Lansing Community College - Business
Healthcare Compliance Analyst at MSU HealthTeam and Adjunct Faculty at Lansing Community College
Higher Education
Kris
Cuddy-Cummings, CPC, CIMC, CEMA
East Lansing, Michigan
Experienced Health Care Compliance Analyst with a demonstrated history of working in the higher education industry, within Pro-Fee physican & non-physician provider settings and PATH Pro-Fee settings. Strong healthcare services professional skilled in Medicare, Medicaid, Commercial health plans, Microsoft, Outlook, Auditing, Policy Creation, Education Creation, Fraud/Waste/Abuse Investigations, Provider Relations, Documentation, icontactPro, CPS EHR, athena EHR, EPIC EHR, A4 Healthmatics EHR, ICD-10, CPT, and HCPCS.
Adjunct Faculty
Creation and implementation of education on the background of EHR both in the classroom and online, including, but not limited to: HIPAA, CMS, OIG, OCR, EHR/EMR systems, EHR/EMR standards and lack thereof. Instruction in medical billing software and medical billing practices utilizing online software. In addition, I serve on their Medical Insurance Billing and Coding Advisory Board (MIBC AB).
Airman
Disabled Veteran, honorable discharge.
Billing Education & Coding Specialist
Kristine worked at Mid-Michigan Physicians, P.C. as a Billing Education & Coding Specialist
HealthCare Compliance Analyst
Michigan State University HealthTeam has over 70 specialties/sub-specialties. My roll includes, but is not limited to; auditing provider documentation with followed education; knowledge and education of Teaching Physician Regulations; knowledge and education of Non-Physician Provider rules; investigation and response of fraud, waste and abuse; creation and implementation of new provider orientation; internal audit and response to carrier audits or investigations; internal audit and response to Central Billing Office concerns; assisting with implementation and education of ICD-10 CM; creation and implementation of documentation education for providers and residents/fellows; creation and implementation of policies and procedures for compliance and billling; creation and presentation of in-person training/education on HIPAA Fraud and Awareness; creation and implementation of online HIPAA training tools and modules; foster provider relationships and bring community concerns to light with carriers and societies through memberships such as Michigan Society of Hematology and Oncology (MSHO) (found at: https://www.linkedin.com/in/michigan-society-of-hematology-and-oncology-76ab99121/) and WPS GHA Part B Provider Outreach and Education Advisory Group (POE AG).
General Associate's Degree
Health Care Focus
Adjunct Faculty
Creation and implementation of education on the background of EHR both in the classroom and online, including, but not limited to: HIPAA, CMS, OIG, OCR, EHR/EMR systems, EHR/EMR standards and lack thereof. Instruction in medical billing software and medical billing practices utilizing online software. In addition, I serve on their Medical Insurance Billing and Coding Advisory Board (MIBC AB).
MedEd Portal
Our Geriatric Fellowship assessment was initially developed in 2010 as a full-day Objective Structured Clinical Evaluation (OSCE) to provide formative feedback for Geriatric Fellows throughout the Michigan State University College of Human Medicine Fellowship Network. This resource provides nine comprehensive Geriatric Assessment OSCEs, each with the following components: Doorway information (for learners – introductory history posted on the door for Fellows to read prior to entering the room). Case synopsis (for faculty – serves as an overview to direct attention to cases’ objectives). Standardized patient instructions and script (SP training materials). Standardized patient evaluation checklists. Faculty evaluation checklists. Example documentation. Documentation audit (with billing codes based on CMS 1995 Guidelines). Necessary supplemental documents. Our Geriatric OSCE is unique because we use the cases to teach principles of documentation, coding, and billing. We developed sample documentation for each of our nine cases and had each document audited by a compliance officer. We then developed a billing “help sheet” that streamlines documentation requirements that support various levels of billing for unique sites of care (inpatient, outpatient, nursing home, etc). These supporting documents made our post-OSCE didactic sessions more concrete, as all participants experienced the same simulated scenarios.
MedEd Portal
Our Geriatric Fellowship assessment was initially developed in 2010 as a full-day Objective Structured Clinical Evaluation (OSCE) to provide formative feedback for Geriatric Fellows throughout the Michigan State University College of Human Medicine Fellowship Network. This resource provides nine comprehensive Geriatric Assessment OSCEs, each with the following components: Doorway information (for learners – introductory history posted on the door for Fellows to read prior to entering the room). Case synopsis (for faculty – serves as an overview to direct attention to cases’ objectives). Standardized patient instructions and script (SP training materials). Standardized patient evaluation checklists. Faculty evaluation checklists. Example documentation. Documentation audit (with billing codes based on CMS 1995 Guidelines). Necessary supplemental documents. Our Geriatric OSCE is unique because we use the cases to teach principles of documentation, coding, and billing. We developed sample documentation for each of our nine cases and had each document audited by a compliance officer. We then developed a billing “help sheet” that streamlines documentation requirements that support various levels of billing for unique sites of care (inpatient, outpatient, nursing home, etc). These supporting documents made our post-OSCE didactic sessions more concrete, as all participants experienced the same simulated scenarios.
AAPC, The Coding Edge
Advises on the ins-and-outs of documenting, coding, and billing for care plan oversight services.
MedEd Portal
Our Geriatric Fellowship assessment was initially developed in 2010 as a full-day Objective Structured Clinical Evaluation (OSCE) to provide formative feedback for Geriatric Fellows throughout the Michigan State University College of Human Medicine Fellowship Network. This resource provides nine comprehensive Geriatric Assessment OSCEs, each with the following components: Doorway information (for learners – introductory history posted on the door for Fellows to read prior to entering the room). Case synopsis (for faculty – serves as an overview to direct attention to cases’ objectives). Standardized patient instructions and script (SP training materials). Standardized patient evaluation checklists. Faculty evaluation checklists. Example documentation. Documentation audit (with billing codes based on CMS 1995 Guidelines). Necessary supplemental documents. Our Geriatric OSCE is unique because we use the cases to teach principles of documentation, coding, and billing. We developed sample documentation for each of our nine cases and had each document audited by a compliance officer. We then developed a billing “help sheet” that streamlines documentation requirements that support various levels of billing for unique sites of care (inpatient, outpatient, nursing home, etc). These supporting documents made our post-OSCE didactic sessions more concrete, as all participants experienced the same simulated scenarios.
AAPC, The Coding Edge
Advises on the ins-and-outs of documenting, coding, and billing for care plan oversight services.
AAPC Healthcare Business Monthly
When reporting prolonged services, it’s important for providers, coders, and billers to know the documentation and code selection facts to ensure proper payment. The Basics of Prolonged Services Prolonged service codes 99354-99357 are used when a physician or other qualified health provider performs a prolonged service involving direct (face-to-face) patient contact that goes beyond the usual service in either the inpatient or outpatient (office, clinic, observation, etc.) setting. CPB : Online Medical Billing Course Where and When to Use: In the inpatient or skilled nursing facility setting, direct patient contact is face-to-face time and time on the unit/floor devoted strictly to that patient is reported using 99356-99357. The following cannot be billed for prolonged facility/inpatient services: Time spent reviewing charts or discussing a patient with house medical staff and not with direct face-to-face contact with the patient; Waiting for test results; Waiting for changes in the patient’s condition; Waiting for end of a therapy; or Waiting for use of facilities. See link for remainder of article
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Member - Women's Auxiliary
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Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member - Women's Auxiliary
Member - Women of the Moose
Member
Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member
National Alliance of Medical Auditing Specialists http://namas.co/
Member - Women's Auxiliary
Member - Women of the Moose
Member
Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member
National Alliance of Medical Auditing Specialists http://namas.co/
Member
Member - Women's Auxiliary
Member - Women of the Moose
Member
Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member
National Alliance of Medical Auditing Specialists http://namas.co/
Member
Member
Member - Women's Auxiliary
Member - Women of the Moose
Member
Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member
National Alliance of Medical Auditing Specialists http://namas.co/
Member
Member
Member - Women's Auxiliary
Member - Women of the Moose
Member
Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member
National Alliance of Medical Auditing Specialists http://namas.co/
Member
Member
Member - Women's Auxiliary
Member - Women of the Moose
Member
Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member
National Alliance of Medical Auditing Specialists http://namas.co/
Member
Member
Member - Women's Auxiliary
Member - Women of the Moose
Member
Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member
National Alliance of Medical Auditing Specialists http://namas.co/
Member
Member
Member - Women's Auxiliary
Member - Women of the Moose
Member
Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member
National Alliance of Medical Auditing Specialists http://namas.co/
Member
Member
Member - Women's Auxiliary
Member - Women of the Moose
Member
Member, President x2, Vice President, Education Officer, National Speaker
Served in the Lansing Chapter
Member
National Alliance of Medical Auditing Specialists http://namas.co/
Member
Member