Home » Government Articles » Amy K. Fehn Enlightens Health Information Managers and Medical Coding Specialists on 'The New Landscape of Audits'
Amy K. Fehn Enlightens Health Information Managers and Medical Coding Specialists on 'The New Landscape of Audits'
Amy K. Fehn presented "The New Landscape of Audits; MICs, MACs, RACs and ZPICs," to an audience of health information management professionals and medical coding specialists at the AHIMA-ACMCS Joint Clinical Coding Meeting.
ROYAL OAK, MI, December 10, 2011 /Government PR News/ -- Amy K. Fehn presented "The New Landscape of Audits; MICs, MACs, RACs and ZPICs," to an audience of health information management professionals and medical coding specialists at the AHIMA-ACMCS Joint Clinical Coding Meeting in Salt Lake City, Utah. Recovery Audit Contractors (RACs) are government contractors paid on a contingency basis to recover Medicare overpayments to health care providers and to identify underpayments. The program is being expanded to include Medicaid RACs as well. Medicaid Integrity Program contractors (MICs) perform a similar role in relation to the Medicaid program. Medicare Administrative Contractors (MACs) process Medicare claims. Zone Program Integrity Contractors (ZPICs) are fraud investigators who also conduct post-payment audits for Medicare.
The American Health Information Management Association (AHIMA) is an association of health information management (HIM) professionals. AHIMA's more than 63,000 members manage personal health information required to deliver health care to the public. Founded in 1928 to improve the quality of medical records, AHIMA works for health information management professionals by providing leadership in advocacy, education, certification, and lifelong learning. AHIMA members work in a variety of work settings, including hospitals, physician offices, ambulatory care facilities, managed care facilities, long-term care facilities, consulting firms, information system vendors, colleges and universities, insurance providers, pharmaceutical companies and rehabilitation centers.
The American College of Medical Coding Specialists is a new, not-for-profit professional coders organization. ACMCS helps its members achieve high-level competence as professional coders. ACMCS has adopted Professional Competencies to be mastered by members. They range from coding and regulatory expertise to a holistic approach for our profession by expanding the educational opportunities for professional growth in many areas of business.
Fehn has represented physicians and health care organizations in health care regulatory and corporate matters as well as the defense of Medicare Audits and other third-party audits for the past 13 years. Prior to graduating from law school, she served as a registered nurse in the coronary care unit, and later worked as a clinical systems analyst for the hospital's information systems.
Royal Oak, Mich.-based Wachler & Associates, PC has served the legal needs of health care providers nationwide for more than 25 years. The firm specializes in all aspects of health care law, including RAC and other third party payor audits, health care business transactions and contracting, Stark self-referral law, fraud and abuse analysis, regulatory compliance, billing and reimbursement issues, provider participation and deselection matters, licensure and staff privilege matters, defense of civil and criminal health care fraud issues and Certificates of Need. For more information, please visit www.wachler.com; www.racattorneys.com or call (248) 544-0888.
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