Nancy M. Enos, FACMPE, CPC, CPC-I, CEMC

Biography:

Healthcare Educator, Auditor and Consultant 

Mrs. Enos has 30 years of operations experience in the ever-changing practice management field.  Nancy joined Ingenix (formerly LighthouseMD) in 1995 and served as the Director of Physician Services until July 2008.  Nancy is an independent consultant and coding educator.

 As an Approved PMCC Instructor by the American Academy of Professional Coders, Nancy has provided consultative services and seminars in CPT and ICD-9 Coding, Evaluation and Management coding and documentation, Encounter form analysis, Chart Auditing, Compliance Plan Implementation, and various front office and clinical staff seminars. Nancy frequently speaks on coding, compliance and reimbursement issues to audiences from the provider community specializing in primary care and surgical specialties. 

 Nancy is a Fellow of the American College of Medical Practice Executives.   She serves as an independent consultant with the MGMA Health Care Consulting Group in Denver, CO. Nancy is a member of the Eastern Section Executive Committee for MGMA.  She is the Founding President of the Rhode Island chapter of the American Academy of Professional Coders.  These professional organizations provide continuing education to practice administrators and certified coders. 

  • Certified Evaluation and Management Coder, (CEMC), AAPC, November 2008
  • Fellow in the American College of Medical Practice Executives (FACMPE)  July 2003
  • Certified Professional Coder (CPC) June 1998
  • Approved Instructor, AAPC December 2002
  • Member of the Medical Group Management Association since 2002
  • Co-Chair of the Information Technologies Advisory Panel for National MGMA’s Information Management Society (IMS) – current, since 2005
  • ACMPE College Forum Representative for IMS current, since 2004
  • Massachusetts/Rhode Island MGMA President, 2007-2008
  • Massachusetts/Rhode Island MGMA Vice President, 2006-2007
  • Massachusetts/Rhode Island MGMA Membership Chairperson – Current, 2005
  • Massachusetts/Rhode Island MGMA Board Member – Secretary 2004-2005
  • Massachusetts/Rhode Island MGMA Program Chairperson 2003-2004
  • Massachusetts/Rhode Island MGMA RI Assembly Chairperson 1999-2002
  • Past President, American Academy of Professional Coders, Rhode Island Chapter

Presentations and Topics of Interest:

January 21, 2009 MA/RI MGMA “CPT, ICD-9, CMS and OIG Update for 2010”
Westborough, MA

February 11-12 Wuesthoff Health System Cocoa Beach, FL
“Consultation Coding Guidines for Medicare 2010”

MGMA Annual Conference October 2009, Denver Colorado

“Coding Essentials for the Non-coding Administrator”

MGMA and TransforMed Patient Centered Medical Home Conference

November 2009 Fort Worth, Texas

“Billing and Coding Compliance for Primary Care Practices”

MGMA Webinar
November 18, 2009

“Consultation Codes Eliminated – Now what”

Coding Essentials for the Non-Coding Administrator” New England MGMA, May 2009 and MGMA National Conference, Denver Co October 2009

Coding and Billing for the Medical Home Setting – Fort Worth TX, November 2009

Overview of ICD-10 and Implementation Planning – Lawrence & Memorial Hospital, New London, CT April 2009

 Florida MGMA Annual Conference – “Clinical Workflow Automation April 27. 2007 

Georgia MGMA Annual Educational Conference – “Internal Checks and Balances” June 25, 2007

 Monthly Presentations to New England PHO’s, MSO’s, Hospital Networks and Medical Societies on Specialty Specific Coding and Compliance Topics including General Surgery, Primary Care, Compliance Plan Implementation, Chart Audits, and operational issues.

 Publications:

American College of Physicians January 2010
http://www.acpinternist.org/archives/2010/01/MGMA-coding.htm

MA/RI MGMA Newsletter
White Paper on Consultation Code changes for Medicare

MGMA Connexion January 2010
Click here to read this article "Consultation Codes Eliminated"

Leap of Faith: Article on Web Based technology published in Connecticut MGMA Newsletter

 Moving Down the Road Towards P4P: IT Article submitted to MGMA Connextion, pending publication

 NPI Primer: MA/RI Winter Newsletter, 2006