Professional Reimbursement Network

Part 3 drops next week. And I need you to be ready.
We have talked about how we got here. We have talked about what it costs — in dollars, in burnout, and in human dignity.
Now we close this series the PRN way.
Claiming Our Seat: The Business Case & The Reclamation is coming — and friend, this one is going to hit different.
Because this time we are not just naming the problem. We are walking into the room.
We are talking about the $556 million False Claims Act settlement against Kaiser Permanente — the largest Medicare Advantage FCA settlement in history — announced in January 2026. We are talking about the Aetna $117.7 million settlement that same quarter — the one that began with a qui tam filed by a former risk-adjustment coding auditor who knew exactly what was wrong and put it on record. We are talking about what the OIG's brand new Medicare Advantage compliance guidance means for every coder, every CDI specialist, and every HIM professional working in this space right now. We are talking about HCC Version 28, value-based care, and why the organizations that are sleeping on their coding workforce are about to wake up the hard way.
And then — we are talking about YOU. Your authority. Your value. Your seat at the table that was always yours to claim.
Part 3 of Respect the Code goes live next week on Saturday Morning Tea.
Set your reminder. Share this with a colleague who needs to hear it. And pour your tea — because this conversation is worth showing up for.
It could all be so simple. ☕
— Clarice Warner, The Girl with the Pearls
Professional Reimbursement Network LLC | www.ohioprn.com
Patreon: bit.ly/theprnteasippers
#MedicalCoding #RespectTheCode #SaturdayMorningTea #HIMProfessionals #HealthcareCompliance #MedicalCoders #AAPC #AHIMA #FalseClaimsAct #MedicareAdvantage #HCCCoding #ClariceWarner #ProfessionalReimbursementNetwork

Are you joining us?

1 month ago | [YT] | 2

Professional Reimbursement Network

Good morning. No SMT or MATM today. Graduation.

2 months ago | [YT] | 2

Professional Reimbursement Network

#givetogain Happy International Women’s Day!!

4 months ago | [YT] | 3

Professional Reimbursement Network

Guess who made the cut!! Lil ol’ me!! Check out your girl at 06:01. Don’t miss next year’s opportunity to cruise with Rise and Rhythm, you will not be disappointed at all!! Can we talk about those Vallops?!! Hmmm hmmm good!!!

5 months ago | [YT] | 0

Professional Reimbursement Network

Did you see SMT #184? Here are some additional resources for you!! www.patreon.com/posts/smt-2-14-2026-150766983?utm_…

5 months ago | [YT] | 2

Professional Reimbursement Network

Good morning. No SMT today, I am still traveling. Let's get together next week at 9 am with ‪@thecodingnurse‬ . Pray all is well and talk real soon. P.S. Check your emails for some interesting tea!!

5 months ago | [YT] | 3

Professional Reimbursement Network

We are taking a short tea break this week.

1 year ago | [YT] | 0

Professional Reimbursement Network

1 year ago | [YT] | 2

Professional Reimbursement Network

No SMT on 2/1/2025. We will have a Sip of Tea for our PRN Tea Sippers at 9 am est. Feel free to join us. ‪@thecodingnurse‬ bit.ly/thePRNteasippers

1 year ago | [YT] | 2

Professional Reimbursement Network

No Saturday Morning Tea today. I have a funeral to attend. Talk soon.

1 year ago | [YT] | 0