Out sourced coding and denial management services. Responsible for staff oversight, business development and recruiting.

PERCS, an affiliate of Pinnacle Healthcare Consulting specializing in Internal Audit, Compliance and Litigation Support Services. Directs, designs and performs consulting services to compliment services Pinnacle Healthcare Consulting services. A diverse led team of healthcare professionals focusing on audits of various government payment system claims including professional-fee, inpatient/outpatient facility, SNF, Home Health, Hospice, Healthplan, DME, and ambulance services. Provides… Show more PERCS, an affiliate of Pinnacle Healthcare Consulting specializing in Internal Audit, Compliance and Litigation Support Services. Directs, designs and performs consulting services to compliment services Pinnacle Healthcare Consulting services. A diverse led team of healthcare professionals focusing on audits of various government payment system claims including professional-fee, inpatient/outpatient facility, SNF, Home Health, Hospice, Healthplan, DME, and ambulance services. Provides strategic analytics to design reviews/audit for internal audit clients and litigation defense strategy purposes for law internal and external law firm clients. Reviews include charge capture, quality documentation and chart-to-bill audits for accuracy and regulatory compliance. The team has in-depth knowledge of a wide variety of specialties.Other offerings include: Independent Review Services ("IRO") for clients subject to Corporate Integrity Agreements ("CIA") or Integrity Agreements ("IA") with the OIG, Compliance support and interim compliance officer services. Data analysis functions to provide insight into charging, billing and reimbursement patterns. Creates and provide specialized training for clinical staff and physicians. Pharmacy services and reviews may include: o Accurate charging and billing of pharmacy services, both retail and hospital based departments serving inpatients and outpatients, o Pharmacy CDM maintenanceo Internal control risk audits related to process and workflow controls of controlled substances; and o Data analysis to assist identifying drug diversion risk. Show less

Keeping the newsletter editor up to date on current healthcare industry trends in the oncology/hematology specialty; Review the issue outline for pertinent topics; Review newsletter materials for clinical/coding accuracy.