Joe Rivet

Of Counsel, 
Joe has a unique niche in healthcare reimbursement.  He started his career as a coder for emergency medicine and worked in various healthcare settings prior to becoming an attorney.  Joe’s experience includes inpatient and outpatient coding, teaching physician services, integrated healthcare delivery systems, evaluation and management (E/M) coding, emergency medical services (ambulance) coding and billing, and Medicare and Medicaid regulations. Joe has an abundance of coding compliance experience on the payor and provider sides and a strong understanding of ever-changing government regulations including Medicaid jurisdictional differences which brings significant value to his clients.

Prior to becoming an attorney Joe worked in multiple healthcare settings ranging from community hospitals and large medical groups to one of the country’s larges integrated delivery systems.  He oversaw coding and revenue cycle operations over his career. Additionally, he was a coding instructor and was the lead instructor teaching coding at the Department of Justice Medicaid Integrity Institute.  

Additionally, Joe has led fraud, waste, and abuse (FWA) divisions at two large health plans.  Working on the payor side brings direct experience to his clients with a strong understanding and working knowledge of payor audits and claim adjudication process.  He is well versed in payor policies, managed care contracts, audit operations, and appeal processes.

Over his career in healthcare reimbursement Joe has direct experience in handling government audits (TPE, RAC, SIU, OIG, etc.) and private payor audits.  He is a nationally recognized speaker presenting on numerous coding, billing, reimbursement and regulatory topics.  

Joe brings to his clients a partnership in their operations and proactively looks ahead to the benefit of his clients. 

Healthcare icon

HealthCare Law

Joe Rivet standing
Healthcare icon

Healthcare Law

Of Counsel, 
Joe has a unique niche in health care reimbursement.  He started his career as a coder for emergency medicine and worked in various healthcare settings prior to becoming an attorney.  Joe’s experience includes inpatient and outpatient coding, teaching physician services, integrated healthcare delivery systems, evaluation and management (E/M) coding, emergency medical services (ambulance) coding and billing, and Medicare and Medicaid regulations. Joe has an abundance of coding compliance experience on the payor and provider sides and a strong understanding of ever-changing government regulations including Medicaid jurisdictional differences which brings significant value to his clients. 

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Prior to becoming an attorney Joe worked in multiple healthcare settings ranging from community hospitals and large medical groups to one of the country’s larges integrated delivery systems.  He oversaw coding and revenue cycle operations over his career. Additionally, he was a coding instructor and was the lead instructor teaching coding at the Department of Justice Medicaid Integrity Institute.  

Additionally, Joe has led fraud, waste, and abuse (FWA) divisions at two large health plans.  Working on the payor side brings direct experience to his clients with a strong understanding and working knowledge of payor audits and claim adjudication process.  He is well versed in payor policies, managed care contracts, audit operations, and appeal processes.

Over his career in healthcare reimbursement Joe has direct experience in handling government audits (TPE, RAC, SIU, OIG, etc.) and private payor audits.  He is a nationally recognized speaker presenting on numerous coding, billing, reimbursement and regulatory topics.  

Joe brings to his clients a partnership in their operations and proactively looks ahead to the benefit of his clients.

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Joe Rivet

Joe Rivet standing

Background

Education

Western Michigan University Thomas M. Cooley Law School, J.D.

Baker College, Health Administration, B.S.

Bar Admissions

Michigan 

Professional Credentials

  • Certified Coding Specialist – Physician Based (CCS-P)
  • Certified Professional Coder (CPC)
  • Certified Evaluation and Management Coder (CEMC)
  • Certified Professional Medical Auditor (CPMAP)
  • Certified Internal Controls Auditor (CICA)
  • Certified in Health Care Research Compliance (CHRC)
  • Certified in Healthcare Privacy Compliance (CHPC)
  • Certified in Healthcare Compliance (CHC) 
  • Certified Compliance and Ethics Professional (CCEP)
  • Certified Ambulance Coder (CAC)
    Certified Ambulance Compliance Officer (CACO)
  • AHIMA ICD-10-CM Certified Trainer

associations

  • American Academy of Professional Coders (AAPC)
  • Health Care Compliance Association (HCCA)
    American Health
  • Lawyers Association (AHLA)
  • Institute of Internal Controls (IIC)

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