Melissa James, CPC, CPMA, CRC | Source | Senior Consultant at Wolters Kluwer
Melissa James, CPC, CPMA, CRC
Senior Consultant at Wolters Kluwer
and 1 other company
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Melissa is a Senior Consultant at Wolters Kluwer. She is currently developing computer assisted coding software at Wolters Kluwer/Healthcare Language for Risk Adjustment that will disrupt the status quo for traditional NLP's on the market. Melissa is passionate about creating effective tools for the coder and auditor, making their important work more efficient and accurate.
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Wolters Kluwer Health (http://Wolters Kluwer Health)
Senior Coding Consultant -
Wolters Kluwer
Senior Consultant
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Medicare Advantage insurers will score $2 billion gift thanks to limited audits
A new rule will give a free pass to Medicare Advantage plans for any erroneous codes they submitted between 2011 and 2017.
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They gave the insurance companies a break. There’s a bunch of money that is being left on the table by [the Centers for Medicare and Medicaid Services] by only doing the extrapolation from 2018 and beyond.
