linical Data Analysis

  • Developed audit templates based on coding and billing requirements and standards of care for executed clinical trials as part as a government investigation at an academic teaching facility.
  • Analyzed SNF services to determine if the minutes of therapy documented were consistent with those reported on the MDS.
  • Conducted compliance billing review for seven hospitals on short stay, observation versus inpatient admission versus outpatient visits (APC) only.
  • Analyzed documentation for major facility on “double bunking” and compliance with level III NICU census requirements.
  • Designed statistical sampling methodologies to address complex reimbursement issues.
  • Acted as a subcontractor to the consulting firm responsible for conducting engagements regarding the appropriateness of coding and billing issues for impatient Hospital services and physician services for State Medicaid Agencies.