share with the MGMA audience, go to www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience.
This episode features MGMA independent consultant Rhonda Buckholtz. Rhonda talks about her consulting experience as well as her thoughts on risk adjustment audits and the costly nature of nuances in coding.
Resources:
MGMA Consulting: https://www.mgma.com/consulting/overview
Rhonda Buckholtz LinkedIn: https://www.linkedin.com/in/rhonda-buckholtz-28305a7/
Sponsors:
Humana: The latest Value-Based Care Report from Humana outlines many interesting findings and highlights how some physician practices found creative paths to success. Check it out now at Humana.com/VBC. Humana is working closely with physician practices on their value-based journeys.
MGMA Events: This episode is brought to you by the Medical Practice Excellence: Financial and Operations Conference 2023, which will be held in Orlando, FL, March 19-21. During our premiere spring event, attendees will gain key insights from both disciplines and learn about topics that shape the future success of medical practice organizations. Go to mgma.com/mpe23 to learn more and to register today.
If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com.
Thank you again for taking the time to listen to MGMA’s podcast network. If you have opportunities you’d like to share with the MGMA audience, go to www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience.
U.S. Bank Podcast Ad
Cash flow challenges like delayed insurance payments, unpaid patient bills, and rising administrative costs can weigh heavily on medical practices. U.S. Bank understands. That’s why their Business Card Consultants work with practices to improve payment strategies and maximize rewards.
Stop by booth #222 at the MGMA Leaders Conference to learn more, or visit usbank.com/bankerconnect to schedule an on-site meeting with a consultant.
MGMA Analytics Podcast Ad
Are your decisions driven by gut instinct—or by real data? With MGMA Analytics, you’ll have the benchmarking and business intelligence tools to guide smarter strategies. From provider compensation to operational costs, MGMA Analytics delivers the industry’s most trusted data. So whether you’re adjusting staffing, setting salaries, or planning for growth, you can make your next move with confidence. Learn more at mgma.com/analytics.
NotifyMD Podcast Ad
This episode is brought to you by NotifyMD — the patient access solution built for healthcare professionals. You work hard to care for your patients, and NotifyMD helps you do just that. Their communication experts handle calls, schedule appointments, provide nurse triage, and more — all available 24/7. NotifyMD integrates seamlessly with platforms like athenahealth and Epic and meets the industry’s highest security standards, so you can trust that patient information stays private and protected. Learn more at notifymd.com.
This episode is brought to you by NotifyMD — the patient access solution built for healthcare professionals. You work hard to care for your patients, and NotifyMD helps you do just that. Their communication experts handle calls, schedule appointments, provide nurse triage, and more — all available 24/7. NotifyMD integrates seamlessly with platforms like athenahealth and Epic and meets the industry’s highest security standards, so you can trust that patient information stays private and protected. Learn more at notifymd.com.
U.S. Bank Podcast Ad
Cash flow challenges like delayed insurance payments, unpaid patient bills, and rising administrative costs can weigh heavily on medical practices. U.S. Bank understands. That’s why their Business Card Consultants work with practices to improve payment strategies and maximize rewards.
Stop by booth #222 at the MGMA Leaders Conference to learn more, or visit usbank.com/bankerconnect to schedule an on-site meeting with a consultant.
MGMA Analytics Podcast Ad
Are your decisions driven by gut instinct—or by real data? With MGMA Analytics, you’ll have the benchmarking and business intelligence tools to guide smarter strategies. From provider compensation to operational costs, MGMA Analytics delivers the industry’s most trusted data. So whether you’re adjusting staffing, setting salaries, or planning for growth, you can make your next move with confidence. Learn more at mgma.com/analytics.
