Janet Mccarty Email & Phone Number

Rockville, Md

Develop and implement strategies that advocate for payment of speech and hearing treatments by private health plans. Research and analyze policy, prepare recommendations, develop appeals process strategy, and educate and assist membership with advocacy actions, within framework of health care reform. Product development, website content, writing articles, communication with representatives from health plans, state insurance commissions, and related health organizations are a sample of activities used to promote payment of ASHA members’ services.

Rockville, Md

Payment policy analysis; coverage advocacy; claims and coding advising. Prepared articles and made presentations; researched issues and reported results; developed reimbursement products for association membership. Coordinated development of Medical Review Guidelines. Communicated with health plan claims reviewers and medical directors, state and federal government agency representatives, and association leaders and members. Monitored evolving trends in health care payment that focused on value rather than volume of services provided.

Rockville, Md

Managed all aspects of reimbursement issues related to private health plans with a focus on coverage advocacy. Coordinated work of ASHA’s representatives to American Medical Association’s CPT Editorial Panel, responded to members’ payment concerns, conducted employer health plan coverage surveys.

Leesburg, Va

Director (1984-1989). Responsible for all aspects of operation of the two-office center providing speech-language pathology and audiology services, including hearing aid sales and repair. Handled contract negotiations with HMOs, state/local government agencies and supervised staff of ten. Developed and implemented annual operating budget; prepared quarterly financial reports; made funding requests to public/private entities; promoted center via a variety of media; responsible for Medicare/Medicaid reporting and compliance with state health department regulations.Speech-Language Pathologist (1980-1989). Provided evaluation and treatment of speech-language disorders for pediatrics to geriatrics.

Frederick, Md

Provided speech-language treatment for the preschool population in an innovative parent/child-centered program serving the entire county. Supervised staff of 11 paraprofessionals.