Photo of Chuck Nefkens
Chuck Nefkens
Director
CPA
chuck.nefkens@mossadams.com
(949) 221-4045
My Profile

Industry Expertise

Health Plans & RBOs Hospitals & Health Systems Medical Groups & Physicians

Practice Focus

Health Care Consulting Risk & IT Compliance

Biography

Chuck has worked with health plans, integrated delivery systems, medical groups, independent physician associations (IPAs), management services organizations (MSOs), delegated risk entities, and hospitals since 1995.

Chuck’s areas of expertise include payor operations, medical claims audits, revenue recovery, health care data analytics, risk adjustment, shared risk settlement audits, custom database applications, and more. Additionally, he has provided litigation support services in numerous disputes and qui tam lawsuits involving claims payments, risk adjustment, and other matters.

External Publications

  • 7 Steps to Implementing an Effective Claims Audit Process (Healthcare Information Management Inc., December 2017)

Selected Speaking Engagements

  • How to Transform Your Claims Auditing Process in 30 days Using Technology
    (EZ-CAP Users Conference, September 2015)

Professional Affiliations

  • Member, American Institute of Certified Public Accountants
  • Member, California Society of Certified Public Accountants
  • Member, Healthcare Information and Management Systems Society (HIMSS)
  • Member, Information Systems Audit and Control Association (ISACA)

Education

  • BA, UC San Diego
  • CPA Accounting Coursework, UCLA Extension
  • MHA, Indiana University
  • Web Programming Certificate, UC Irvine Extension

Baker Tilly US, LLP, Baker Tilly Advisory Group, LP and Moss Adams LLP and their affiliated entities operate under an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly Advisory Group, LP and its subsidiaries, and Baker Tilly US, LLP and its affiliated entities, trading as Baker Tilly, are members of the global network of Baker Tilly International Ltd., the members of which are separate and independent legal entities. Baker Tilly US, LLP and Moss Adams LLP are licensed CPA firms that provide assurance services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and consulting services to their clients and are not licensed CPA firms. ISO certification services offered through Moss Adams Certifications LLC. Investment advisory offered through either Moss Adams Wealth Advisors LLC or Baker Tilly Wealth Management, LLC.