Revenue Recovery: 99211 for Established Patient Visits

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Welcome to the next episode of our HeartTalk podcast series, Revenue Recovery. Host Melanie Lawson, MS, speaks with MedAxiom’s Nicole F. Knight, LPN, CPC, CCS-P, executive vice president of Revenue Cycle Solutions and Care Transformation, and Linda Gates-Striby, CCS-P, ACS-CA, Revenue Cycle Solutions consultant. They discuss specific use cases for CPT code 99211 and give implementation tips to help ensure your practice leaves no dollar on the table.

Guest Bios:
Nicole F. Knight, LPN, CPC, CCS-P
Executive Vice President, Revenue Cycle Solutions and Care Transformation Services

As the Executive Vice President of Revenue Cycle Solutions and Care Transformation Services at MedAxiom, Nicole provides guidance to MedAxiom’s membership in cardiovascular operations, LEAN process improvement and the revenue cycle. Nicole applies her decades of healthcare experience in cardiovascular and neurology practice operations, clinical management, business office management and consulting to leading the Revenue Cycle Solutions team at MedAxiom. 
  

Prior to joining MedAxiom, Nicole served as a practice administrator for Baptist Neurology and Northeast Florida Cardiology and director of operations for Jacksonville Heart Center and Louisiana Cardiology Associates. She has extensive expertise in coding, compliance and education for various specialties including cardiology, neurology, radiology, hematology/oncology, orthopedic, ENT, gastroenterology and internal medicine. Nicole has delivered physician and staff coding and compliance education sessions nationally. 
  

Nicole has completed numerous education hours towards a Bachelor of Science in health care administration. In addition, she maintains her licensed practical nurse credential in Florida. She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association. She received her Advanced Cardiovascular Coding Certification with the Board of Medical Specialty Coding and completed the AAPC inpatient coding and reimbursement course. Nicole is a certified American Health Information Management Association (AHIMA) ICD-10-CM Trainer and completed a LEAN Healthcare training course at Johns Hopkins University. She has also served on the Physician Practice Council for AHIMA. 
  

Areas of Expertise: 
• Cardiology and neurology practice operations 

Linda Gates-Striby, CCS-P, ACS-CA
MedAxiom Consultant, Revenue Cycle Solutions

As a Revenue Cycle Solutions Consultant at MedAxiom, Linda provides cardiovascular programs across the country with operational expertise, implementation strategies and recommendations for simplifying often complex initiatives to minimize risk and maximize revenue.  
Linda has worked in the medical field for over 30 years and has specialized in cardiology coding for 25 years. Her clinical experience includes working in the heart stations and coronary intensive care units and serving as an emergency medical technician for a level-one trauma center. As a coding specialist, she focuses on compliance, revenue cycle and quality for a large cardiology and multispecialty practice. She is also the director of quality assurance at the Ascension Medical Group in Indiana. 
Linda is a sought-after speaker and consultant and has conducted numerous national educational sessions focused on documentation, coding, auditing and revenue cycle improvement for clinicians, coders and administrators across the nation. 
Linda serves as a non-physician member of the American College of Cardiology’s coding work group and publications subcommittee and has also served on the coding committee for the Heart Rhythm Society. Linda served as the cardiology chair on the Board of Advanced Medical Coding, led the development of the Advanced Cardiology and Specialty Cardiology Certification examinations, and acts as a technical editor for cardiology-focused newsletters. Linda has served as an independent review organization auditor for the Office of Inspector General Corporate Integrity Agreements and as an expert witness on behalf of cardiology practices.