COMPLIANCE CONSULTANTS AND ADVISORS

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James Rose, CPA, CIA, CRMA, CISA, CISSP, is an experienced healthcare operations, governance, risk, and compliance executive with over 25 years of experience focused on the healthcare and governmental industries.  

Jan Elezian Colorado Healthcare Compliance Expert

Jan Elezian, MS, RHIA, CHC, CHPS, has 40 years of Healthcare and Privacy/HIPAA Compliance, Revenue Cycle Integrity, Coding Management,  experience, including serving as Chief Compliance Officer for a multi-facility Integrated Health System.

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Kimulet "Kim" Winzer, JD, has over 25 years of experience in payer compliance development, program strategy, network and delegation oversight, specializing in Medicaid and Medicare programs.   

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Martin Biegelman, CFE, CCEP, has over 45 years of experience in law enforcement, the corporate sector, and consulting. He helps clients navigate disruption, resolve business controversy, and build resilient organizations. Martin’s practice includes conducting internal investigations, corporate compliance program assessments and enhancements, fraud risk assessments, anti-bribery program compliance, and litigation support.

Jim Rough President SunHawk Consulting

James Rough, CFE, CHC, CCEP, is President of SunHawk Consulting, with 20 years of experience in Compliance, Investigations & Disputes Expert. He is a regular lecturer for the Health Care Compliance Association (HCCA) on best practices when Communicating with Government Regulators and Enforcement personnel.

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Shawn DeGroot, CHC-F, CCEP, CHRC, CHPC, has over 30 years of compliance experience, including serving on the Board of an Integrated Healthcare System and as former President and Board Member of the Health Care Compliance Association (HCCA).

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WENDELLA HOWELL-BELL

Wendella Howell-Bell has over 26 years of experience as a healthcare executive with a progressive and diverse background in commercial managed healthcare settings and government programs.

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NANCY VASTO

Nancy Vasto, CHC, has over 20 years healthcare governance, compliance, ethics, and research professional experience serving in academic settings, multistate integrated healthcare systems, and non-profit and for-profit organizations.

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DR. MARC LATO

Marc Lato, MD  is a physician executive with over 20 years of experience in managed care and compliance in Medicaid, Medicare and within hospital/healthcare systems. 

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DOUGLAS SMALL

Douglas Small, CPA, CFE, CFF has over 30 years of experience in fraud investigations, forensic accounting, and anti-corruption consulting services.

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Karen Shade, CISSP, CISA, PMP, specializes in Information Security and Privacy. She is an IT Security and Audit executive and holds certifications in Information Security (CISSP), Information Systems Auditing (CISA) and Project Management (PMP).

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Sally Adams, has over 37 years experience in the healthcare management consulting industry in both the public and private sectors, working with all provider types, state and local government, and managed care insurance providers, specializing in Medicaid and Medicare programs.  

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APRIL CHAMBERS

April Chambers has 30 years of commercial, Medicare, and Medicaid managed care implementing new programs and auditing.

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Maria Herlihy, MS, has 25+ years of experience focused on data sciences & advanced analytics.  She has leveraged her Masters in Statistics and Operations Research to perform complex statistical analyses, data interpretation, and pattern detection for healthcare and international clients.

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MICHAEL KOTCH

Michael Kotch, CFE, CMAS, CFCE, has over 35 years experience in government health programs, strategic planning, compliance, and provider network management.   In addition, he is a seasoned healthcare fraud and financial crimes investigator who has developed and implemented anti-fraud programs and managed Special Investigation Units for several large managed care organizations.

 

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JOAN LEWIS

Joan Lewis, CPC, is a Certified Professional Coder with over thirty years of coding experience as well as over fififteen years of experience as a Director of Health Information Management and Privacy/Investigation Officer.