| 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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