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QMCG Consultants
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Charlene M. Nutter
Director of Audit Compliance Services and
Senior Consultant
Phone: 614.227.4852
Fax: 614.227.2390
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Area of Specialization
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Recovery Audit Contractor (RAC) reviews to include medical necessity audits,
along with outpatient claim audits, and MS-DRG reviews
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Educational programs for physicians/staff on the Recovery Audit Contractor
(RAC) program
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Review of facility charge description master (CDM)
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Bill audits to assure that the services billed are the services documented in
the medical record
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ICD-9-CM coding review and DRG review for hospitals (inpatient acute care,
specialty hospitals), outpatient surgeries, outpatient diagnostic testing and
therapeutic services. Home health, hospice, skilled nursing facilities bill
reviews
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Educational inservices for physicians or hospital staff on ICD-9-CM coding and
diagnostic related groups (DRGs)
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Educational inservices for physicians/staff on Evaluation and Management
(E&M) coding
Representative Experience
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Several years experience in an acute care hospital with management
responsibilities in health information management, case management, medical
staff services
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Experience in working with hospital administration, medical staff and Boards of
Trustees on billing compliance and quality of care issues
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Experience in assisting health care facilities in meeting regulatory
requirements for billing
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Consulting with various health care entities on various billing issues
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Working with fiscal intermediaries to obtain answers to various issues
regarding billing and compliance<
Education
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The Ohio State University
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Kent State University, School of Nursing
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American Health Information Management Association Accreditation
Representative Sample of Speeches and Presentations
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Presentation on Admission Indicator
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Physician education on Medical Necessity
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Hospital staff education on Medical Necessity
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Physician Documentation for Evaluation and Management Coding
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Presentation on ICD-9-CM Coding
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Auditing and Monitoring in Your Facility
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Ambulatory Payment Classifications
Contact Charlene at: cnutter@qmcg.com
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