Dr. Neil RamaniChief Advisor of Coding & Clinical Documentation Improvement

    Dr. Neil Ramani

    Dr. Neil Ramani is the Chief Advisor of Coding & Clinical Documentation Improvement at SCALE Healthcare.

    Dr. Ramani is a successful healthcare entrepreneur who has founded primary care and home health practices that were established from inception with optimized provider workflow, maximizing value and patient satisfaction, while appropriately capturing population health risk (HCC), managing for chronic care (CCM), annual wellness visits (AWV), time-based encounters, transitional care opportunities (TCM), and advanced care planning (AVP).

    He is a medical billing savant with extensive experience in CMS rules and regulations. His clinical documentation and coding expertise spans both inpatient and outpatient settings. Specifically, he has extensive knowledge of the MS-DRG system, APR-DRG, AP-DRG, IPPS, and inpatient coding guidelines; OPPS and outpatient coding regulations; and recovery auditor contractor (RAC); CERT; and Medicare administrative contractor (MAC) rules, regulations, and trends.

    Dr. Ramani has built successful CDI programs for multiple hospital systems, increasing documentation integrity, quality of care, medical necessity, and reimbursement. He has also been contracted for his expertise by a host of notable consultancies including McKinsey & Co. and Guidehouse (formerly Navigant).

    Dr. Ramani received his Doctor of Medicine from Ross University School or Medicine and his BS in Physics and Biochemistry from Stony Brook University.