Meet Your Expert
Linda is a Senior Managing Consultant and Compliance Officer at Medical Revenue Solutions – a medical consulting firm. She has 32 years of healthcare experience working in varying environments from a medical practice and hospital, to her current role at a nationally recognized consulting firm. Her expertise is primarily in the areas of CMS Audit Rebuttal, Revenue Cycle, Medical Practice Management, Coding and Documentation Analysis and Education, Consulting, HIPAA Privacy, and Corporate Compliance.
Over the years Linda has successfully produced claim rebuttals in response to aggressive Medicare audits by the ZPICs and UPICs, assisted her clients avert allegations of false-claims, assisted clients with meeting diversion agreements, audit obligations, and training requirements as mandated by U.S. government agencies and Office of Civil Rights.
Linda is a featured speaker for the American Academy of Pain & Rehabilitation and the Spine Intervention Society, and numerous state Medical Group Management (MGMA) organizations. She is also a Certified Professional Medical Coding Curriculum instructor, covering CPT, ICD-9, compliance and reimbursement related materials.
Linda is CHC certified through Health Care Compliance Association (HCCA) and CPC® certified through the American Academy of Professional Coders® (AAPC®). She is an AAPC approved instructor for the Professional Medical Coding Curriculum, a National Advisory Board Officer to the AAPC, and an Officer for the Kansas City chapter of AAPC.
Responsibilities include overseeing Medicare ZPIC and UPIC audit rebuttals for clients, completing documentation and coding audits with report writing for physicians and administrators. Performing technical review of all work products for the organization prior to client release. Fulfilling presentation and education requests from clients and/or professional organizations. Research CMS and third-party payer specific issues. Compliance and HIPAA Privacy Officer; training, education, investigate and perform risk analysis for all client and employee concerns. Represent the company during disputes of compliant coding and billing practices.
Training Sessions by Linda Duckworth
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As Medicare and private payers continue to go after reimbursement they believe was paid in error, the chances you’ll get audited has shot through the roof. In fact, after Medicare identifies an overpayment, the amount is considered a debt you owe the Federal government, and Federal law requires them to go after you to get it back. To make matters […]
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