Kristina Kahan is a Senior Managing Director at Ankura, located in Annapolis, MD. She has over 30 years of clinical, compliance, and coding experience. Since the early 1990’s, Kristina has specialized in providing coding, compliance, investigative, clinical, operational, and industry expertise to assist payers and providers. She is a Registered Nurse and a Certified Professional Coder with a specialty in risk adjustment coding. Kristina has served clients and their counsel in a wide range of engagements, including investigations, self-disclosures, pre-IRO, IRO, and expert testimony. Prior to joining Ankura, Kristina was a director within Navigant’s disputes, forensics & legal technology (DFLT) segment, which was acquired by Ankura in 2018.
Kristina assists clients and their counsel in a wide range of engagements, including investigations, self-disclosures, and expert testimony. She has conducted review of hospital and physician coding compliance, emergency department facility level development, and EMTALA assessment, risk adjustment, and HCC coding, wound care, oncology services, infusion therapy coding, and documentation, coding and billing for laboratory and genetic testing, correct documentation and billing for medications (including HCPCS coding and drug waste), charge master management, radiation oncology coding, internal cardiac defibrillators (ICD), kyphoplasty surgical procedures, one day stay reviews with a focus on InterQual or Milliman criteria and inpatient medical necessity, physician evaluation and management (E/M) coding, clinic facility coding, billing, and documentation, psychiatric service coding and documentation, durable medical equipment (DME) coding and billing, and client project management, with an emphasis on healthcare compliance and coding services.
Kristina has served as an expert in various matters relating to coding and billing of inpatient and outpatient services, medical necessity, Medicare billing and documentation requirements, and Medicare Conditions of Participation. She has performed compliance risk assessments and participated in IRO reviews.
Kristina’s professional experience includes: