A. Andrews D. Email & Phone Number

Birmingham, Al, Us

I assist healthcare providers, health systems, insurance companies, and health I.T. vendors navigate regulatory issues and digital transformation, including HIPAA compliance, Promoting Interoperability Reporting, Quality Payment Program (QPP) and MIPS Reporting. I am a HIPAA-certified Privacy & Security Professional through AHIMA, with experience in multiple areas of compliance, revenue cycle management, Information Blocking compliance, 21st Century Cures, patient intake optimization, and population health management, as well as advising on health information exchange, patient portals, telehealth and other areas of digital health.

Atlanta, Ga, Us

Served as Compliance Subject-Matter-Expert for clients (providers and healthcare facilities) participating in MIPS, ACOs and other CMS Quality Payment Programs & Value-Based-Care Initiatives. Provided clients and co-workers with healthcare industry regulatory information impacting quality reporting, EHRs, HIPAA compliance, and the shift to Value-Based-CareOther accomplishments:Speaker: MS HIMSS State Education Event in 5/2018 - Topic: MIPS - Updates and Practical TipsAttended HIMSS18; networked with colleagues; attended pre-conference symposium;Worked with multiple clients to prepare for and optimize their MIPS performance scores pre-submission; followed & researched industry trends and initiatives, translating and evaluating regulatory, compliance, and quality reporting impacts for companies and clients. Effectively consulted with clients and co-workers on how to best to meet healthcare quality, policy and regulatory requirements in everyday practice with an emphasis on MIPS and quality improvement.

Birmingham, Al, Us

Managed Physician Quality Reporting System (PQRS), Meaningful Use (MU) / Advancing Care Information (ACI) Reporting Programs for ~20 clinicians. Served as EHR Administrator, FollowMyHealth Patient Portal Administrator, OSHA/HIPAA/Compliance Officer, and team lead for Direct Messaging implementation. Managed multiple updates of EHR platform Veradigm (formerly Allscripts ProEHR), including practice quality measure selection, monitoring, and reporting via Veradigm Advanced Analytics Platform for all clinicians

Birmingham, Al, Us

Manager of coding, medical records, and patient account services for over a dozen physicians; supervised 12+ FTEs, responsible for revenue-cycle management for back-office operations. Also responsible for credentialing oversight; payer contracting, and coding compliance. System administrator and project manager for implementation and integration of new practice management system. Monitored denials and payer reimbursement policies, CCI Edits, and CPT code changes.

Re-design and re-development of website; managing online member database, enhance e-services, event planning and marketing, communications liaison with membership

Birmingham, Al, Us

Revenue Cycle Management, HIPAA Compliance, & Healthcare Operations (Early position: Research Assistant; also worked part-time for most of 2005 before permanent hire)Major projects/accomplishments:Lead project to integrate neuro-dx lab results into system-wide EHR (Electronic Health Record)Presenter, 2009 National ACMEGS Conference in Salt Lake CityHealthcare Operations & Administration Functions:Medical Record Management, working with clinical staff on upcoming neuro-surgical casesManage referral relationships with internal and external neurologists and neurosurgeonsAdvised patients, staff, & referring offices re: insurance coverage for experiemental proceduresManaged insurance pre-determinations for MSI lab research & experimental technologyBilling, Claims, and Revenue Audit Functions:Perform Accounts Receivable, clinical billing and research billing oversightCoordinated related clinical diagnostic services for patients being evaluated for neurosurgeryEstablished Single Case Agreements with non-contracted insurers for reimbursementStreamlined referral and billing processes to increase revenue and reduce days in A/RAudited claim payment and denial activity to ensure revenue integrityMaintained Chargemaster for MSI labOther Administrative Duties:Maintain Corporate and Regulatory Compliance standards for lab, including HIPAA & OSHADesigned and maintained the lab website for patients and referring offices