Melanie Combs-Dyer Email and Phone Number
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Retired from Senior Executive Service at HHS/CMS after 31 years protecting the Medicare Trust Fund from Improper Payments.Founder, Combs-Dyer Consulting.Striving to get health care data flowing using Fast Healthcare Interoperability (FHIR) standards. Executive Director of LetUsVoteMD, a non-profit organization advocating for Open Primaries in the he state of Maryland.BACKGROUNDExperienced Leader working to promote interoperability between clinicians, health care payers, and patients. Demonstrated history of working to administer the Medicare Fee-For-Service program. Strong medical record professional skilled in developing large-scale national solutions to allow providers to electronically submit medical record documentation to Medicare. Founding member of the HL7 Da Vinci Steering Committee through January 2020. Tireless promoter of FHIR standards to improve communication between: * provider <~> payer, * provider <-> provider, * patient <-> payer, * patient <-> provider * payer <-> payer
Combs-Dyer Consulting
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OwnerCombs-Dyer Consulting Nov 2019 - PresentSubject Matter Expert at using FHIR standards to reduce provider burden. -
MemberWbl (Women Business Leaders Of The Us Health Care Industry Foundation) Jan 2024 - PresentWomen Business Leaders of the U.S. Health Care Industry Foundation (WBL) is a nonprofit organization housing the premier network of women executives across the health care industry. WBL’s mission is to connect and convene senior executive women in health care to create meaningful cross-sector relationships, advance their careers, and harness their collective power to improve the industry. -
Director Of InnovationMettle Solutions Mar 2020 - Sep 2023Ellicott City, Maryland, United States -
Senior Advisor, Office Of The AdministratorCenters For Medicare & Medicaid Services Jul 2019 - Jan 2020Baltimore, Maryland, United StatesWorked on all things related to Interoperability, especially notice of proposed rulemaking documents related to HL7 DaVinci standards. -
Director, Provider Compliance GroupCenters For Medicare & Medicaid Services Sep 2013 - Jan 2020Baltimore, Maryland AreaOversaw the development, implementation, and improvement of:- the Medicare Fee-For-Service (FFS) Documentation Requirement Lookup Service (DRLS) that uses Da Vinci FHIR standards called coverage requirements discovery and documentation templates and rules, - the Medicare Recovery Audit Contractor (RAC) program- the Division of Medical Review and Education, and- the Medicare FFS Prior Authorization programs. -
Deputy Director, Provider Compliance GroupCenters For Medicare & Medicaid Services Aug 2011 - Sep 2013Baltimore, Maryland, United StatesOversaw the development, implementation, and improvement of: - business requirements for the Electronic Submission of Medical Documentation (esMD) system that uses a CONNECT gateway and ONC standards to allow healthcare providers to safely and securely send medical records in PDF format to certain CMS review contractors - the Prior Authorization of Power Mobility Device (PMD) demonstration -
Health Insurance SpecialistCenters For Medicare And Medicaid Services (Cms) Mar 1989 - Aug 2011Work focused in the areas of program integrity, provider compliance, and protecting the Fee-for-Service Medicare program from improper payments. Projects have included assisiting in the procurement and implementation of the: - Durable Medial Equipment Regional Carriers, - Comprehensive Error Rate Testing (CERT) program - Recovery Audit Contractor (RAC) demonstration programBeginning in 2009, work focused on developing the Electronic Submission of Medical Documentation (esMD) system at CMS. Tasks included developing interoperability standards, procuring an NHIN Gateway contractor and recruiting Medicare Review Contractors and Health Information Handlers.
Melanie Combs-Dyer Skills
Melanie Combs-Dyer Education Details
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Health Administration
Frequently Asked Questions about Melanie Combs-Dyer
What company does Melanie Combs-Dyer work for?
Melanie Combs-Dyer works for Combs-Dyer Consulting
What is Melanie Combs-Dyer's role at the current company?
Melanie Combs-Dyer's current role is • Founder, Combs-Dyer Consulting• Evangelist for QHIN FHIR pilots• Executive Director, LetUsVoteMD (advocating for Open Primaries in Maryland).
What is Melanie Combs-Dyer's email address?
Melanie Combs-Dyer's email address is me****@****les.com
What is Melanie Combs-Dyer's direct phone number?
Melanie Combs-Dyer's direct phone number is +141078*****
What schools did Melanie Combs-Dyer attend?
Melanie Combs-Dyer attended Towson University, University Of Maryland School Of Nursing.
What skills is Melanie Combs-Dyer known for?
Melanie Combs-Dyer has skills like Medicare, Healthcare, Healthcare Information Technology, Program Management, Ehr, Health Policy, Informatics, Hipaa, Medicaid, Process Improvement, Data Analysis, Policy.
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