Jerry Miller - Revenue Cycle Practice

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Jerry Miller, QHR Revenue Cycle

As the Director of Reimbursement Audit Services at a large hospital in the south, Mr. Miller was responsible for the management of Reimbursement Audit Services, which performed audits on the Revenue Cycle, to include Patient Access, Care Management, Health Information Management, Reimbursement, and Patient Financial Services. He reviewed statistical sampling of accounts from a 5 year period for potential improper billing of zero and one day stays, observation, three day SNF, medical unlikely claims, hemodialysis, and carotid stents and was responsible for reporting both under and over payments as a result of audit findings. Mr. Miller developed and performed hospital-wide education on Revenue Cycle, Reimbursement, and Clinical Documentation, as part of a Corporate Integrity Agreement.