abuse, and health care 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, TRICARE, and commercial insurance overpayment appeals.

Legal Defense & Expert Testimony. Bob 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 health care providers and legal counsel.

Certifications.
Certified Professional Coder (CPC)

Organizations.
Health Care Compliance Association, American Health Lawyers Association, American Academy of Professional Coders (AAPC)

without sacrificing practice growth 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 the first line of defense against mismanagement and fraud is a quality, and integrated, compliance program.

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 handle 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 provider number revocation while working directly with the Centers for Medicare and Medicaid Services (CMS) regional offices. Joann can also represent physicians to reinstate or initiate provider enrollment applications for Medicare and DMEPOS, which may include documentation review and ensuring compliance with supplier standards in order to obtain and retain billing privileges.

Certifications.
Certified Professional Coder (CPC)

Organizations.
American Academy of Professional Coders (AAPC)

situations. Mike brought his talents and unparalleled passion for quality health care to the MCA team in 2015. He works with a range of health care 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. 
Mike is qualified to train staff and physicians on billing, coding, fraud and abuse, evaluation and management, and documentation guidelines and principles.

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

Certifications.
Registered Nurse (RN), Certified in Healthcare Compliance (CHC), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Surgical Foot and Ankle Coder (CSFAC)

Organizations.
Health Care Compliance Association (HCCA), American Academy of Professional Coders (AAPC), American Association of Critical Care Nurses (AACN)

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presenter to national and 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’s other specialties include peripheral nerve surgery, adult and adolescent flatfoot reconstruction.

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

Certifications.
Certified Professional Coder (CPC)

Organizations.
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, American Academy of Professional Coders (AAPC)

a Certified Professional Coder (CPC) and a Certified Evaluation and Management Coder (CEMC).

Certifications.
Certified Professional Coder (CPC), Certified Evaluation and Management Coder (CEMC), Registered Respiratory Therapist (RRT)

Organizations.
American Academy of Professional Coders (AAPC)

private or public, Heather knows what quality care requires. She also understands the demands of setting 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 city’s 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 information, credentialing, quality assurance and process improvement (QAPI), and risk management.

Certifications.
Certified Professional Coder (CPC)

Organizations.
American Academy of Professional Coders (AAPC)

private insurance providers and the government with a special focus on Medicare Part 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.

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.

Organizations.
American Statistical Association Biometric Society

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.

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