Jennifer Siebert
Appeals Management; Documentation auditor; Medical/Merit Reviewer; Subject matter expert; Education and Trainer; System Analyst; Healthcare Compliance; Billing compliance
- Role
- Consultant at Tpc
- Location
- Charlotte, NC, US
- LinkedIn followers
- 500 followers
About Jennifer Siebert
Over 22 years OTR/L (registered and licensed) in Georgia (exp: 5/2022) and North Carolina with over 22 years Auditor/Educator/Trainer of Appeal and Denials Merger/Acquisitions, including Financial Risk Assessments and analysis for purchasing SNFs and Home Health Agencies Assisted with Medicare Fraud Cases Audited charts and summarized information for court hearings Medicare fraud case: Assistance for propriety DRG compliance (Multiple companies): Audited charts for supporting documentation for diagnosis codes billed and independent chart analysis pursuant to purchase agreement. Assisted in IROs Cost Effectiveness for medical devices in other countries Justification for FDA Approval for medical devices Workers Comp Claim auditor and denial expert Assistance with research development for Entrepreneurs in Healthcare space Merit Reviews: determine whether the decisions made in the original review process are correct and valid. Consultant for medical supply billing and claims for Long Term Care setting. Medical reviewer for litigation cases Assist insurances, attorneys and providers understand denied clinical and corrected claims. Consults with attorneys (plaintiff and defense) and insurance companies medical related cases, to assist clients in understanding. the issues of the case; expert witness; analyze cases; analyze damages for personal injury; assess for missing documentation to support cases and assist with deposition, mediation and trials. Regulatory compliance; fraud, waste, abuse and company issues
Experience
Consultant
Aug 2024 — Present
System analystProblem solves for Revenue Cycle Reimbursement issuesDevelop processes for ADR and Appeals and billing issuesCompliance for internal and external processes and revenue streams gains and lossesTherapy Compliance and Billing ComplianceIdentity fraud, waste and abuse in each department of company
Education
University of Alabama
Bachelor, Fashion Design, minor Marketing
1988 — 1992
Baker College
Bachelor, Occupational Therapy
1995 — 1998
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