ABOUT

While MCA consultants are knowledgeable about the full range of practice management issues, our core competency revolves around the defense of medical practitioners for alleged fraud-and-abuse and compliance issues.

All Working Together

The consultants of MCA have helped attorneys and physicians successfully prepare for hundreds of Administrative Law Judge and Medicare/Medicaid hearings.

From case development and discovery assistance to medical record review and expert testimony, our goal is to help prevent civil proceedings in state or federal court from evolving into criminal cases.

OUR TEAM

Our consulting firm is built largely on referrals from a select cadre of legal and health care professionals. MCA never represents the government - our services are available only for the defense or education of health care providers. We strive for integrity in every assignment we handle, carefully matching our services to the special needs of our clients..

Bob Weatherford, President & CEO

Bob has extensive experience working with a range of healthcare providers, physicians, legal entities, and government agencies. Throughout the year, national organizations ask Bob to speak and train on the topics of coding, billing and documentation,

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fraud and abuse, and healthcare compliance.

Prepayments & Overpayments. Regardless of the specialty area, Bob can assist with prepayment review or provide expert advice based on the firm’s insights from handling over 1,400 overpayment cases. His experience includes, Medicare Part B, Medicare Advantage, Medicaid and TRICARE, and commercial insurance overpayment appeals.

Legal Defense & Expert Testimony. Bob also supports legal counsel with discovery and defense phases for alleged fraud and abuse cases. His role as an expert witness for civil, criminal, and administrative hearings attests to his distinguished reputation. Bob can also assist with OIG mandated self-reporting audits for healthcare providers and legal counsel.

Organizations Health Care Compliance Association American Health Lawyers Association American Academy of Professional Coders

Certifications Certified Professional Coder (AAPC)

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Joann Weatherford, Vice President

Joann oversees MCA with a vision developed through thirty-plus years of healthcare experience. Her vision and capabilities are shaped by a profound insight about the demands of today’s healthcare climate. As a practice manager, she learned how to prioritize excellent patient care

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without sacrificing practicegrowth and productivity. She did so across four specialty areas: internal medicine, dermatology, thoracic surgery, and radiology.  Joann also acted as a Chief Compliance Officer where she learned first line of defense against mismanagement and fraud is a quality, and integrated, compliance program.  Now, as Vice President of MCA, Joann is committed to:

Legal Defense Strategy.  Have you been subjected to a pre-payment/post-payment audit? Joann is a certified professional coder (CPC) and has worked with legal teams to personally handled hundreds of medical record and audit report reviews. 

Medicare & DME Support.  Is your Medicare credentialing in danger of being revoked?  Joann has a proven track record of overturning Medicare number revocation while working directly with Centers for Medicare and Medicaid Services (CMS) regional offices. Joann can also represent physicians to reinstate or initiate medical supply numbers - this may include documentation reviews or coordination with the DME regional center.

Certifications Certified Professional Coder (CPC®)

Organizations American Academy of Professional Coders

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Mike Demi, Senior Consultant

Mike’s career spans two specialized fields that share invaluable attributes for his role as a senior consultant. As a 727 commercial test pilot and critical care nurse, Mike has a unique capacity to filter the right details, establish trust, and make sound decisions amid high-risk situations.

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Mike brought his talents and unparalleled passion for quality healthcare to the MCA team in 2015.  He works with a range of healthcare providers, physicians, legal entities, and government agencies.

Prepayment Review.  Mike can assist with prepayment review for all medical specialties. He works hands-on with doctors for appeals with Medicare, Medicaid and commercial insurance. 

Training Support.  As a certified billing specialist and avid teacher at heart, Mike can also train staff and physicians on billing, coding, fraud and abuse, evaluation and management, and documentation guidelines and principles.

Legal Counsel Support.  Mike also reviews records for fraud and abuse allegations to support legal counsel with discovery and defense strategies. 

Organizations Health Care Compliance Association (HCA)
American Academy of Professional Coders (AAPC)
American Association of Critical Care Nurses (AACC)


Certifications Registered Nurse (RN)
Certified Professional Coder (AAPC)
Certified Surgical Foot and Ankle Coder (CSFAC)
Certified Medical Record Auditor (CMRA)

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Adrianne Ross, DPM, CPC-A

Starting in 2015, Dr. Ross joined the MCA team with a passion to improve quality patient care and the field of podiatry. As an affiliate member of The Podiatry Institute and author of numerous peer-reviewed publications, Dr. Ross is a sought out presenter to national and

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international audiences about complex treatments such as foot and ankle trauma and limb salvage - especially, diabetic populations.

Physician Education and Expert Testimony. Dr. Ross also applies her surgical skills and passion for teaching as a faculty member at one of the nation’s leading podiatric medical and surgical residency programs. Her commitment to the field of podiatry and patient care is further proven by her completion of additional training to specialize in reconstructive plastic surgical techniques. Dr. Ross’ other specialties include peripheral nerve surgery, adult and adolescent flatfoot reconstruction.

Dr. Ross is fluent in both Spanish and Mandarin (Chinese).

Education New York College of Podiatric Medicine, New York, NY Doctor of Podiatric Medicine

Certifications Certified Professional Coder (2017, AAPC)

Professional Affiliations Affiliate Member of the Podiatry Institute Associate Member, American College of Foot and Ankle Surgeons Residency Committee, DeKalb Medical Hospital – Podiatric Medical & Surgical Residency Board of Directors – Georgia Podiatric Medical Association

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Heather Morris, RN

Heather offers MCA a unique combination of clinical experience and administrative talent. Her multi-speciality clinical experience includes labor and delivery, emergency room, pain management, and home health. Regardless of the provider model, private or public, Heather knows

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what quality care requires. She also understands the demands of standing up high risk private surgical facilities. Today, Heather works in Jacksonville, Florida as a senior nurse manager for a non-profit homelessness transition care facility. She oversees the daily care for two hundred of the cities most vulnerable men, women, and children.

Specialty Compliance & Audit Reviews. Heather connects her clinical and management skills to assist MCA in the following areas: health informatics, credentialing, quality assurance and process improvement, (QAPI), and risk management.

Education Panama City Florida Registered Nurse – 2001 Jacksonville University Bachelor of Science, Nursing Grand Canyon University (pursuing) Master of Healthcare Administration

Licences State of Florida Registered Nurse License # RN9205447 Licensed Healthcare Risk Manager License #5504972

Certifications Advanced Cardiovascular Life Support Basic Life Support

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Donna Mohr, PhD

Dr. Mohr is a tenured professor at the University of North Florida, Jacksonville, Florida. She established her twenty year statistics career striving to improve healthcare through rigorous academic research. Her expertise incorporates academic and grant-funded research with both

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private insurance providers and the government with a special focus on Medicare Parts A and Part B. Dr. Mohr is co-author of an academic text on statistical methods and numerous peer-reviewed articles. She now also works with MCA to help you, the provider, navigate or defend Medicare audits.

Specialty Medicare Audits & Legal Defense Strategy. Dr. Mohr understands what constitutes a quality audit, and therefore, a quality legal defense. Her role with MCA is to work closely with the legal teams to analyze and validate audit samples.

Physician Education. As an expert in statistical analysis and methods she plays a critical role with physician education. She is also available to conduct training in statistical methods and audit prevention for your organization.

Education 1981 Ph.D. in Statistics, Princeton University
1977 M.A. in Statistics, Princeton University
1975 B.A. in Mathematics, Rice University

Professional Associations American Statistical Association Biometric Society

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Yvette DeVay

Yvette DeVay, MHA, CPMA, CIC, CPC-I
MCA Specialty: Audits and Compliance Reviews

Yvette has extensive operational experience in both the provider and payer environment.  She brings extensive revenue integrity

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experience to MCA.  As a coding and compliance consultant, Yvette has provided advisement across all areas of today’s integrated healthcare delivery system.  Instrumental to revenue integrity departments, she has held key roles in health information management, charge capture; regulatory compliance; denials management; prospective and retrospective audit.

She is a regulatory expert of Medicare, Medicaid, and their associated Managed Care Plans, as well as a nationally recognized speaker and instructor on topics of medical record documentation, auditing; inpatient -outpatient coding, as well as Medicare regulations and Quality Payment Programs.

Prepayment and Post Payment Review: Yvette is certified in auditing, inpatient, and outpatient coding.  With over 10 years’ auditing experience, she has audit experience across multiple specialties and sites of service.

 

Training Support
As an approved trainer for both American Academy of Professional Coders and the American Health Information Management Association, Yvette delivers custom training to the facility or practice setting.  With over 15 years of instructional experience, she can author and deliver education tailored to meet specific organizational need.

 

Education
Seton Hall University, MHA
Pennsylvania State University, B.S., Applied Behavioral Sciences

Organizations:
American Academy of Professional Coders
Association of Home Care Coding and Compliance
American Health Information Management Association

 

Licenses and Certifications

Certified Professional Coder & Certified Inpatient Coder (AAPC)
Certified Professional Medical Auditor (AAPC)
Professional Medical Coding Curriculum Instructor (AAPC)
ICD-10-CM/PCS Trainer (AHIMA)

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Kim McVeigh

Kim McVeigh MCA Speciality: Auditing and Physician Education

Kim is the Director of Rehabilitation Services at Mayo Clinic, Jacksonville, Florida and has been a mid-level provider in Mayo Clinic’s Physical Medicine and Rehabilitation

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Department since 1999. Kim’s outside leadership experiences include adjunct faculty at Jacksonville University, board member of the American Association of Hand Surgery, and various leadership roles within the American Society of Hand Therapists.

Auditing. Kim provides MCA auditing expertise in the areas of operational performance, staff satisfaction, patient satisfaction, and performance improvement in the delivery of physical and occupational therapy.

Physician Education. Kim supports physician education for private (one-on-one), small group, or large group venues. Kim has presented over 25 times at national level conferences on various rehabilitation topics. She has published prospective research, and is currently the primary investigator for a grant-funded 3-site enterprise prospective randomized control trial.

Education The Ohio State University, B.S., Occupational Therapy New England College, MBA, Healthcare Management

Academic Appointments Assistant Professor in the Mayo Clinic College of Medicine

Licenses and Certifications Occupational Therapy Hand Therapy (2001) Silver Level Certification from the Mayo Clinic Quality Academy

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