Michael T. Dougherty
CEO
Profile
Michael is the founder and Chief Executive Officer of Provident and is a nationally recognized consulting professional. Prior to founding Provident, Michael led the ICD-10 Services practice for a national healthcare consulting firm integrating extensive healthcare performance improvement and technology experience in Revenue Cycle, Clinical Documentation, and Health Information Systems. He was also the national practice leader for the Compliance & Investigations practice which provided comprehensive solutions for healthcare organizations and their legal counsel, addressing all aspects of compliance, governance, risk management, audits, investigations, and litigation.
Cindi Watson
Revenue Integrity and Compliance Audit Services, Senior Auditor
Cindi is part of our Clinical Documentation Assessment team and has over 22 years of experience assisting academic medical centers, hospitals, and physician practice groups with ICD-9 coding compliance audits.…
Read MorePractice focus
Cindi is part of our Clinical Documentation Assessment team and has over 22 years of experience assisting academic medical centers, hospitals, and physician practice groups with ICD-9 coding compliance audits. She is currently involved with ICD-10 readiness assessment and implementation projects including assessments of coder, physician and clinician training needs.
She specializes in Clinical Documentation Improvement (CDI), MS-DRG and APR-DRG compliance audits, and physician education. She has experience in deliberating the RAC appeal process along with the Keystone Peer Review organization (KEPRO). She was recently consulted to assist in the development of an automated concurrent CDI program with a large health system in western Pennsylvania.
Practice Areas
- Clinical Documentation Improvement
- MS-DRG, APR-DRG compliance audits
- ICD-10
Education and certifications
- Associates Degree in Health Information Management
- Registered Health Information Technology (RHIT)
- Certified Coding Specialist (CCS)
Professional Associations
- American Health Information Management Association
- Western Pennsylvania Health Information Management
Representative Engagements:
- In-depth review of MS-DRG payers (Medicare and commercial)
- Collaborated with physicians, CDI specialists, and coding staff for MS-DRG accuracy
- Analyzed remittance advices to create a focused audit list for optimum reimbursement
- Educated CDI specialists and coders on monthly audit results including documentation improvement areas and financial impact
Cathy Straub
Revenue Integrity and Compliance Audit Services, Senior Auditor
Cathy is a part of Provident’s Clinical Services Group and has over 25 years of experience in health information management, inpatient coding, hospital/facility outpatient coding and DRG auditing.…
Read MorePractice Focus
Cathy is a part of Provident’s Clinical Services Group and has over 25 years of experience in health information management, inpatient coding, hospital/facility outpatient coding and DRG auditing. She is currently involved with ICD-10 DRG auditing and assessments of coder, physician and clinical training needs.
Cathy specializes in Clinical Documentation Improvement, MS-DRG compliance audits and coder education. She has proficiency in ICD-10-CM/PCS and CPT-4 coding systems, and is a member of the educational advisory board for the Health Information Technology (HIT) program at CCAC in Pittsburgh.
Practice Areas
- Clinical Documentation Improvement
- MS-DRG compliance audits
- ICD-10
- Coding compliance
Education and certifications
- Associate Degree in Health Information Management
- Registered Health Information Technology (RHIT)
- Certified Coding Specialist (CCS)
Other Professional Accomplishments
- AHIMA Approved ICD-10-CM/PCS Trainer
Professional Associations
- American Health Information Management Association (AHIMA)
- Pennsylvania Health Information Management Association (PHIMA)
- Western Pennsylvania Health Information Management Association (WPHIMA)
Representative Engagements
- ICD-10 clinical documentation improvement assessments
- Assistance with development of clinical training tools for coder and physician education