HEALTHCON 2017 speakers below. 2018 speakers and presenters will be announced late 2017
Alicia Wright, MD
Dr. Wright is a community based private practice pediatrician with the multispecialty group of HMG in Kingsport, Tennessee. She has been in practice for the last 16 years and has developed an interest in pediatric coding. She attended the University of Kentucky for both her undergraduate and medical school training. She did her residency training in pediatrics in Savannah, Georgia through Mercer University.
Amy Easton JD
Amy Easton is an attorney at the law firm of Phillips & Cohen, LLP Representing whistleblowers in False Claims Act cases. For twelve years prior to Phillips & Cohen she was senior Trial Counsel with the Fraud Section of the Civil Division of the United States Department of Justice in Washington D.C. At DOJ she investigated and prosecuted civil False Claims Act cases across a broad sector of the health care industry, primarily involving unnecessary medical services, quality of care, up coding and stark Act and Anti-kickback Statute violations.
Amy Pritchett serves as the Manager of Facility Reimbursement & Coding Services at Altegra Health and brings to the firm over 25 years’ of experience, specializing in revenue cycle management and HIM operations including RAC auditing, Charge Master implementation and reviews, inpatient MS-DRG and outpatient OPPS coding compliance auditing, and physician practice coding and auditing. Prior to joining Altegra, Ms. Pritchett was a Managing Director of HIM and an integral part of education for the coding team as well as for physicians and nursing staff. Ms. Pritchett has also served in positions as a high-level senior auditor, providing auditing for all facility work types, and as a pro-fee (Part B) coder/auditor. Amy has also served as a supervisor for combined inpatient and outpatient coding, as well as compliance management and revenue cycle facility management. Ms. Pritchett is a frequent contributor to many HIM and healthcare financial publications and has served as an editorial advisory board member of BC Advantage, Healthcare Business Monthly (AAPC) and also is serving consecutive terms on the AHIMA Certification Review Board. She has presented numerous educational seminars throughout the country, and has presented at the national conferences for AHIMA, AAPC, The Coding Institute, BC Advantage and the annual state meetings for ALHIMA, FHIMA, and AKHIMA. Ms. Pritchett has also served as a President of her local AAPC Chapter in Mobile, Alabama bringing her expertise to monthly education and meetings as a presenter. She also serves as an interim instructor for her local college and serves under the Volunteers of America, providing Medical Billing and Coding instruction. Ms. Pritchett has served on the development team for Meditech electronic medical record software and has developed several programs for AAPC and The Coding Institute. Amy is also a contributing educator for a new program developed by the AAPC providing webinars to help coders continue their CEU credits for the year and also provide on-demand high-level questions and answers in real-time format. Amy also taught several ICD-10-CM and ICD-10-PCS courses from 2014-2016, providing her local hospitals, physicians and coding staff the education needed for the implementation of ICD-10. She possesses extensive knowledge of all aspects of coding and third party reimbursement issues.
Angela B Clements, CPC, CPC-I, CEMC, CGSC, COSC
Angie Clements is the Physician Coding Auditor. Educator & Consultant at Medkoder. She has over 18 years of experience in the healthcare industry. Angie is the current Member Relations Officer on the AAPC’s National Advisory Board for 2015-2018. She is also involved at the local in the local AAPC Chapter in Covington, LA. She belongs to the Northshore MGMA chapter and the Louisiana Association of Revenue Cycle Management (LARCM). She has extensive experience in multi-specialty coding, documentation and auditing. She’s also a frequent speaker at local medical managers’ meetings as well as other AAPC Chapters.
Angela C Boynton, COC, CPC, CPCO, CPC-P, CPMA, CPC-I
Annie Boynton has served in the health information management field for 15 years across provider, payer, and educational capacities. She is principal of Boynton Healthcare Management Solutions, specializing in practice and payer consulting, compliance, and education. Boynton holds several certifications in coding and has degrees in health information technology and health care management. She is pursuing graduate work in health, hospital, and pharmaceutical law at Seton Hall University. She is a member of the Worchester, Massachusetts, local chapter.
Angela Evatt, MPP, MA
Angela Evatt services as the Division Chief for Health Information Exchange at the Maryland Health Care Commission’s (MHCC) Center for Health Information Technology and Innovative Care Delivery. The MHCC is an independent regulatory agency whose mission is to plan for health system needs, promote informed decision-making, increase accountability, and improve access to health care and health care coverage in Maryland. Ms. Evatt manages the 40-member health information exchange (HIE) Policy Board and responsible for played an integral role in the State’s HIE Privacy and Security regulations. In her position, Ms. Evatt coordinates various health information technology (health IT) regulatory and research initiatives of the MHCC to advance secure health information exchange and widespread adoption and use of electronic health records and telemedicine. Ms Evatt is also responsible for overseeing 11 State grant funded innovative telehealth projects, providing guidance and expertise in the project development lifecycle. Prior to joining the MHCC, Angela served as Provider Training Coordinator and Analyst for Automated Health Systems as they implemented a new Medicaid hybrid managed care program for the state of Illinois.
Ms. Evatt completed her dual masters from the University of Chicago, in Social Service Administration and Public Policy. During her time at University of Chicago, Ms. Evatt held several community internship positions with local not-for-profits and State agencies, including the Office of the Director at the Illinois Department of Healthcare and Family Services, Jane Addams Hull House, and the Illinois Facilities Fund. She earned her BA in Psychology with a minor in Cognitive Science from the University of Louisiana at Lafayette. Ms. Evatt currently serves on several workgroups and advisory panels in health information technology.
Angela M Jordan, CPC
Ms. Jordan has more than 25 years of experience in the healthcare field, and became a member of AAPC in 2000. Her career path has taken her from a small family practice, radiology, large physician services groups to her current position as a managing consultant. Angela recognizes that AAPC and her local chapter have played a major role in her career success, and she actively promotes AAPC and local chapters. She has been a member of the Kansas City, Missouri, local chapter since 2003 and has held many offices including president. In 2009, she served as a member of the AAPC Chapter Association board of directors and was the chair in 2012. She is currently a member of the AAPC National Advisory Board.
Ann M Bina, COC, CPC, CPC-I
Ms. Bina has over 20 years of healthcare experience and currently serves as Vice President of Compliance Fulfillment for Compliance Specialists in Plymouth, MN. She has previously spent more than 20 years at a health system in Wisconsin holding various positions, including Manager of Coding and Director of Patient Access. Ann holds a Master’s Degree in Business Administration and is a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), and is certified in healthcare compliance (CHC). She is an approved coding instructor through AAPC and currently serves as secretary of AAPC’s National Advisory Board (NAB).
Barbara Cataletto, CEO, Business Dynamics, A Divisionof Bolder Healthcare Solutions
A leader in education for spine coding and reimbursement, Barbara Cataletto is dedicated to education and consulting in the spine industry. With over 25 years of expertise in the spine industry, Barbara Cataletto has personally raised the bar on revenue management systems for both physician and implant companies in the spine industry. She demands only the highest level of service for clientele, which includes spine specialists, medical groups, neurosurgical and orthopedic centers, product manufacturers, Fortune 500 companies, and various organizations within the medical community.
Her advanced knowledge of spine coding and reimbursement has led to her appointment to International Society for the Advancement of Spine Surgery (ISASS) Coding & Reimbursement Task Force, where she is one of only four non-surgeons represented.
Affiliations include: North American Spine Society (NASS), International Society for the Advancement of Spine Surgery (ISASS), Better Orthopedic Network Exchange, National Association of Healthcare Professionals, Who’s Who in Women Executives, Who’s Who in Business Executives and the National Association of Female Executives.
Bevan Erickson, President AAPC Member Solutions
Mr. Erickson joined AAPC in 2007 and is currently serving as its President. Prior to AAPC, Mr. Erickson spent a decade in the high-tech industry where he excelled at web marketing and technology-based product development. He grew up in Northern California, was educated at Brigham Young University, met his wife in Alaska, and has settled down to raise his four boys on a small lake in the mountains of Northern Utah. He enjoys family, water sports, cycling, traveling, and work – in that order. He is blessed to work with an amazing group of professionals within AAPC who both collectively and individually are relentless in their drive to make our organization and members successful.
Bonnie Cassidy MPA, RHIA, FAHIMA, FHIMSS
Bonnie is the managing Director of Advisory Services (Clinical-Financing Integration) for nThrive, formerly the Vice President of Consulting for MedAssets-Precyse focusing her efforts on advancing Clinical Documentation Integrity, Risk Adjustment Reimbursement and Health Information Governance.
Brian is a facilitator, trainer and public speaker who genuinely enjoys working with and helping others in both life and business. He has an immense passion for business improvement and providing top quality interactions at all levels. He has spent over a decade as an independent consultant to top companies spanning most continents. He pursued his education and received his Bachelor’s degree in Technical Sales with a minor in Spanish. During college he began his own business, operating multiple music studios, and enjoys playing and teaching guitar. Brian has been a top sales producer for multiple companies and has spent most of his non-sales career heading corporate employee development, currently leading this charge at AAPC. He is PMP (Project Management Professional) certified, and enjoys efforts in effective management of projects and work. Helping companies and individuals engage in improving through leadership, coaching, and overall personal and professional development is Brian’s forte.
Brenda Edwards CPC, CDEO, CPB, CPMA, CRC, CPC-I, CEMC, AAPC Fellow
Ms. Edwards has over 25 years’ experience and is employed with Medical Revenue Solutions. Her experience includes chart auditing, coding and compliance education, and has written many articles for national publications including Healthcare Business Monthly, American Academy of Family Physicians (AAFP) and BC Advantage. Her humorous and engaging presentation style has made her a conference favorite at both national and regional conferences for AAPC as well as local chapter meetings across the country. She is a Certified Professional Coding Instructor (CPC-I), AAPC ICD10-CM/PCS Training Expert, and an AAPC workshop presenter. She served on the AAPC Chapter Association board of directors from 2010-2014 and held office as chair. Brenda is a fellow with AAPC.
Candice M Fenildo, CPC, CPB, CPMA, CPC-I, CENTC, CRHC
Candice Fenildo is an Associate Consultant at Acevedo Consulting, Inc where she conducts coding and compliance audit projects; provides consulting services to clients’ management, physicians, and staff; and provides input for developing each client’s annual audit plan. She has more than 17 years’ experience in coding and billing for multi-specialty physicians, with a focused interest in otolaryngology and rheumatology. Fenildo enjoys mentoring and guiding others to fulfill their career goals. Candice is currently securing her 4th year on the AAPC Chapter association board of directors as chair.
Caren J Swartz, COC, CPC, CPB, CPMA, CRC, CPC-I, CPCD
Ms. Swartz brings with her over 21 years of experience in practice management, coding, billing, and reimbursement. Her background includes six years as an active duty Navy operating room technician, where she participated in surgeries of all specialties. She has worked in various practice settings such as orthopedics, oral surgery, general surgery, vascular/interventional, and multi-specialty practices. This varied work experience has enabled her to gain insight into the billing and coding problems specific to these areas.
Christopher Chandler, MHA, MBA, CPC, CGSC
As the General Surgery and Trauma Surgery Coding Consultant, Mr. Chandler is seen as the leading authority in physician coding at Intermountain Healthcare for both specialties. He regularly consults, educates, and presents to providers, staff, managers, and operations officers regarding coding guidelines and payer policies. As an adjunct professor of the Salt Lake Community College coding class, he has gained expertise in a variety of specialties. He strives to continually update his education by attending clinical and coding conferences hosted by specialty societies such as ASC, ACFAS, and ASBrS.
Christopher Parrella, JD, CHC, CPC, CPCO
Mr. Parrella is with The Health Law Offices of Anthony Vitale in Miami, Florida. His firm concentrates on criminal, civil, regulatory, licensure, and compliance representation of all healthcare provider and supplier types. The firm was established in 1982, and is recognized nationally as a leading defense firm in health law and compliance.
CJ Wolf, MD, CHC, CCEP, CIA, COC, CPC
Dr. Wolf has been involved in healthcare for over 20 years in various coding, reimbursement, or compliance officer roles for Intermountain Healthcare, the University of Texas MD Anderson Cancer Center, the University of Texas System and Merit Medical Systems. He currently is Sr. Compliance Executive at Healthicity. Dr. Wolf has a passion for teaching and develops and teaches courses for employee training, national certifications, trade workshops, and seminars. He also has served as adjunct faculty for Brigham Young University-Idaho and Salt Lake Community College in various science and healthcare administration courses.
Corrie has more than 25 years of coding and billing experience. She is an approved PMCC Instructor, AAPC workshop presenter, past president of her local chapter, and a previous member of the AAPC National Advisory Board. I will mail you corrie's picture seprately
David Dunn, MD, FACS, COC, CIRCC, CCC, CCVTC, CCS, RCC
David Dunn, MD, Vice President-ZHealth oversees physician coding and manages ZHealth operations. He also participates as a regular instructor for ZHealth educational programs and is a contributor to Dr. Z’s Medical Coding Series reference books. A graduate of Texas A&M University, he completed his M.D. at the University of Texas in San Antonio, his surgical residency at Scott & White Hospital in Temple, Texas, and his vascular surgery fellowship at Baylor College of Medicine in Houston. A diplomat of the American Board of Surgery, Dr. Dunn is also certified was Vascular Surgery. He is a fellow of the American College of Surgeons and a member of the Southern Association for Vascular Surgery. He joined his longtime colleague, Dr. “Z”, at ZHealth in 2002.
Dan Schwebach, MHA, CPPM
Mr. Schwebach has over 13 years of consulting and management experience working with nationally recognized provider-based organizations and payer groups. As a consultant, Dan has been responsible for managing numerous engagements focusing on performance improvement of practice operations, financial turnaround strategy and execution, revenue cycle operations and implementation of various compliance programs. Prior to joining AAPC, Dan was a manager with PricewaterhouseCoopers where he provided professional services to multi-specialty group practices and faculty practice plans across the country. In addition, Dan has served as Director of a web-based technology company where he managed product development and was also a senior consultant in the Finance and Operations group with Arthur Andersen.
David Young, DO
David Young attained his D.O. degree in 1981. He then trained in Dayton, Ohio (Internal Medicine, Pulmonary) and Detroit, Michigan (Sleep Disorders). He is Board Certified in all. He began the practice of Pulmonary, Critical Care and Sleep Medicine in 1988 in Lansing, Michigan where he continues. His lectures whether to peer physicians, residents and interns or members of the community are informative, down to earth and include his own style of wit and humor.
David Zielske, MD, COC, CIRCC, CCC, CCVTC
Dr. Zielske is an interventional radiologist who was in a large private practice for over 14 years in a community setting at several large hospitals in the Nashville area. He has been involved with CPT coding for interventional radiology procedures since 1993. In 2000, he started ZHealth, a firm that performs physician and hospital coding audits in the subspecialties of IR, cardiology, and vascular surgery. Three years later, he started ZHealth Publishing, which is an education company focused on training coders, techs, nurse auditors, billers, and physicians on the appropriate documentation and use of codes in these same specialties.
Ed Stepanski, MD
Ed is a clinical psychologist who is boarded in sleep medicine, and certified in behavorial sleep medicine. He is Professor of Medicine at the niversity of Tennessee Health Sciences Center. Ed has authored over 100 peer-reviewed papers, book chapters, and books covering a variety of topics in sleep medicine and statistical methodology.
Evan Gwilliam, MBA, DC, CPC, CPMA, CPC-I, CCPC
Dr. Gwilliam, Executive Vice President of the ChiroCode Institute and FindACode, graduated from Palmer College of Chiropractic as Valedictorian and is a Certified Professional Coding Instructor, Medical Compliance Specialist, and Certified Professional Medical Auditor, among other things. He provides expert witness testimony, medical record audits, consulting, and online courses for health care providers. He also writes books and articles for trade journals, and is a sought after seminar speaker. He has a Bachelor’s degree in accounting, a Master’s of Business Administration, and is one of the few clinicians who is a certified ICD-10 Instructor and Certified MIPS Healthcare Professional.
Gina L Hobert, COC, CPC, CRC, CPC-I, CEMC
Gina is a senior manager in the healthcare consulting practice at Baker Newman Noyes, specializing in medical billing and coding education, provider education, chart auditing, billing and coding compliance, provider-based practices and billing, chargemaster reviews and risk adjustment documentation and coding. Gina has been with the firm since 2013, having previously managed the billing compliance medical audit functions, and conducted educational sessions, for a major New England hospital system. She was also previously employed as the director of the Coding Center, which provided chart auditing services, on-site coding education programs, and coding certification courses. She earned a master’s degree in business administration from Thomas College. She has earned the designation of Certified Professional Coder with AAPC and is certified in healthcare compliance with the Health Care Compliance Association. Gina is a Certified Instructor through the AAAPC, and ICD-10-CM/PCS approved trainer through the American Health Information Management Association. She has obtained credentialing as a certified risk adjustment coder through the AAPC.
Glenda Schuler, COC, CPC
Glenda J. Schuler, RHIT, CPC, COC, AHIMA-Approved ICD-1O-CM/PCS Trainer, is Vice President of Revenue Cycle Solutions for HealthCare Consulting Solutions. Glenda brings an extensive background in chargemaster, billing, operations, ICD-1O-CM/MS-DRG coding and hospital CPT-4 coding, and has over 30 years of healthcare industry experience and expertise in all areas of health information, medical records, utilization review, patient access and business services. Additionally, she's an expert in third party reimbursement, electronic submission of claims, billing and collections, and revenue cycle solutions. As a healthcare consultant, her areas of expertise include hospital CPT and outpatient coding, APC education/validations, charge capture and chargemaster reviews. She has developed and conducted coding and reimbursement seminars and has been a featured speaker nationwide on the topic of Medicare ambulatory payment classification (APG) groups and their impact on hospital operations. She is an active member of the American Health information Management Association (AHIMA) and the American Academy of Professional Coders.
Greta Matus, CPC
With 16 years of investigative experience, Greta consistently demonstrates skill in investigating complex cases, data and financial analysis, intelligence gathering, and negotiates successful outcomes. Greta has been a mentor and trainer in every position held, ranging from law enforcement to regulatory agency to private payer environments.
Heather Greene, MBA, RHIA, CPC, CPMA
Ms. Greene has approximately 20 years of experience in a variety of health information management roles, including as a coding instructor and an HIM manager. She is the Assistant Vice President of Compliance and Process Improvement for Haven Behavioral Health. Heather performs coding and documentation audits and physician and HIM education for clients nationally. Additionally, she is a frequent speaker/author on HIM topics for various organizations, such as the AAPC, AHIMA, and AHLA. Heather has a B.S. in Health Information Management and an MBA.
Jaci J. Kipreos, COC, CPC, CPMA, CPC-I, CEMC
Ms. Kipreos has worked in the field of medical coding and auditing for 23 years, and has been CPC certified since 1994. She has worked in a variety of practice settings and provides a wide range of educational topics to assist clients in chart documentation, Medicare’s Teaching Physician Guidelines, surgical coding, modifier usage, and basic coding skills and compliance. Jaci is currently serving as president of the National Advisory Board (NAB) for AAPC.
Jeff Young, MPH
Mr. Young has been in the healthcare industry for over 17 years with extensive experience in fraud prevention, claims data analysis, product development, and compliance. Mr. Young’s current role at AAPC is focused on product development strategies in the areas of coding, coding certification, compliance, auditing, and education. Prior to joining AAPC, Mr. Young was responsible for the development of Verisk Health’s fraud detection tools and management of Verisk Health’s Fraud Control department. He also managed data detection and analytics within the Fraud and Abuse Department at Optum Insight (formerly Ingenix). He earned his M.P.H. from the University of Minnesota, and a B.S. degree from the University of Utah.
Jeffrey Dickstein, JD
Jeffrey Dickstein is an attorney in Phillips & Cohen LLP, representing whistleblowers in False Claims Act cases. He has more than 30years of healthcare litigation experience, most recently as an assistant U.S. Attorney for the Southern District of Florida where he investigated and prosecuted medical necessity and other healthcare fraud cases for more than a decade. Prior to joining the government he litigated medical malpractice cases.
Jill M Young, CPC, CEDC, CIMC
Jill’s educational presentations include AAPC National and Regional Conferences, CodingCon, American College of Osteopathic Internists, Kansas City Michigan State Medical Society and various hospitals, physician offices and other PHO clients. Her comments and opinions are seen in various professional publications and heard on audioconferences she records on a variety of topics. Jill has been Chair of the AAPCCA Board of Directors.
Jonnie Massey, CPC, CPC-P, CPMA, CPC-I
Jonnie Massey’s specialties include healthcare fraud investigation, prevention, and resolution. She has extensive experience in health insurance plans and management. Massey trains on healthcare fraud, coding, and ICD-10. She has served on healthcare-related work groups for the Blue Cross Blue Shield Association, National Health Care Anti-Fraud Association, and AAPC’s NAB (from 2007-2009 and current). Massey is a member of the Sacramento, California, local chapter.
Joseph C Nichols, MD
Dr. Joe Nichols, principal of Health Data Consulting Inc, is a board certified Orthopedic Surgeon by training. After 16 years in active practice, he has been involved full time in healthcare information technology for the past 18 years. He has given over 250 presentations nationally related to healthcare data, ICD-10 and clinical documentation improvement on behalf of CMS, payers, providers, and a wide variety of other healthcare entities. He has extensive experience in electronic data interchange, claims processing and data analytics and has been has received four awards of excellence from the Workgroup for Electronic Data Interchange (WEDI) where he co-chairs the sub-workgroup on coding and translation. He is also an AHIMA approved ICD-10 coding trainer.
Judy A Wilson, COC, CPC, CPCO, CPC-P, CPB, CPPM, CPC-I, CANPC
Ms. Wilson has been in the medical coding/ billing business for over 35 years. For the past 25 years, she has been the Business Administrator for Anesthesia Specialists, a group of nine cardiac anesthesiologists who practice at Sentara Heart Hospital. She had the honor of serving on the AAPCCA from 2010-2014, and is now serving.
Julie Chicoine, JD, RN, CPC, CPCO
Ms. Chicoine is an attorney, registered nurse, certified professional coder and certified professional compliance officer. She currently serves as senior vice president and general counsel for the Texas Hospital Association, where she guides healthcare policy at the state and federal levels for the Texas Hospital Association’s 400+ member hospitals and health systems. Julie received her law degree from the University of Houston and a Bachelor of Science and Nursing at the University of Texas Health Sciences Center in Houston.
Katherine Abel, CPC, CPB, CPMA, CPPM, CPC-I
Ms. Abel is the director of curriculum for AAPC. A prior healthcare consultant, Katherine has over ten years of practical experience working in healthcare, including extensive work with billing offices, insurance carriers, and provider offices. Her experience includes responsibility over coding, compliance, reimbursement, and technology initiatives.
Kathleen G Bailey, CPA, MBA, CPC, CPCO, CPMA, CPC-I, CCS-P
Kathleen specializes in coding education (including ICD-10), A/R and practice management and is familiar with difficulties facing today's healthcare organizations. Kathleen holds BS in Accounting and MBA degrees from FSU and is a licensed CPA in FL & GA. Her experience includes working as an administrator for anesthesia, radiology, general surgery, OB/GYN, primary care and internal medicine practices for over 25 years. In addition, she has worked in the education arena for eight years for several colleges and universities in their healthcare programs. She holds CPC, CPCO, CPMA, CPC-I and CCS-P certifications and is a member of: AAPC, AHIMA, MGMA, FICPA, and HFMA and serves as Education Officer for the Tampa FL AAPC Chapter.
Kimberlee Curnyn, MD
Dr. Curnyn is a board certified ophthalmologist since 1996. She is a clinical professor in Pediatric Ophthalmology at the University of Illinois in addition to her private practice. She has served on several boards and has been a past speaker at the Chicago Medical Society among others. Her passion is in helping not only her patients but newer physicians coming into practice.
Kimberly Reid, CPC
Kim brings over 28 years of progressive coding experience and education in healthcare to her role as Director of Physician Coding. She has a vast range of knowledge from working in a variety of professional medical settings, including a large academic medical group in Vermont with 500+ physicians. She has spent over 12 years developing and delivering various educational topics to physicians and coding staff. Her previous roles as a Director of ICD-10 Development and training and as Manager of Professional Coding and Education, proved her success in leading physicians and students to achieve comprehensive levels of understanding on complex coding and documentation guidelines. She is a national speaker who presents regularly on various coding topics across the country.
Kimberly Huey, MJ, CPC, CHC, CCS-P, PCS, CPCO
Ms. Huey is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians. Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine. She completed a Bachelor’s degree in Health Care Management and later earned a Master of Jurisprudence in Health Law. For the last thirty years, Kim has worked with providers in virtually all specialties and has presented for AAPC, AHIMA, HCCA as well as the Medical Group Management Association, and the Medical Association of the State of Alabama.
Kristine Tanory, CPC
After starting her career as a Dental Hygienist with over 20 years of clinical experience, Kris’ desire to broaden her skillset and move into the business side of healthcare led her to attain the CPC certification in 2010, and a Master’s in Business Administration with a concentration in Healthcare Management in 2011. She started at Regence BlueCross BlueShield of OR in 2011 and is currently a Senior Investigator.
Lara Smith, CPC, CEMC
Lara Smith has a passion for education in medical documentation and billing. She has over a decade of experience in the industry, from humble beginnings as a medical records file clerk to creating and presenting specialized training programs for multi-specialty practices. Lara’s background includes experience within all facets of a medical office, a comprehensive understanding of many common EHR systems, and educating providers and billing staff on the complexities of Evaluation and Management and surgical documentation and coding. Her previous role as a senior level auditor and educator allowed her to sharpen her skills in a range of specialties – most notably in General Surgery, Physical Medicine and Rehabilitation, Pediatric Specialties, and Internal Medicine, all within the setting of a nationally recognized teaching hospital in the Southeast U.S. As a result, Lara has special expertise in training providers about complex Medicare topics, such as Teaching Physician, Incident-to, and Split/Shared billing in the hospital and provider-based clinics. She enjoys the challenge of researching new legislation and updates in our constantly changing world, including the transition to ICD-10-CM. Her current work includes quality review of senior-level auditors and providing ongoing education both to her clients and her Audit Services team.
Linda Martien, COC, CPC, CPMA
Linda Martien began her career more than 30 years ago — starting out as an emergency medical tech. She then went into coding, billing, practice management, hospital outpatient revenue cycle management, and consulting. She served and held office on the AAPC National Advisory Board from 2005-2009. Martien has also served in several officer positions with the Jefferson City and Columbia, Missouri, chapters.
Lisa Hornick, BA, CPC, CPMA, CEDC, CPhT
Lisa Hornick has over 15 years of experience in the health care industry to include extensive experience in in both provider and payer settings. Lisa began her career in Pharmacy as Certified Pharmacy Technician and went on to become a Pharmacy Technician Instructor. In 2013, leveraging her knowledge in Pharmacy, Lisa began her Medical Coding Career with a large national firm, and was responsible for auditing Pharmacy claims across multiple payers. In 2014, Lisa earned her credential as a Certified Professional Coder, followed by adding the Certified Professional Medical Auditor and Certified Emergency Department Coder designations. Lisa has been an officer with her local AAPC chapter since 2015 and currently serves as the Vice President of her AAPC Chapter in Cherry Hill, New Jersey. She is also pursuing her fellowship with AAPC.
Lisa proudly represents the Scarlet Knights as she earned her Bachelor Degree in General Science from Rutgers University. For fun, Lisa loves to attend hockey games and is an avid Philadelphia Flyers fan.
Margaret Fortin, COC, CPC
Maggie is a healthcare senior manager at Baker Newman Noyes (BNN) specializing in Medicare operational issues. She has been with BNN firm since 2005, having previously worked as Director of Operations for a Regional Medicare Contractor. Maggie serves on the State of Maine UB-04 Committee. In addition, Maggie has provided education services on all components of institutional provider billing and reimbursement throughout the New England area. Maggie has earned the designation of CPC and COC and earned her CHC with the HCCA.
Marian Wymore, MD, CPC
Dr. Wymore is a board certified family physician with added qualifications in geriatrics and sports medicine. She teaches physicians in medical groups how to improve documentation for ICD-10 CM and incorporate HCCs and STARS measures. Dr. Wymore has also spoken at educational conferences for coders, patients, and physicians on a variety of topics. She writes a newspaper column, and has appeared on CBS new and KNX radio. She consults for physician opinion on chart reviews for inpatient and outpatient coding, quality, HCCs, and reviewing RAV audits.
Marianne Durling, CPC, CPCO, CIC
Marianne Durling has been involved in some aspect of healthcare for over 37 years, including clinical patient care, insurance and auditing, creating a very diverse healthcare background. She is currently the Health Information Management Director for Granville Health Systems. She has developed and taught a successful medical coding degree program as well as a healthcare management degree program, local colleges, which for more than 11 years has garnered praise from employers and students and helped her to win Instructor of the year in 2012, and be nominated for NC Instructor of the Year. Marianne has her RHIA, CDIP, CCS, CPC, CPCO and CIC credentials and has owned a successful auditing company for over 15 years. In 2000 she became one of the first Certified Medical Audit Specialists in the US. She has a Master’s degree in Healthcare Administration, a Post-Baccalaureate Certificate in Health Information Administration, a Bachelor degree in Health Sciences and an Associate Degree in Health Professions. She is a coding, auditing and revenue cycle subject matter expert for lawyers as well as a seasoned textbook editor for multiple publishers. She has been published in national professional publications and speaks Nationwide. She has served on the AAPC National Advisory Board, and has served multiple terms as President and President-Elect of the Oxford Tri-County NC AAPC chapter.
MariaRita Genovese, CPC
Ms. Genovese currently serves as president of the Greater Philadelphia Chapter of the AAPC, after serving as chapter president and vice president in 2008, 2010, 2012 and 2015. She is a former member of the AAPC’s National Advisory Board, and is currently a member of the Chapter Association Board of Directors of the AAPC. She is the Director of Revenue Cycle for MD Anderson Cancer Center at Cooper. She has over 20 years of experience in billing and practice management, most recently in the areas of family medicine and medical oncology. She is active in educating the physicians and staff in medical coding and compliance regulations. Prior or her current position, Rita was the Administrator for Revenue Cycle, for the cancer service line of the Sidney Kimmel Cancer Center at Thomas Jefferson University.
Mark S Synovec, MD
Dr. Synovec is president of Topeka Pathology Group, LLC, an eight-person independent, multihospital-based pathology group, and the medical director of Stormont-Vail Healthcare Laboratories. He has had a long history of involvement with laboratory CPT codes; first as the AMA’s CPT Advisor representing the American Society of Clinical Pathology (ASCP) in 1995, then as the immediate past-chair of the AMA CPT Pathology Coding Caucus and finally as the chair of the College of American Pathologists (CAP) Economic Affairs committee. Dr. Synovec was appointed to serve on the AMA CPT Editorial Panel in June 2007 and the AMA CPT Editorial Panel Executive Committee in June of 2011, and he currently serves as the Vice-chair of the Editorial Panel and chair of the CPT Assistant Editorial Board. In addition, he also serves as the CAP delegate on the AMA House of Delegates’ Pathology Section Council Chair.
Martin Ignatovski, ABD, MS Information Security
Martin Ignatovski serves as a Chief Compliance Officer for Eye Care Leaders. He is responsible for leading the internal processes for promoting and ensuring ECL’s compliance with laws, regulations, company policies and contracts. He is also responsible for implementing ECL’s policies and procedures, including its HIPAA and HiTRUST framework.
Maryann C Palmeter, CPC, CPCO, CENTC
Maryann C. Palmeter, CPC, CENTC, CPCO, CHC has over 30 years of experience in the healthcare industry with emphasis on federal and state government payer billing and compliance regulations. She is employed with the University of Florida Jacksonville Physicians, Inc. as the director of physician billing compliance where she provides professional direction and oversight to the multi-specialty Billing Compliance Program of the University of Florida College of Medicine - Jacksonville. Maryann served on the AAPC's 2011-2013 National Advisory Board and the 2013-2015 Board as Secretary. Palmeter was named the AAPC's 2010 "member of the year" and is currently the education officer for the Jacksonville, Florida local chapter.
Michael D Miscoe, JD, CPC, CPCO, CPMA, CASCC, CCPC, CUC
Mr. Miscoe has over twenty years of experience in healthcare coding and over sixteen years as a compliance expert, forensic coding expert and consultant. He has provided expert analysis and testimony on a wide range of coding and compliance issues in civil and criminal cases and his law practice concentrates exclusively on representation of healthcare providers in post-payment audits as well as with responding to HIPAA OCR issues. He has an extensive national speaking background and has been published in numerous national publications on a variety of coding, compliance and health law topics.
Michael Warner, DO, CPC
Dr. Michael Warner is an osteopathic physician, author, researcher and president of non-profit Patient Advocacy Initiatives. Dual board certified in family medicine and neuromusculoskeletal medicine, Dr. Warner left the practice of medicine November 2015 to head the non-profit which teaches patients how to read, understand, correct and contribute to their health record.
Dr. Warner is principle investigator and lead author in the Feb. 2017 JAOA publication “Use of Patient-Authored Prehistory to Improve Patient Experiences and Accommodate Federal Law.” The clinical research allowed patients to co-author the History component of the medical encounter note. Patients, reading their record after the visit, scored their health records high for accuracy and content. They also reported feeling better heard and understood.
Michelle Ann Richards, CPC, CPCO, CPMA, CPPM
Michelle Ann Richards has over 25 years of health care experience and is a subject matter expert
(SME) on Compliance, HR, Auditing and Risk Management. She has In-depth knowledge of Healthcare Compliance, Reimbursement, Privacy, Security, Fraud, Waste and Abuse laws. She is currently the Director of Engagement, Compliance Services for Healthicity. Michelle is a national speaker. Her passion is educating on complex healthcare topics, by writing articles, conference presentations, webinars and providing consulting services.
Mike Leavitt, Governor
Mike Leavitt is the founder and chairman of Leavitt Partners where he helps clients navigate the future as they transition to new and better models of care. In previous roles, Mike served in the Cabinet of President George W. Bush (as Administrator of the Environmental Protection Agency and Secretary of Health and Human Services) and as a three-time elected governor of Utah.
In 1993, Mike was elected governor of Utah. He served three terms (1993-2003). In 2003, he joined the Cabinet of President George W. Bush, serving in two positions: first as administrator of the Environmental Protection Agency (2003-2005) and then as secretary of Health and Human Services (2005-2009). At HHS, he administered a $750 billion budget — nearly 25 percent of the entire federal budget — and 67,000 employees.
Nancy Reading, RN, BS, CPC, CPC-I
Nancy is currently a Senior Medicare Analyst at Optum. She has been coding for 27 years across all sizes of provider practices, including large academic centers, state and national payers, and hospitals of all sizes as a clinical documentation improvement specialist. She has been an RN for 38 years.
Pamela J Brooks, COC, CPC
Ms. Brooks is the Coding Manager at Wentworth-Douglass Hospital, a 178-bed community hospital in Dover, NH where she oversees the professional and facility coding staff. She holds her BS in Education from Granite State College and her MHA from St. Joseph's College of Maine. She served on the AAPCCA Board of directors from 2013-2016, and is active in the Seacoast Dover NH AAPC Chapter.
Patrick Harper, MD
Dr. Harper is a resident physician in anesthesiology at The Mayo Clinic in Rochester, MN. He attended medical school at The University of Kansas and did his intern year in general surgery at The University of Missouri, Kansas City. His clinical interests are in cardiothoracic anesthesia, as well as pain management. He also enjoys camping and canoeing with his wife and three children.
Paul Hales, JD
Paul Hales received his Juris Doctor degree from Columbia University Law School and is licensed to practice law before the Supreme Court of the United States. He is an expert on HIPAA Privacy, Security, Breach Notiﬁcation and Enforcement Rules with a national HIPAA consulting practice based in St. Louis. Paul is the author of all content in The HIPAA E-Tool, an Internet-based, Software as a Service product for health care providers and business associates.
Peggy A Stilley, CPC, CPB, CPMA, CPC-I, COBGC
Peggy is currently employed by OSOI in Norman, Oklahoma as Revenue Integrity Auditor. She was previously employed by AAPC, a member of the ICD-10 Training and Education team, and formerly Director of Audit Services. Peggy has more than 30 years of experience in the healthcare industry starting as a medical assistant, expanding her duties to billing and coding, and management in a teaching facility. Her knowledge is enhanced by experience in multiple specialties including OB-Gyn, Maternal Fetal Medicine, General Practice, General Surgery, Neurology, and Orthopedics.
Peggy Turner, BS, RHIT, CDIP, CCS, CCS-P
Graduate of Eastern Connecticut State University with a BS in Biology; moved to southwestern Virginia where I was hired at what is now Carilion New River Valley Medical Center in Christiansburg, VA, and discovered my niche in coding. Earned my RHIT through AHIMA's correspondence program and joined Health Information Associates in 1997. Went on to earn CCS, CCS-P and CDIP, also through AHIMA. Am now a Senior Consultant with HIA and a member of our Review Advisory Board.
Randall Ryser, MD
After graduating from University of Utah’s Medical School in 1977, Dr. Ryser performed his internship and residency at the University of Rochester before becoming the Chief Medical Resident at LDS Hospital. He earned his Gastroenterology Fellowship from the University of Washington and then started his own GI practice in Salt Lake City, where he worked for over three decades. Ultimately, that practice became Utah Gastroenterology, which now hosts 20 physicians. He has expertise in gastrointestinal
and liver diseases, as well as almost all GI procedures, is a member of many gastrointestinal professional associations, has written or contributed to multiple industry publications, and has participated in many clinical investigations. After retiring in 2014, he stayed involved in medicine by serving an LDS mission with his wife Katy in Frankfurt, Germany, where he was filling the role of Area Medical Advisor in Europe.
Raemarie Jimenez, CPC, CDEO, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC
Ms. Jimenez currently manages AAPC’s member and certification solutions, is a coding liaison to the AMA CPT® Editorial Panel, and has more than 22 years of experience in the medical field. She has also served as AAPC’s clinical development manager for the exams program, national externship director, and as an advertising coordinator. Prior to joining AAPC, she spent many years as an instructor for coding and medical assistant programs. Ms. Jimenez has also worked as a medical assistant, billing and coding manager, instructor, auditor for outpatient and physician services, and physician educator. She received her bachelor’s degree in Psychology from Florida Atlantic University.
Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CPC-I, CENTC, CGSC, COBGC, CPEDC
Ms. Buckholtz is vice president of strategic development at AAPC. She has more than 20 years’ experience in healthcare, working in the reimbursement, billing, and coding sector. Before joining AAPC, she was the administrator for a five-location practice in Pennsylvania as well as being an instructor for Venango Campus, Clarion University, for coding and billing. Rhonda is a lead member of AAPC’s ICD-10 training and education team, which is charged with the development and training of curriculum on ICD-10. She has authored many articles for healthcare publications, and has spoken at conferences across the country. She is a PMCC approved instructor.
Robert Pelaia, Esq., CPC, CPCO
Mr. Pelaia provides a wide range of legal support services for the University of South Florida, with exclusive legal responsibility for USF Health and its related not-for-profit corporate support entities. Robert is certified as a Health Care Law Specialist by the Florida Bar Board of Legal Specialization and Education. He is certified by AAPC as a professional coder (CPC) and a professional compliance officer (CPCO). Robert is a member of AAPC’s Legal Advisory Board, a past member of AAPC’s National Advisory Board (NAB) from 2009-2011, and he also served on AAPC’s Chapter Association Board of Directors (AAPCCA) from 2007-2009.
Ruby Woodward, CPC, CPB, CPMA, COSC, CSFAC
Ms. Woodward is currently a Clinical Technical Editor with Decision Health. After a career as a pediatric orthopedic nurse, Ruby devoted herself to the complexities of orthopedic coding and compliance, with special expertise in foot and ankle procedures, DME, and physical and occupational therapy coding. Prior to her transition into publications and training, Ruby worked for a large orthopedic practice in the Twin Cities. There she developed training material and documentation forms for her organization. She has presented at both the local and national level.
Samantha Sizemore is Senior Director of Operations at Holston Medical Group (HMG) in Tri-Cities, TN, where she is responsible for the day to day operations of over 45 clinics, 150 mid-level and physician providers and over 750 employees. HMG’s operations generate over $100M in annual revenues and provide integrated multi-specialty care. In her role, Samantha is responsible for the design, build and implementation of operational structures and processes to create a strong and cohesive operations team and environment which supports the organizations key objectives and strategies.
Sandra Kay Giangreco, COC, CPC, CPC-I, COBGC
Sandy Giangreco is a Coding Compliance Audit Senior Manager of the Engagement Based Auditing Division of CHAN Healthcare Auditors. She is an AHIMA Approved ICD-10-CM/PCS Trainer and specializes in Physician Practices. Prior to joining CHAN, she managed and developed relationships with clients, coding staff and providers, provides auditing services and performs education sessions for both client staff and providers. She previously supervised staff who audited and educated psych providers at a large payor/healthcare practice in Colorado. She has more than 27 years of experience in healthcare and medical records management, coding, auditing and compliance in the hospital, outpatient and physician settings. She joined CHAN as a Senior Manager in September of 2016 and is performing risk assessments, coding assessments for hospitals and physician practices, and developing relationships with current and potential clients.
Sarah Jane Reed, CPC, CPC-I
Sarah brings over 37 years of experience in Healthcare to today’s presentation. The majority of her career has been spent in administrative roles in both academic and private practice settings. Over the years, Sarah’s primary interests have centered on coding compliance, auditing, and education for physicians and staff. Sarah’s most recent role was as a Senior Managing Consultant and Coding Instructor for Medical Revenue $olutions, LLC (MRS). Prior to that Sarah was an influential member of an audit team for over 15 multi-specialty practices in the Kansas City area.
Shannon DeConda has been in the healthcare industry for over 20 years with experience from working in a physician practice, to providing healthcare as a respiratory therapist, to working as a biller & coder, to now providing medical audit investigations and educating others in this process. Ms. DeConda founded NAMAS, the National Alliance of Medical Auditing Specialist, 8 years ago while working as a senior auditor for its parent organization Doctors Management. At the time, there were no national certification organizations validating the medical auditor so she founded NAMAS and established the CPMA (Certified Professional Medical Auditor) certification and began a grassroots effort to education and certify professionals (through a partnership arrangement the credential is now offered through another certifying body).
NAMAS is committed to training medical auditors and investigators, but we are also committed to the continued education of those auditors and investigators in the industry by ensuring that myths and legends about the rules and guidelines are separated from the facts. The pursuit that Ms. DeConda is focused on for NAMAS is standardization of processes and efforts with investigations and audits as well as working to provide full and comprehensive interpretations of guidelines and policies in an otherwise ambiguous and ever changing industry.
Shauna Vistad, CPC
Shauna Vistad currently leads the SIU and Provider Audit departments for BCBSND as well as serves on the National Anti-Fraud Advisory Board to the BCBSA. Shauna holds a Bachelor’s degree in Criminal Justice and a Master’s in Business Administration as well as designations as an Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), and Certified Forensic Interviewer (CFI). Her current and prior experience, serving as an Internal Auditor for a major healthcare system, bring payer and provider knowledge.
Shelton Hager, MD
Shelton Hager, MD is a board-certified physician in adult primary care. He has over 15 years’ experience in adult primary care. Shelton Hader, MD also has passed certification as a professional coder through the American Academy Professional Coder. He has over 8 years’ experience with coding and has an abundant concentration in physician coding. He currently serves as our Co-Medical Director for Qualualbe-Accountable Care Organization.
Sheri Poe Bernard, COC, CPC, CDEO, CPC-I
Ms. Bernard has developed education, training, and referential medical coding and reimbursement products for 20 years. She is the author of the AMA's 2015 publication, Netter's Atlas of Surgical Anatomy for CPT Coding. She previously was vice president of clinical coding content at AAPC. Prior to joining AAPC as an employee, she served on its National Advisory Board for eight years and on the executive team of that board for four years. For 15 years she created clinical coding products at Optum360 (Ingenix), where she developed a love for the International Classification of Disease. She is a frequent national speaker on topics involving CPT, ICD-9-CM, ICD-10-CM, and risk adjustment coding.
Stacy Harper, JD, MHSA, CPC
Ms. Harper is counsel with the law firm of Lathrop & Gage where her practice focuses on regulatory compliance and health care reimbursement. Stacy is a former medical practice manager and compliance officer. Stacy works with hospitals, physician practices, and other health care organizations to develop, implement, and maintain effective corporate compliance programs. She has experience resolving payment discrepancies with third party payers, whether through self-disclosure of discovered overpayments, appeal of RAC and other audits, or enforcement of contractual payment terms. Stacy serves as adjunct faculty for an academic medical center, and has written and lectured on Stark, Anti-Kickback, False Claims Act, HIPAA, and other health care regulations. Stacy serves on AAPC’s Legal Advisory Board.
Stephanie Cecchini, CHISP, CPC, CEMC
Stephanie Cecchini is VP products at AAPC. She is passionate about serving the needs of medical coders and helping physicians with their revenue cycle, coding compliance, and other administrative burdens, so they can focus on doing what they love, producing the best possible patient outcomes. She embodies a significant & broad ambulatory healthcare business experience with emphasis on multi-specialty physician groups & payers—honed by leadership experience, strategic planning, business development, and P&L responsibility. With 20 years varied experience from all facets of the healthcare industry– provider, facility, professional associations, Health IT, commercial and government payer, education, and OIG -- she has a strong reputation as a thought leader in compliance and RCM.
Stephanie M Sjogren, CPC, CPMA, CPC-I, CCS
Ms. Sjogren has been coding since 2007 in various specialties.She started her coding career as a biller-coder for a pain management clinic.When the practice she chose to stay with Bristol Hospital and handle the codingand auditing for their multi-specialty group, including primary care, rheumatology, general surgery, OBGyn, wound care, and more. Stephanie then took a position as the Billing Office Manager for VitroSciences, Inc., part of Women’s Health USA. There she managed the billing operations for 3 infertility practices. Today, Stephanie is the Medical Documentation Auditor for WHUSA, and the Coding Trainer. WHUSA has approximately 250 OBGyn’s in the state of CT and another 150 throughout NY, and are also are contracted with Planned Parenthood.
Stephanie Nanette Stinchcomb, CPC
Stephanie N. Stinchcomb has over twenty-five years' experience in coding urologic procedures and services and certified through AAPC and Ahima. As Director of Reimbursement and Regulations for American Urological Association, she collaborates with AMA on creation of CPT procedures/service codes. She is a liaison with NCHS in the creation of ICD-10-CM diagnosis coders and managed the AUA Coding Hotline for over ten years.
Stephen Bittinger, JD
Managing partner and chair of Healthcare Law at Bittinger | Law. Practice focuses on audit defense, reimbursement compliance for Medicare, Medicaid, and private payors. Significant experience in OIG investigation defense, de-credentialing/exclusion proceedings, Healthcare white collar defense, and False Claims Act defense and prosecution. Juris Doctorate, University of Akron School of Law. Master of Arts, John Carroll University. Bachelor of Science, Kent State University. SuperLawyers 2016 and 2017.
Steve Robinson, MS-HSM, PA-O, RN, SSBB, CDIP
Steve Robinson is a Physician Assistant and Registered Professional Nurse with a Masters in Health Service Mgmt., Six Sigma Black Belt, Certified Professional in Utilization Review and Certified Documentation Improvement Practitioner. He has developed and managed clinical documentation, Process Improvement and Throughput consulting engagements for over 250 facilities nationwide in multiple University, Tertiary, Rural, Urban and remote healthcare facilities. Steve’s current position is the Vice President for Clinical Revenue Integrity (CRI) at RecordsOne where he provides clients a CDI/Analytics Platform to facilitate CDI, Coding, Physician, Quality communications.
Steven Blaum, SSA
Special Agent Steven Blaum joined the Federal Bureau of Investigation (FBI) in October of 2007 and was transferred to the Chicago Division subsequent to the completion of training in Quantico, VA. While working in the Chicago Division, he was assigned to a squad dedicated to the investigation of Health Care Fraud.
Special Agent Blaum was promoted to Supervisory Special Agent and transferred to FBI Headquarters in November of 2015. He currently serves in the Major Provider Response Team (MPRT) in the Health Care Fraud Unit of the Criminal Investigative Division’s Financial Crime Section. The MPRT is dedicated to advancing national-level civil and criminal corporate health care fraud investigations in partnership with the US Department of Justice.
Prior to joining the FBI, Special Agent Blaum was a licensed psychologist, having worked in MilitaryD84:D86 and Law Enforcement psychology.
Susan Crews, CPC
Susan L. Crews, CPC, ACS-UR, PCS, is the Reimbursement Policy Manager for the American Urological Association (AUA). One of her main responsibilities is ensuring that urologists receive correct and fair reimbursement while working with major insurance payers. She provides member education on current coding issues affecting urologists, which she accomplishes in a variety of ways. Ms. Crews writes numerous reimbursement focused articles for AUA’s bimonthly publication the Policy & Advocacy Brief, and has authored a two interactive educational CDs titled, Urology Coding: The Basics and more and PQRS Reporting.
Susan is certified through the American Academy of Professional Coders, the American College of Medical Coding Specialists and the Board of Medical Specialty Coding. She is also a consultant for Decision Health and a board member for the Board of Medical Specialty Coding – Urology and has over 15 years of billing and coding experience.
Special Agent Thomas Daly joined the Federal Bureau of Investigation (FBI) in September of 2010 and was transferred to the New Orleans Division subsequent to the completion of training in Quantico, VA. While working in the New Orleans Division, he was assigned to a squad dedicated to the investigation of White Collar Crime. He served as a case agent on investigations involving Health Care Fraud, Financial Institution Fraud, Corporate Fraud, Mortgage Fraud, Securities Fraud and Public Corruption. Special Agent Daly was promoted to Supervisory Special Agent and transferred to FBI Headquarters in October of 2016. He currently serves as a Program Manager in the Health Care Fraud Unit of the Criminal Investigative Division’s Financial Crime Section. Prior to joining the FBI, Special Agent Daly was employed in Corporate Banking and Finance for over a decade.
Timothy Blanchard, MHA, JD
Mr. Blanchard practiced for 20 years with a leading international law firm prior to forming his own practice, handling health care regulatory issues (e.g., coverage, billing, reimbursement, fraud and abuse, HIPAA privacy). He chairs the American Health Lawyer Association’s annual institute on Medicare and Medicaid payment issues, and serves on AAPC’s Legal Advisory Committee.
Tina Marie Hill, CPC
Tina specializes in leading revenue cycle projects, including outpatient clinical documentation improvement, charge capture, revenue integrity, coding, billing and CDM standardization. She has over 14 years of experience, including claims auditing with a large third party payer, director level industry experience and consulting experience with a Big Four firm. She has implemented Revenue Integrity teams across large physician groups and created dashboards to measure success. She is also experienced in conducting outpatient operational assessments and improvement projects and has led work streams in Epic Care Go-Lives at three large integrated health systems and an academic medical center, including CDM standardizations and physician education for charge capture and documentation. She is a certified professional coder (CPC) and certified in Epic CDM Management.
Wanda Evans PT, PT, MHS, CKTP
Wanda K. Evans is a senior Payment Specialist in the payment and practice Management Department of the Public Affairs Unit at the American Physical Therapy Association. Her responsibilities include communicating with members and insurers on physical therapy related payment inquiries regarding third-party and payment policies in physical therapy. She also provides supportive resources in policy development , monitors trends and assists the Association in advancing payment policies in physical therapy. Wanda remains a treating clinician in the outpatient and home care settings. She received her BD, Physical Therapy, from Howard University; Masters in health science, Orthopedic and Sports Physical Therapy, from University of Indianapolis; and she is also a certified Kinesio Taping Practitoner. Prior to joining APTA, Wanda was the Clinical Documentation and Utilization Review Coordinators for Medstar National Rehabilitation Hospital (NRH) Network. Prior to working for NRH, Wanda was the supervisor of PT/OT services for Kaiser Permanente Mid Atlantic, Northern Virginia region. Wanda has been a member of APTA since she was a student and has been a staunch supporter by voicing the importance of recognizing the unique skills of physical therapists.
Yvette M DeVay, CPC, CPB, CPC-I
Ms. Dailey has more than fifteen years’ experience in the medical billing and coding field. As she saw the need for internet technology in the physician office setting, she decided to create her own billing, coding, consulting, and training agency. She became AAPC-certified in order to better teach her clients correct coding and documentation in the reimbursement process, and is an adjunct instructor for business schools in her area. Yvonne is a PMCC instructor and provides seminars for physicians, their staff, and new coders entering the field.