About QMCG - Consultants

Charlene M. Nutter, R.H.I.T. Director of Audit Compliance Services and Senior Consultant

Area of Specialization

• Review of facility charge description master (CDM)
• Bill audits to assure that the services billed are the services documented in the medical record
• 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
• Educational inservices for physicians or hospital staff on ICD-9-CM coding and diagnostic related groups (DRGs)
• Educational inservices for physicians/staff on Evaluation and Management (E&M) coding

Representative Experience

• Several years experience in an acute care hospital with management responsibilities in health information management, case management, medical staff services
• Experience in working with hospital administration, medical staff and Boards of Trustees on billing compliance and quality of care issues
• Experience in assisting health care facilities in meeting regulatory requirements for billing
• Consulting with various health care entities on various billing issues
• Working with fiscal intermediaries to obtain answers to various issues regarding billing and compliance
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Education

• The Ohio State University
• Kent State University, School of Nursing
• American Health Information Management Association Accreditation

Representative Sample of Speeches and Presentations

• Presentation on Admission Indicator
• Physician education on Medical Necessity
• Hospital staff education on Medical Necessity
• Physician Documentation for Evaluation and Management Coding
• Presentation on ICD-9-CM Coding
• Auditing and Monitoring in Your Facility
• Ambulatory Payment Classifications

Contact Charlene at: cnutter@qmcg.com