Susan has been in the health care industry since 1991. She spent 10 years working for a Medicare fiscal intermediary in the supervision and audit of large health care chain organizations. She also has six years of experience in hospital settings, where she was responsible for all phases of reimbursement, including Medicare cost report preparation and appeals with the Provider Reimbursement Review Board. Susan assists clients with wage index reviews, geographic reclassifications, and provider-based requirements such as signage, state licensure, and attestations. She also prepares and reviews Medicare cost reports and provides audit support to hospitals, skilled nursing facilities, and federally qualified health clinics during Medicare and Medicaid audits.