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Michael Weisner is listed as Managing Principal at M C Weisner Consulting, LLC at M C Weisner Consulting, LLC, based in Baton Rouge, Louisiana, United States. AeroLeads shows a matched LinkedIn profile for Michael Weisner.
Michael Weisner previously worked as Managing Principal at M C Weisner Consulting, Llc and Principal at Horizon Healthcare Advisors, Llc. Michael Weisner holds Cpa Prep Program from Louisiana State University.
Michael Weisner is a Managing Principal at M C Weisner Consulting, LLC at M C Weisner Consulting, LLC. He possess expertise in auditing, management, government, healthcare, litigation support and 8 more skills.
Listed skills include Auditing, Management, Government, Healthcare, and 9 others.
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Baton Rouge, La, 70817
Healthcare consulting in the areas of independent review organization, recovery audit contract issues, false claims, claims processing, litigation support, healthcare policy, overpayment recovery and underpayment recovery.
Louisiana And Pennsylvania
Audit services for Medicaid Inspectors General, Medicaid Agencies and Pharmacy Benefit Management firms.Independent Review Organization services for medical providers under Corporate Integrity Agreements.Recovery Audit Contractor audits for providers desiring to perform their own RAC reviews.
Baton Rouge, La
Served as lead auditor in development of nationwide healthcare audit issues, develop audit sampling plans, supervise regional and nationwide audits, assist in national investigations and in conjunction with the Department of Justice negotiate settlements with healthcare providers and coordinated with the OIG office of General Consul regarding Compliance Agreements.Developed and led audits involving critical areas such as incorrect reporting of transfers between PPS hospitals as discharges, incorrect reporting of patients transferred during hospital mergers, patients reported as left against medical advise instead of as patient transfers, cost reporting issues involving critical access hospitals, observation bed days, hospital based physicians and interns and residents.Produced a PowerPoint presentation flow charting the Medicare Cost Report form to aid other auditors in understanding the internal data flow of the Medicare cost report.Developed data mining procedures and techniques for application against Medicare paid claims files and the national files of provider cost reports.Developed data mining procedures and techniques for application against state Medicaid claims files.Provided audit support to the Office of Investigations and to the Department of Justice.
Baton Rouge, La
Onsite supervision of Medicare Intermediary and Carrier in Louisiana and liaison with Louisiana Medicaid Agency.Conducted reviews of intermediary and carrier performance, reviews of Medicare and Medicaid claims processing systems,
Baton Rouge, La
Under the Intergovernmental Personnel Act I was on loan to the State of Louisiana to implement a state-of-the-art Surveillance and Utilization Control Module within the Medicaid Management Information System.Restructured the existing unit, trained professional medical and analytical staff in review procedures to detect aberrant billing patterns, worked with the claims processing contractor to develop the most comprehensive SURS reporting system in the nation at the time, and led the unit through certification.
Dallas, Tx
Performed comprehensive reviews of the Surveillance and Utilization Review Portion of the Medicaid Management Information System in each of the five states in Region VI, made recommendations for improvements that enabled each of the states to achieve early certification.For each state in Region VI, reviewed each claims processing system from claims receipt through payment and produced maps of each state’s process with special attention to the areas where errors should be detected.Provided technical assistance to each of the Medicaid Fraud Control Units within the Attorney Generals Office of each of the states in Region VI and performed investigative case review.Conducted investigations of Medicare Part A and Part B providers based on referrals from the Medicare Intermediary or Carrier.
Dallas, Tx
Review of state agency determinations of eligibility for Aid to Families with Dependent Children and Medicaid.Conducted special studies in all areas of federally funded healthcare.
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Michael Weisner works for M C Weisner Consulting, LLC.
Michael Weisner is listed as Managing Principal at M C Weisner Consulting, LLC at M C Weisner Consulting, LLC.
Michael Weisner is based in Baton Rouge, Louisiana, United States while working with M C Weisner Consulting, LLC.
Michael Weisner has worked for M C Weisner Consulting, Llc, Horizon Healthcare Advisors, Llc, Department Of Health And Human Services, Office Of The Inspector General, Office Of Audit Services, Department Of Health And Human Services, Medicare State And Contractor Operations, and Department Of Health And Human Services, Office Of Program Integrity.
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Michael Weisner holds Cpa Prep Program from Louisiana State University.
Michael Weisner is listed with skills including Auditing, Management, Government, Healthcare, Litigation Support, False Claims, Medicaid, and Health Care Fraud.
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