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Cynthia A. Swanson, RN, CPC
Cynthia joined the firm in 1989 and prior to that time she had three years of hospital clinical nursing experience, five years of Quality Assurance, DRG and Utilization Review experience and five years as Supervisor of Medicare Medical Review with Blue Shield of Iowa.

In 1976, Cynthia graduated with an Associate of Arts degree in Nursing from Rochester State College at Rochester, Minnesota, and in May 1994, Cynthia received her Certified Professional Coder (CPC) credentials from the American Academy of Professional Coders.

Cynthia focuses on the following hospital and physician services:

  • CPT and ICD-9-CM coding issues
  • Review of documentation in hospital and clinical records
  • Medicare fraud and abuse issues
  • Reimbursement methodologies
  • Review of hospital charge master and office encounter forms
  • Corporate compliance programs
  • Internal policies and procedures
  • Billing issues
  • Other issues

Cynthia has been responsible for formalized training on the above topics and has been involved in provider/supplier education. She has lectured on physician reimbursement matters, billing and coding issues, E/M services, medical record documentation requirements and issues, Medicare and Medicaid fraud and abuse issues, and the implementation of an internal quality monitoring process at a local, state and national level, including Healthcare Financial Management Association, Iowa and Nebraska Medical Group Management Associations, United Communications Group (Part B News), Metropolitan Omaha Medical Society, Omaha Mid-West Clinical Society and Iowa Medical Society.

Cynthia maintains various memberships and affiliations including

  • Iowa Medical Group Management Association
  • Iowa Association For Healthcare Quality
  • Nebraska Medical Group Management Association
  • American Academy of Professional Coders
  • Omaha Chapter of the American Academy of Professional Coders
  • Des Moines Chapter of the American Academy of Professional Coders
  • American Health Lawyers Association

E Mail Cynthia Swanson

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