Senior Vice President -
James E. Hugh III, MHA, ROCC®, CHBME

James E. Hugh III, MHA, CHBME, ROCC®, serves as Senior Vice President of American Medical Accounting & Consulting (AMACâ).   AMACâhandles all issues regarding reimbursement and provides full service billing, practice management, training, reporting, claims processing services, auditing and consulting in radiation oncology and medical oncology. 

Jim’s national reputation has facilitated the development of negotiation strategies with third-party payors across the country.  As a resource for medical groups, vendors, facilities, universities, clinics, hospitals and third-party payors, Jim and AMACâ now represent a client base of more than 1,000 health care organizations nationwide.  Jim has cultivated relationships with medical directors, federal executives and administrators for a variety of local and national managed care organizations. He is highly regarded as a leading industry authority on reimbursement issues for radiation therapy. He has authored and coauthored numerous articles and books and has given more than 120 invited presentations.

 

Jim’s growing presence in the national marketplace has made him a resource for medical equipment manufacturers and pharmaceutical companies. He currently leads AMACâ’s reimbursement issues for consulting with numerous corporations, and he is actively involved in developing and implementing national reimbursement protocols for providers.

 

Education

 

·     University of South Florida

 Bachelor of Arts, 1976

·     Mercer University

 M.S. in Healthcare Policy and Administration, 1994

 

Certifications

 

·     Healthcare Billing & Management Association

CHBME – Certified Healthcare Billing & Management Executive

·     Radiation Oncology Certified Coder

ROCC®

 

Memberships

 

·     American Society for Therapeutic Radiology and Oncology (ASTRO)

·     Society for Radiation Oncology Administrators (SROA)

·     Association of Freestanding Radiation Oncology Centers (AFROC)

·     American Brachytherapy Society (ABS)

·     Association for Community Cancer Centers (ACCC)

·     Healthcare Billing & Management Association (HBMA)

·     Health Care Financial Management Association (HFMA)

·     The Southern Association of Therapeutic Radiation Oncology (SATRO)

 

  Published Works

 

2010 Proposed Rules for Physicians, Hospitals and ASC, by James E. Hugh III, MHA, CHBME,  
ROCC®,  Society of Radiation Oncology Administrators SROA, September 2009

 

2009 Proposed Rules for Physicians, Hospitals and ASC, by James E. Hugh III, MHA, CHBME,  
ROCC®,  Society of Radiation Oncology Administrators SROA, September 2008

 

Brachytherapy’s Hard Code Facts, Enterprise Imaging, July 31, 2008

 

2008 Proposed Rules for Physicians, Hospitals and ASC, by James E. Hugh III, MHA, CHBME,  
ROCC®,  Society of Radiation Oncology Administrators  SROA, September 2007

 

2007 Proposed Rules for Physicians, Hospitals and ASC, by James E. Hugh III, MHA, CHBME,  
ROCC®,  Society of Radiation Oncology Administrators  SROA, September 2006

 

Consulting Company Referred to Specific Practice Expenses, by James E. Hugh III, MHA,  
ROCC®, CMS Final Rates, Dow Jones Newswire, June 2006

 

A New Stereotactic Localization Code for IGRT, by James Hugh, III, MHA, ROCC, Decisions in Imaging Economics, December 2005

 

Final…Isn’t All That!   The Journal of Oncology Management, by Linda L. Lively, MHA, CCS-P, RCC, ROCC, CHBME and James E. Hugh III, MHA, ROCC, May/June 2004, Volume 13/No 3

 

The Effect of IMRT Coding and Reimbursement on Freestanding Center,  Outpatient Care

Technology, by James E. Hugh, III, MHA, published June/July 2002, Volume 18/No. 3

 

The ABC’s of APC.  Advanced Radiology, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published September 2000, Volume 10, No. 9

 

APC’s: Where are we today?   Oncology News, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published Fall 2000 Volume 10, No. 4, Society for Radiation Oncology Administrators

 

Back to the Future: Final Rule for Medicare Program Revisions.  Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published January 1997

 

Metastron® (Strontium-89 Chloride) Injections Reimbursement Issues, Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published December 1996

 

Managed Care: Perception vs. Reality, Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published November 1996

 

Charting Your Way to the Top, Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published October 1996

 

The Evolution of American Medicine, Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published September 1996

 

Looking Beneath the Surface, Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published August 1996

 

 

The Unbundling of Coding, Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published July 1996

 

Are You in Violation? Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published June 1996

 

Ask the Doc: Transperineal Prostate Localization and Insertion of Interstitial Radioactive Substances.  Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published February 1996

 

Mandate Transmittal and Other Myths, Administrative Radiology Journal, by Linda L. Lively, MHA, CCS, CHBME and James E. Hugh, III, MHA, published January 1995

 

Prostate Brachytherapy Made Complicated.   Smart Medicine Press. Seattle, Washington.  By Kent Wallner, John Blasko and Michael J. Dattoli. Input by James E. Hugh, M.H.A. and Linda L. Lively, M.H.A.

 

Lectures, Seminars and Training Presentations

 

Upcoming Events

 

Updates in Radiation Oncology Coding, Billing Documentation & Compliance – Webinar Basic Coding, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting August 12, 2010

 

Updates in Radiation Oncology Coding, Billing Documentation & Compliance – Webinar RoadMaps™, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting September 9, 2010

 

The 3 R’s of Radiation Oncology:   Rules, Regulations & Reimbursement, by James E. Hugh III, MHA, CHBME, ROCC®, Best Practices in Advanced Radiation Oncology & Imaging, H. Lee Moffitt Cancer Center – Tampa, Florida, September 15, 2010

 

Radiation Oncology:  Coding, Billing, Documentation and Compliance Seminar, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting, Atlanta, Georgia, September 23-24, 2010

 

Brachytherapy Practice Reimbursement, by James E. Hugh III, MHA, CHBME, ROCC®, 6^th Annual Harvard Brachytherapy Review, TBA, October 2010

 

Radiation Treatment Technologies:   Economics and Reimbursement, by James E. Hugh III, MHA, CHBME, ROCC®, 4^th Annual NC IGRT/IMRT Symposium – Wake Forest University, North Carolina, October 2, 2010

 

Updates in Radiation Oncology Coding, Billing Documentation & Compliance – Webinar Medical Records & Documentation, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting October 14, 2010

 

Updates in Radiation Oncology Coding, Billing Documentation & Compliance – Webinar 2011 Final Rules, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting November 2010

 

Radiation Oncology Billing Panel, Society for Radiation Oncology Administrators (SROA), Annual Meeting, San Diego, California, October 31, 2010

 

Whistleblower, by James E. Hugh III, MHA, CHBME, ROCC®, Society for Radiation Oncology Administrators (SROA), Annual Meeting, San Diego, California, November 3, 2010

 

Coding Updates, by James E. Hugh III, MHA, CHBME, ROCC®, Society for Radiation Oncology Administrators (SROA), Annual Meeting, San Diego, California, November 3, 2010

 

Radiation Oncology:  Coding, Billing, Documentation and Compliance Seminar, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting, Las Vegas, NV December 1-3, 2010

 

Updates in Radiation Oncology Coding, Billing Documentation & Compliance – Webinar Compliance, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting December 2010

2010

 

Updates in Radiation Oncology Coding, Billing Documentation & Compliance – Webinar Brachytherapy, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting February 2010

 

Radiation Oncology:  Coding, Billing, Documentation and Compliance Seminar, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting, Atlanta, GA March 2010

 

Updates in Radiation Oncology Coding, Billing Documentation & Compliance – Webinar SRS/SRT, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting May 2010

 

Updates in Radiation Oncology Coding, Billing Documentation & Compliance – Webinar 2011 Proposed Rules, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting May 2010

 

Radiation Oncology:  Coding, Billing, Documentation and Compliance Seminar, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® in affiliation with MD Anderson University of Texas   June 2010

 

Consumer Perspective: Assessment of New Technology and Budget Concerns, by James E. Hugh III, MHA, CHBME, ROCC®, 4^th Annual Device Coverage and Reimbursement Conference, July 13, 2010

 

 

2009

 

The Art of the Audit:   Self Help Tips for Every Radiation Therapy Practice, by James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, SATRO 11^th Annual Conference, Savannah, GA, May 2009

 

Brachytherapy Practice Reimbursement, by James E. Hugh III, MHA, CHBME, ROCC®, 5^th Annual Harvard Brachytherapy Review, Boston, Massachusetts, October 2009

 

Radiation Oncology Billing Panel, Society for Radiation Oncology Administrators (SROA), Annual Meeting, Chicago, Illinois, November 2009

 

Updates in Regulations, Codes and Documentation for 2010:  Hospitals, Freestanding Centers and Physicians, by James E. Hugh III, MHA, CHBME, ROCC® SROA Annual Meeting, Chicago, Illinois, November 2009

 

Radiation Oncology:  Coding, Billing, Documentation and Compliance Seminar, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting, Las Vegas, NV December 2009

 

 

2008

 

Billing Issues: 2008 American Brachytherapy Society by James E. Hugh III, MHA, CHBME, ROCC® 

School of Breast Brachytherapy & Brachytherapy Physics, February 2008

 

2008 Updates:  Hospitals, ASCs, Freestanding Centers and Physicians, by James E. Hugh III, MHA, CHBME, ROCC®, SATRO 10th Annual Conference May 2008

 

 Advanced Radiotherapy in Multidisciplinary Cancer Management - 2-day Clinical Conference: by James E. Hugh III, MHA, CHBME, ROCC®, UCSF Annual Post-Graduate Course May 2008

 

Radiotherapy:  Impact on Process of Care and Reimbursement by James E. Hugh III, MHA, CHBME, ROCC®, AFROC 20th Annual Conference by June 2008

 

Radiation Oncology:  Coding, Billing, Documentation and Compliance Seminar by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® in affiliation with MD Anderson University of Texas   June 2008

 

BrainLAB Annual Symposium, Radiosurgery Reimbursement by James E. Hugh III, MHA, CHBME, ROCC®, June 2008

  

2008 American Brachytherapy Society (ABS), by James E. Hugh III, MHA, CHBME, ROCC®, Prostate Brachytherapy School July 2008

 

Radiation Oncology:  Coding, Billing, Documentation and Compliance Seminar, by James E. Hugh III, MHA, CHBME, ROCC®, AMAC® American Medical Accounting and Consulting August 2008

 

Assisting Serious Radiation Therapists - Providing the Basic Tools in Reimbursement Coding, Billing and Documentation to Excel in your Department by James E. Hugh III, MHA, CHBME, ROCC®, ASRT 2008 RTC September 2008

 

EMR: Charge, Capture, Documentation Tips and Templates to Assist the Therapist in their Radiation Oncology Department Documentation, by James E. Hugh III, MHA, CHBME, ROCC®, ASRT 2008 RTC September 2008

 

Updates in Regulations, Codes and Documentation for 2008 and 2009:  Hospitals, Freestanding Centers and Physicians, by James E. Hugh III, MHA, CHBME, ROCC® SROA 25th Annual Meeting September 2008

 

Connect the Past with the Present: Revolutionizing Cancer Care, Society for Radiation Oncology Administrators (SROA), 25^th Annual Meeting, September 2008

 

Billing Roadmaps for Radiation Oncology, Society for Radiation Oncology Administrators (SROA), 25^th Annual Meeting, September 2008

 

UCSF Department of Radiation Oncology,    May 2008

 

Brachytherapy Practice Reimbursement, 4^th Annual Brachytherapy Review, Harvard Medical School, October 2008

 

2007

 

Billing and Coding Seminar, The Southern Association of Therapeutic Radiation Oncology (SATRO)Conference, April   2007

 

Updates in Regulations, Codes and Documentation for 2007 and 2008: Hospitals, Freestanding Centers and Physicians, Society for Radiation Oncology Administrators (SROA), 24^th Annual Meeting, October 2007

 

Coding, Reimbursement Compliance: Brachytherapy, 3^rd Annual Brachytherapy Review, Harvard Medical School, October 2007

 

Reimbursement for Brachytherapy, IMRT and IGRT Panel Discussion, 19^th Annual Association of Freestanding Radiation Oncology Centers (AFROC) Meeting, May 2007

 

2006

 

Brachytherapy Reimbursement,   by James E. Hugh III, MHA, CHBME, ROCC®, 2nd Annual Harvard Medical School of Brachytherapy Review, September 2006

Justifying the Investment in Image Radiation Therapy.  by James E. Hugh III, MHA,ROCC®,  Indianapolis Clinical Solutions Forum, June 2006

Justifying the Investment in Image Radiation Therapy.  by James E. Hugh III, MHA, ROCC®, New England and E. Canada Clinical Solutions Forum, June 2006 

Buzz Words to Get You Through the Appeals Process, by James E. Hugh III, MHA, ROCC®, AFROC'S 18th Annual Conference, June 2006

Justifying the Investment in Image Radiation Therapy.  by James E. Hugh III, MHA, ROCC®,  Las Vegas Clinical Solutions Forum, May 2006

Image Guided Radiation Therapy: New Tool New Directions,  by James E. Hugh III, MHA, ROCC®,  2006 UCSF Annual Post-Graduate Course, May 2006 

Justifying the Investment in Image Radiation Therapy,  by James E. Hugh III, MHA, ROCC®,  Pittsburg Clinical Solutions Forum, May 2006

Coding and Documentation in 2006 for Radiation Oncology Practices, by James E. Hugh III, MHA, ROCC®, 2006 SATRO 8 Conference, April 2006

Current Updated in Coding, Documentation & Reimbursement Issues in Breast Brachytherapy, by James E. Hugh III, MHA, ROCC®, American Brachytherapy Society, February 2006

 

2005   

 

Radiation Oncology: Coding, Billing, Documentation & Compliance by Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE and James E. Hugh, III, MHA, ROCCä,    AMACâ-CCN Seminar, Las Vegas NV, December 2005

 

Common Myths & Errors in Documentation & Coding in Radiation Oncology by James E. Hugh, III, MHA, ROCC®, ASTRO Conference, ASRT, Denver CO, October 12005

 

Billing Panel, James E. Hugh, III, MHA, ROCC®, ASTRO Conference SROA, Denver CO, October 2005

 

Updates in Regulations, Codes & Documentation by James E. Hugh, III, MHA, ROCC®,    ASTRO Conference SROA, Denver, CO, October 2005

 

Radiation Oncology Coding & Documentation, by James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, New Rochelle, NY, September 2005

 

Current Reimbursement & Coding Issues, by James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, Duke University Medical Center, Raleigh, NC, September 2005

 

Hospital Nursing Procedures Coding & Documentation, James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, Duke University Medical Center, Raleigh, NC, September 2005

 

Coding, Reimbursement Compliance:   Brachytherapy, by James E. Hugh, III, MHA, ROCC®,

Harvard Medical School, Boston, MA, September 2005

 

Current Reimbursement & Coding Issues, by James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, Rush University, Chicago, IL, August 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®, Image Guidance Radiation Therapy (IGRT) Seminar, San Mateo, California, August 2005

 

Basic Billing Issues in Radiation Oncology, by James E. Hugh, III MHA, ROCC®,    Web Cast Seminar, August 2005

 

The 2006 Physician & Hospital Proposed Rules Just Released Increases, Decreases, & Deletions, by James E. Hugh, III MHA, ROCC®,    Web Cast Seminar, August 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®,

Image Guidance Radiation Therapy (IGRT) Seminar, Minneapolis, Minnesota, August 2005

 

Current Reimbursement & Coding Issues, by James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, UT Southwestern, Dallas, TX, July 2005

 

Coding, Reimbursement Compliance: Tomotherapy, by James E. Hugh, III, MHA, ROCC®, Seattle, Washington, July 2005

 

Current Reimbursement & Coding Issues, by James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, Atlanta, GA,   July 2005

 

Current Reimbursement & Coding Issues, by James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, Akron, OH, July 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®,

Image Guidance Radiation Therapy (IGRT) Seminar, Charleston, South Carolina, July 2005

 

Coding & Documentation, by James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, Ohio State University, Columbus, OH, July 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®,

Image Guidance Radiation Therapy (IGRT) Seminar, Philadelphia, Pennsylvania, June 2005

 

Coding & Documentation, by James E. Hugh, III, MHA, ROCC®, and Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE, Norfolk, VA, June 2005

 

An Effective Appeals Process:   Best Practices Approach, by Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE and James E. Hugh, III, MHA, ROCC®, AFROC Annual Meeting, Washington, DC, June 2005

 

Brachytherapy Economics and Practical Coding Considerations by James E. Hugh III, MHA, ROCC®, American Brachytherapy Society Annual Meeting   Socioeconomic Session, San Francisco, CA, June 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®, Image Guidance Radiation Therapy (IGRT) Seminar, Detroit, MI, June 2005

 

Radiotherapy Reimbursement:   IGRT & Stereotactic Billing, by James E. Hugh III, MHA, ROCC®, Varian Medical Systems Seminar, Palo Alto, CA, May 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®, Image Guidance Radiation Therapy (IGRT) Seminar, Dallas, TX , May 2005

 

Radiation Oncology: Coding, Billing, Documentation & Compliance by Linda L. Lively, MHA, CCS-P, RCC, ROCCä, CHMBE and James E. Hugh, III, MHA, ROCC®,    AMACâ-CCN Seminar, Tampa FL, April 2005

 

Radiation Oncology Coding & Compliance and Special Issues in SRS Coding by             Linda L. Lively, MHA, CCS-P, RCC, ROCC®, CHMBE and James E. Hugh, III, MHA, ROCC®, SATRO Conference, Tampa FL, April 2005

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®, Image Guidance Radiation Therapy (IGRT) Seminar, St. Louis MO , April 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®, Image Guidance Radiation Therapy (IGRT) Seminar, Dallas TX, April 2005

 

Breast:   Updates, Regulations, Reimbursement, by James E. Hugh III, MHA, ROCC®,   Newburgh, IN, April 2005

 

Hospital E&M Facility Coding and Documentation, by James E. Hugh III, MHA, ROCC®, Newburgh, IN, April 2005

 

SROA Regional Meeting Billing Panel James E. Hugh, III, MHA, ROCC®, Orlando FL, April 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®, Image Guidance Radiation Therapy (IGRT) Seminar, Orlando FL, March 2005

 

Urology Charges For SRS & SRT With Fudicial Placement, by James E. Hugh III, MHA, ROCC®, Flagstaff, AZ, March 2005

 

Urology Charges For SRS & SRT With Fudicial Placement, by James E. Hugh III, MHA, ROCC®, Sedona, AZ, March 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®, Image Guidance Radiation Therapy (IGRT) Seminar, Nashville TN, March 2005

 

IGRT Reimbursement – How Centers are Billing for IGRT, by James E. Hugh, III, MHA, ROCC®, Image Guidance Radiation Therapy (IGRT) Seminar, Killington VT, March 2005

 

Coding & Documentation, by James E. Hugh III, MHA, ROCC®, Vanderbilt University, Nashville, TN, March 2005

 

Billing Issues, by James E. Hugh III, MHA, ROCC®,    American Brachytherapy Society School of Breast Brachytherapy & Breast Brachytherapy Physics, Las Vegas NV, February 19, 2005

 

Coding & Documentation, by James E. Hugh III, MHA, ROCC®, University of California San Francisco, San Francisco, CA, February 2005

 

Freestanding Coding and Documentation, by James E. Hugh III, MHA, ROCC®, Jupiter, FL, February 2005

 

Reimbursement Issues in Sterotactic Radiosurgery/therapy, by James E. Hugh III, MHA, ROCC®, Miami, FL, January 2005

 

Current Reimbursement for Imaged Guide Robotic SRS Using CyberKnife Chart Documentation & Codes, by James E. Hugh III, MHA, ROCC®, Accuray Users' Meeting, Half Moon Bay CA,

January 2005