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Corliss  

Chief Revenue Integrity Officer (CRIO)

& Chief Compliance Officer (CCO)

BSHIM, RHIT, CRCR, CSM, CCA, CBCS, CPDC

AHIMA Approved ICD-10 CM/PCS Trainer

Certified Scrum Master (CSM)

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What We Do

P3 is an organization that combines scientific methods and research to evaluate Algorithms, Artificial Intelligence (AI) and its relationship to Mid-Revenue Cycle Management software performance. We assess Revenue Integrity (RI) and Health Information Management (HIM) AI-Assisted documentation, coding and charge accuracy, pre-bill edits claim production and denial prevention processes. 

 

Our eyes are on how AI impacts Claims Management, Reimbursement implications and opportunities perspective!

Who We Are

As a Proud daughter of a United States Army and Air Force Veteran, Ms. Collins is an Executive Healthcare Advisor in the Mid-Revenue Cycle Management (MRCM) Industry. A subject matter expert with over a decade of experience in Healthcare Software, Healthcare Regulatory Compliance, Revenue Integrity (RI), and Health Information Management operational leadership. 

Ms. Collins has a unique blend of expertise in inpatient and outpatient settings; for-profit, not-for-profit, academic, specialty hospitals, health systems, ambulatory, large physician group practices, and clinics. Conducting high-level clinical documentation integrity (CDI), Coding and Charge Accuracy, Medical Coding Accuracy, Missed Charges, Code and Charge Productivity, Charge Reconciliation, Charge Lag, Discharged Not Final Billed (DNFB), and First Pass Resolution Rate quality checks that aim at identifying revenue integrity (RI) performance enhancements and optimization opportunities.   

Ms. Collin's Philanthropic commitments include being a member of the Leadership Circle for the Atlanta Community Food Bank and a long-term contributor to St. Jude Research Hospital and Shriners Hospitals for Children.    

Signature Engagements

  • Charge Description Master (CDM) Standard Operating Procedure Playbook 

  • Charge Reconciliation Program Implementation Design

  • Ideal Future State Revenue Integrity Department Transformation Initiative 

  • Leading Enterprise-Wide Revenue Integrity department restructure / reorganization projects,  including program and process improvements

  • Overseeing large-scale Charge Description Master (CDM) assessments to prepare for EPIC EHR centralization/standardization Implementations and Go-Lives

  • Lead EPIC charge capture and charge reconciliation work queue (WQ) optimization clean-up 

  • Change Management, Corporate Revenue Cycle Management roles, and responsibilities; executive leadership, management, and repositioning initiatives.

  • Implement enterprise-wide Physician Query process improvement program

  • Direct high-level CDI project reviews, for coding, and documentation work streams, identifying inconsistencies derived from Internal User and EMR system issues. 

  • Project Executive team lead overseeing a CDI review for (68) clinical departments with more than (600) physicians, which resulted in mitigating some reimbursement losses and creating a sustainable CDI Integrity within outpatient settings.

  • Work collaboratively on Revenue Integrity initiatives; standing up new policies and procedures designed to achieve CFB / DNFB / FBNE process improvement goals.

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