Mrs. Jacqueline Thelian is a Healthcare Consultant, Certified Professional Coder, Subject Matter Expert and sought after educator with over twenty years' experience in medical coding and business management.
Her extensive experience includes physician practice management, coding/billing compliance and reimbursement issues and has taught extensively in Academic Medical Centers, The Chubb Institute, Hospitals, private physician practices and has conducted a variety of seminars for numerous Medical Societies.
She is also a AAPC Certified PMCC instructor for the PMCC Course (Professional Medical Coding Curriculum) and the AAPC Medical Coding Workshops.
Continuing Education Units (CEU'S) for the PMCC course and other coding courses are approved by the American Academy of Professional Coders (AAPC).
articles on clinical coding issues have been published in many popular healthcare publications.
is frequently contracted by many of the major Healthcare Law Firms for clients under Corporate Integrity Agreements
In this capacity Mrs. Thelian
is the Independent Review Organization
(IRO) performing chart reviews following the Office of Inspector General's (OIG) guidelines and working with the law firm, client and government officials on the case.
also provides education to facilities and providers who are under CIA's
(Corporate Integrity Agreements).
Working in concert with major Healthcare Law Firms on various cases, Mrs. Thelian
has provided expert testimony on behalf of many physicians/providers both at Medicare Hearings and for the Office of Professional Medical Conduct (OPMC).
In several cases Administrative Law Judges (ALJs) have based their decisions/rulings solely on Mrs. Thelian's
detailed unbiased reports and testimony, which ultimately resulted in favorable outcomes for the physician/provider.
has developed curriculum for numerous specialty and facility topics.
has been a key presenter and a didactic author for the past several years in an ongoing project on OPPS/APC readiness for major Healthcare Facilities of New York City.
In this capacity, Mrs.
has developed training materials related to subjects such as Correct Coding for OPPS, Appropriate Designation of Evaluation and Management Level of Service, the accurate usage of modifiers, specialty seminars for Pediatrics, Internal Medicine, Family Practice, OB-GYN, Psychiatry, Emergency Medicine, Physical Therapy, and General Surgery.
is a requested speaker for third party billing companies and the pharmaceutical industry with regard to new medical technology.
has developed training materials and obtained reimbursement for new technology for Biopsy-Ethicon's Stereotactic Breast Biopsy Mammotome and Hand Held Ultra-Sound Devices as well as Novacept's Endometrial Ablation Novasure Device.
has spoken on a variety of topics, including Stereotactic Breast Biopsy
, Endometrial Ablation
, Understanding the Coding System and Understanding Evaluation and Management Codes.
In addition, Mrs. Thelian
has over a decade of experience in operational issues related to Medicare and Medicaid billing and reimbursement.
has performed numerous documentation audits and CMS 1500 claim reviews for New York Law firms, Accounting firms, Leading Healthcare Facilities, Clinics and private physician practices.
OTHER CERTIFICATIONS/ ENDORSEMENTS
Medco Consultants Inc.
was approved in February 2006 for the Professional Medical Coding Curriculum
(PMCC) course instruction and also as an approved course site.
Mrs. Thelian is the lead course instructor.