Who we are...

 
Alicia Shickle - Cline
AHFI, CHC, CPCO, CPC, CPMA, CPPM, CRC

Alicia has more than 35 years of clinical and administrative healthcare experience. Her areas of expertise include revenue cycle integrity, documentation and coding, medical auditing, billing processes, practice management, and compliance.

 

Alicia provides advisory services to attorneys, healthcare administrators, providers, and organizations. She frequently works with business litigation and health law practices on fraud and abuse intervention and providing independent and objective assessments for both plaintiff’s and defense teams.

 

She leads a team of advanced, talented certified coders and auditors and works closely with clients on both routine and complex documentation and coding reviews. She provides in-depth analysis, education, and assists providers with understanding best practices, and how to identify and mitigate risk of improper payments. Alicia assists clients with identifying potential risk and issues, developing corrective action plans, and compliance program development and implementation.

 

Alicia has served as the Director of Compliance for a national healthcare association, the American Academy of Professional Coders (AAPC). At AAPC, Alicia was a subject matter expert and advised the association on compliance program requirements and best practices. She has held several Director of Coding and Compliance positions, worked full time as a subject matter expert for a Law firm, and was a Family Practice Administrator for over a decade.

 

Alicia has presented educational training boot camps and seminars nationally on compliance, documentation and coding, and practice management. She was a medical billing and coding instructor at a community college. She is a frequent author for online physician blogs, and journals.

 

Alicia is an Accredited Health Care Fraud Investigator (AHFI) with the National Health Care Anti-Fraud Association (NHCAA), and is certified in Healthcare Compliance (CHC, CPCO) through the Health Care Compliance Association (HCCA), and AAPC. She is a Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), and certified in Risk Adjustment Coding (CRC). She is also a Certified Physician Practice Manager (CPPM).

 

Alicia is an active member of the American Academy of Professional Coders (AAPC) and served as the President of AAPC’s Manhattan Local Chapter for two years. She is a member of the Health Care Compliance Association (HCCA), and the National Health Care Anti-Fraud Association (NHCAA), and American Health Lawyers Association (AHLA). She is a member of the National Alliance of Medical Auditing Specialists (NAMAS), and a past member of New York Medical Group Management Association (NYMGMA).

 

Certifications require mandatory continuing education credit for maintaining credentials.

We take certification seriously

  • Accredited Healthcare Fraud Investigator (AHFI)

  • Certified in Healthcare Compliance (CHC)

  • Certified Professional Medical Auditor (CPMA) 

  • Certified Professional Compliance Officer (CPCO)  

  • Certified Professional Coder (CPC)  

  • Certified Risk Adjustment Coder (CRC)

  • Certified Administrator Physician Practice Management. (CAPPM) 

  • Certified ICD-10 Train the Trainer 

 

Memberships: 

 

  • NHCAA- National Health Care Anti- Fraud Association

  • AAPC- American Academy of Professional Coders 

  • HCCA - Health Care Compliance Association

  • AHLA - American Health Lawyers Association

  • NAMAS- National Alliance of Medical Auditing Specialists

 

Other:

Medical Management Expert Witness Listings - SEAK, Inc. Expert Witness Directory - www.seakexperts.com, 15 Jan 2014

  

 

 

 

Hobbies & passions: I enjoy spending time with family, tradition, cooking, hiking, boating, weight training, nature, and gardening. I adore all animals and aspire to offer a loving retirement sanctuary someday for many creatures in need. I currently have a miniature horse, three bunnies, and a few spoiled hens who lay fresh organic eggs daily.  

Something about me that most people do not know..

One of my most fascinating opportunities was being an autopsy assistant. I was an absolute sponge, and learned so much about human anatomy in this position. I am grateful for this amazing experience. 

Need more details? Contact us

email: ashickle@procodecs  (cell) 845-807-3255 

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