Company: Medco Consultants, Inc
Web site: www.medcoconsultants.com

Professional memberships: AAPC

BC Advantage Contributor: Yes

Topics:

• Chart auditing
• Behavioral health
• Coding for primary care
• Coding with modifiers
• other topics are open for discussion

Speaker Bio:

SUMMARY OF EXPERIENCE
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). Her articles on clinical coding issues have been published in many popular healthcare publications.

APPLICABLE EXPERIENCE
Mrs. Thelian is frequently contracted by many of the major Healthcare Law Firms for clients under Corporate Integrity Agreements (CIA's). 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. Mrs. Thelian 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.

Mrs. Thelian has developed curriculum for numerous specialty and facility topics. She 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.

Thelian 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.

Mrs. Thelian is a requested speaker for third party billing companies and the pharmaceutical industry with regard to new medical technology. She 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. She 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. She 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.

"Medco" is also certified by New York City and New York State as a WBE (Women's' Business Enterprise) to offer professional healthcare consulting services and products to City, State and Federal agencies.
"Medco" has also been endorsed by the Medical Society of the State of New York (MSSNY) as a preferred provider of Healthcare Consulting services, offering significant benefits to their members.