Dr. Carina Saplala brings over 15 years of experience in healthcare consulting, specializing in coding, compliance, and medical auditing. She is recognized for her expertise in conducting Independent Review Organization (IRO) audits for healthcare organizations under Corporate Integrity Agreements (CIAs) with the Office of Inspector General (OIG). Her work focuses on ensuring compliance with federal regulations, improving coding accuracy, and enhancing quality assurance.
Experience
Dr. Saplala has a strong background in supporting healthcare organizations in meeting the rigorous standards set by federal regulatory bodies. As an IRO auditor, she plays a key role in evaluating compliance programs and ensuring adherence to CIAs mandated by the OIG. Her extensive experience in medical auditing includes conducting thorough reviews of healthcare documentation, identifying areas for improvement, and implementing corrective action plans to ensure compliance with healthcare regulations.
In addition to her auditing expertise, Dr. Saplala has worked closely with healthcare providers to enhance coding accuracy, reduce errors, and improve revenue cycle management. She is also dedicated to quality assurance, helping organizations maintain high standards of care while mitigating financial risks.
Education and Certifications
Dr. Saplala holds an MD and is certified as a Certified Coding Specialist–Physician-based (CCSP) and a Certified Professional Medical Auditor (CPMA).
Areas of Special Focus
Independent Review Organization (IRO) audits, Corporate Integrity Agreements (CIAs), medical auditing, quality assurance, compliance program implementation, healthcare regulations, and revenue cycle management.