RCM Challenges: Clinical Documentation Improvement and Utilization Management
Podcast
Leigh Poland & Linga Prabhu
June 27, 2023
The world of healthcare coding is evolving with the new Evaluation and Management (E&M) 2023 code changes. After nearly 25 years, these E&M code changes promise to reduce the administrative burden for physicians and coders while refining patient care. The shift underlines the healthcare sector's commitment to streamlining processes, improving efficiency, and emphasizing medical decision-making over paperwork. These improvements come on the heels of exciting new healthcare technology advancements critical to enhancing ROI.
What does this overhaul mean for practitioners, coders, patients, and the healthcare ecosystem?
Michelle Dawn Mooney speaks with Leigh Poland, Vice President, Coding Service Line at AGS Health, and Lingaraja Prabhu, Executive Director, Coding, at AGS Health, about this significant transformation. In this episode, they discuss the recent E&M code changes and their impact on various stakeholders.
Key conversation points include:
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Leigh Poland RHIA, CCS, CDIP, CIC
Speaker
Leigh has over 20 years of coding experience and has worked in the coding and education realm over the last 20 years. Her true passion is coding education making sure coders are equipped to do their job accurately and with excellence. Academically, Leigh has graduated from Louisiana Tech University with a Bachelor of Science. Leigh has had the opportunity to present many times in the past at the AHIMA, ACDIS, and AAPC National Conventions. She has been a guest speaker on AHIMA webinars and has written several articles that were published in the AHIMA Journal. Leigh has traveled the US and internationally providing coding education.
Lingaraja Prabhu S
Speaker
Linga has over 17 years of experience with extensive knowledge in US healthcare, Clinical Practice, and deep expertise in Medical Coding, Auditing, Compliance, Operations, and Program Management.​
He is a Certified Professional Coder (CPC from AAPC), Certified Project Management Professional (PMP) from Project Management Institute (PMI), and a Certified Six Sigma Green belt. He has graduated in Physiotherapy and is certified in Leadership Principles from Harvard business school online.​
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