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About Us

Founder

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

CERTIFICATIONS:

  • Accredited Healthcare Fraud Investigator (AHFI)

  • Certified in Healthcare Compliance (CHC)

  • Certified Professional Compliance Officer (CPCO)  

  • Certified Professional Coder (CPC)  

  • Certified Professional Medical Auditor (CPMA) 

  • Certified Risk Adjustment Coder (CRC)

  • 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

  • Certified Women Business Enterprise (WBE) by the NYS Department of Economic Development, Division of Minority and Women's Business Development (DMWBD)

Alicia has decades of clinical and administrative healthcare experience. Her areas of expertise include professional revenue cycle and payment integrity, documentation and coding compliance, auditing and monitoring, practice management, and compliance program implementation.

 

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  works closely with clients on both routine and complex documentation and coding reviews. She provides in-depth claims  data analysis, education, and assists providers with understanding best practices, and how to identify and mitigate risk of improper payments and missed opportunities. Alicia assists clients with identifying potential risk while optimizing revenue, developing corrective action plans, and compliance program development and implementation.

 

Alicia served as the Director of Compliance for the American Academy of Professional Coders (AAPC).  She has worked with some of the top consulting practices, worked full time as a subject matter expert for a healthcare 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.

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