• Professional Experience
    1989 - Present
    Work has focused in the areas of program integrity, provider compliance, and protecting the FFS Medicare program from improper payments. Projects have included assisiting in the procurement and implementation of the: - DME Regional Carriers (DMERCs), - Program Safeguard Contractors (PSCs) - Comprehensive Error Rate Testing (CERT) program - Recovery Audit Contractor (RAC) demonstrationBeginning in 2009, work focused on developing the Electronic Submission of Medical Documentation (esMD) demonstration at CMS. Tasks included developing interoperability standards, procuring an NHIN Gateway contractor and recruiting Medicare Review Contractors and Health Information Handlers.
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