Pinnacle Healthcare Consulting’s Coding & Audit Division
is fluent in coding and other revenue cycle challenges.
Call us today and we can help
you start learning the coding language!
Revenue Cycle & Coding Services
Effective billing / coding practices mean more than optimized revenue; they can mean the difference between compliance and fraud. Our in-depth, first-hand knowledge and expertise can help you enhance both revenue and compliance.
Regular coding and documentation audits provide an opportunity for uncovering unbilled revenue and coding deficiencies. Our audits help identify compliance and revenue risk as well as complement compliance efforts for both Medicare and private payers. Find out if your physician’s coding is supported according to correct coding guidelines, documentation and distribution.
Reimbursement Optimization
Collect the money that is owed. Ensure that all services provided are billed and at the correct level through detailed reimbursement reviews.
Electronic Health Record Template
Maximize the efficiency of your current EHR templates with coding techniques that ensure efficiency with maximum documentation.
Utilization Analysis
Medicare uses physician utilization information to target for audits. Compare a physician’s utilization with others in their specialty. Pinnacle can assist with this high level analysis of physician productivity and help evaluate revenue and compliance risk.
Coding Services (Assistive Coding)
Pinnacle Healthcare Consulting provides short-term, interim and long-term coding services for a variety of specialties. Our cost effective solutions help any size health system or group utilize internal resources and maximize coding efficiency and productivity.
Physician Education
Focused education that bolsters knowledge and improves skills for any physician. Pinnacle has expertise in physician education for specialties and specific topics.
Independent Compliance / Revenue Risk Assessment
Compliance and revenue risk assessment is a vital step for hospital and physician integration. Pinnacle can help you discover coding and documentation needs as well as evaluate compliance and revenue risks before or after physician acquisition.
RAC & External Audits
Pinnacle Healthcare Consulting can help organizations prepare for government audits and help protect valuable revenue.
About Our Coding and Audit Team
Michele Olivier, CPC, CPMA
Director, Coding & Audit Division
For the past 15 years, revenue cycle management and coding have been Michele’s professional focus. Her expertise in these areas complement Pinnacle Healthcare Consulting’s existing core services of physician compensation, business valuations and hospital and physician integration by adding depth to revenue cycle reviews. This unique perspective offers clients additional value, which further differentiates Pinnacle from other compensation companies. Michele began her career with The Pinnacle Group as Billing Manager in 2007, where she oversaw a team comprised of coders, billers, payment posters and data entry personnel. In that role, Michele managed billing operations for diverse specialties that ranged from primary care and OBGYN to bariatric and cardiovascular surgery. Prior to joining Pinnacle, Michele gained valuable experience in a variety of companies. In previous roles, she held practice management positions, assisted with accounts receivable, human resources, payroll, hospital and insurance credentialing, Colorado state licensing, new hire orientation and personnel training. Additionally, she implemented training and compliance for Health Insurance Portability and Accountability Act (HIPPA) and Occupational Safety and Health Administration (OSHA) programs as well as served in managerial roles regarding patient billing and collections for both Medicare and private insurance companies.
Expertise
• Medical billing and collection
• Correct coding and compliance
• Fee schedules
• Credentialing
• Contracting
• Practice management systems and electronic health records (EHR)
Applications Knowledge
• Ingenix CareTracker
• Misys Tiger
• Lytec / Eclipse / Medical Manager
Professional Designations and Affiliations
• CPC & CPMA, American Academy of Professional Coders (AAPC)
• Marketing Committee, Colorado Healthcare Financial Management Association (HFMA)
• Board Member, Colorado Healthcare Financial Management Association (HFMA)
Interests
• Cooking and writing
• Enjoying city life
• Music
Contact
E-mail: molivier@PinnacleGroupHC.com
Phone: 303.801.0124
Lisa Hamko, CPC
Revenue Cycle & Coding Consultant
Lisa Hamko has actively practiced revenue cycling and coding management in the health care industry for nearly a decade. Lisa’s expertise includes physician coding for several specialties, E&M audits, coding denial management and revenue recovery. She has had experience working with several practice management and EMR systems as well as proprietary software programs. At Pinnacle, Lisa specializes in research and analysis relative to medical records and coding denials such as bundling, medical necessity, E&M levels, modifiers, invalid CPT codes and incorrectly denied claims. Lisa’s past work includes several years as an account specialist for an oncology billing and revenue recovery company. Lisa’s precision was critical in her role of performing billing audits to identify errors, recover revenue and ensure financial recovery. She strived to improve recovery process flow and worked alongside software engineers to increase efficiency and usability of the software program. Her coding specialties included Critical Care, Infectious Disease, Dermatology, OBGYN and Pediatrics. Lisa has the capability to process a high volume of claims for multiple physician specialties while maintaining accuracy and prioritizing tasks. She continues to be active in coding education and resources to further develop and maintain coding knowledge and certification.
Expertise
• Physician coding
• Specialties include: Oncology, Critical Care, Infectious Disease, Dermatology, OBGYN and Pediatrics
• E&M auditing
• Denial Management
• Revenue Cycle Audits for Recovery
Professional Designations and Affiliations
• CPC, American Academy of Professional Coders (AAPC)
Interests
• Volleyball Mom
• Spending time with family
• Wine after work
Contact
E-mail: lhamko@PinnacleGroupHC.com
Phone: 303.801.0125
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Denise Levin, CPC
Revenue Cycle & Coding Consultant
Denise specializes in decreasing the revenue reimbursement cycle time while increasing the overall capture of revenue in a billing environment of increasing regulatory complexity. She accomplishes this for Pinnacle through specialization in the application of the highest quality and accurate medical coding practices. Denise brings over 30 years of practical, direct health care experience to the Pinnacle team. The broad scope of her medical career includes several years of extensive work as a multi-office practice manager. Her expertise touched on all aspects of the healthcare system – from a physician’s office requirements to the hospital operating room. Denise has managed the full range of the medical revenue cycle spectrum, from working side by side with physicians in the service delivery room, recording medical procedures, ensuring the proper coding of service delivery, to managing accounts receivables, insurance claims management and collections. Over the years, Denise has specialized on optimizing coding and revenue cycle – as this area has become a pivotal to business success in health care practice.
Expertise
• Physician coding
• Specialties include: Family Practice, Neurosurgery, Ophthalmology, Obstetrics and Geynecology, Psychiatry / Psychology, General Surgery, Burn, Endocrinology and Orthopedics
• E&M auditing
• Denial management
• Revenue cycle audits for recovery
Professional Designations and Affiliations
• Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC)
• American Academy of Professional Coders (AAPC)
• Certified Ophthalmic Medical Technologist (COMT)
Interests
• Piano
• Spending time with family
• Golf
Contact
E-mail: dlevin@PinnacleGroupHC.com
Phone: 303.647.9012
About Pinnacle Healthcare Consulting
Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations. Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support. Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services. Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges.
Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com
Pinnacle Healthcare Consulting 