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®, 6th Annual Harvard Brachytherapy Review, TBA, October 2010
Radiation Treatment Technologies: Economics and Reimbursement, by James E. Hugh III, MHA, CHBME, ROCC®, 4th 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®, 4th 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 11th Annual Conference, Savannah, GA, May 2009
Brachytherapy Practice Reimbursement, by James E. Hugh III, MHA, CHBME, ROCC®, 5th 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), 25th Annual Meeting, September 2008
Billing Roadmaps for Radiation Oncology, Society for Radiation Oncology Administrators (SROA), 25th Annual Meeting, September 2008
UCSF Department of Radiation Oncology, May 2008
Brachytherapy Practice Reimbursement, 4th 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), 24th Annual Meeting, October 2007
Coding, Reimbursement Compliance: Brachytherapy, 3rd Annual Brachytherapy Review, Harvard Medical School, October 2007
Reimbursement for Brachytherapy, IMRT and IGRT Panel Discussion, 19th 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