Biography

Lori has been in health care consulting and public accounting since 1991. She has experience consulting  for the private sector and not-for-profit organizations, including regulatory compliance program development and monitoring for integrated hospitals, multi-specialty clinics, single specialty clinics, mental health centers, and community health centers; forensic reviews; operational and revenue bench-marking projects; revenue cycle assessments; operational reviews; and risk assessments of physician groups and integrated systems.

Her specific relevant experience includes:

  • Risk assessments and medical documentation reviews of several physician groups, focusing not only on E&M coding but all CPT codes
  • Design, implementation, and monitoring of clients’ regulatory compliance plans, as well as risk assessments and annual work plan development
  • Assessments of revenue cycles for integrated, ancillary, and standalone medical groups
  • Implementation and redesign of revenue cycle and coding functions
  • Acting as temporary controller for various entities
  • Operational reviews of all types of medical groups
  • Design and implementation of compliance plans

Selected Speaking Engagements

  • Navigating Risk While Defending Against the Three-headed Monster: False Claims, Stark Law and Anti-kickback Statute
    (Moss Adams Health Care Conference, November 2018)
  • Auditing and Monitoring SNF Operational & Reimbursement Compliance
    (LeadingAge – CA, May 2015)
  • E/M Audits
    (OR/WA MGMA Annual Meeting, May 2015)
  • How and When to Conduct a Compliance Internal Audit
    (HCCA Annual Compliance Institute, April 2015)
  • OIG Auditing – Hot Topics Round Table
    (Portland HCCA, February 2015)
  • Risk of the Electronic Health Record – Updates
    (AHIA Pacific Northwest Regional Seminar, October 2014)
  • HCC Coding
    (AHIA Annual Conference, September 2014)
  • EMR Challenges Related to Billing and Revenue Cycle
    (California Primary Care Association Billing Managers Peer Conference, May 2014)
  • Compliance – What has Changed in the Seven Elements
    (OR/WA MGMA Annual Meeting, May 2014)

Professional Affiliations

  • Member, American Health Lawyers Association
  • Member, Association of Healthcare Internal Auditors
  • Member, Health Care Compliance Association
  • Member, Healthcare Financial Management Association

Education

  • BS, accounting, Pacific Lutheran University