Judith Marshall

Experience

1. Senior Manager Director Healthcare & Forensics

   KPMG

   Jan 1998 — Present

   Senior Project Manager: Legally trained healthcare regulatory compliance, risk and quality assurance management professional. With 25 years of diverse experience in healthcare and the health insurer industry, she has worked with large and small hospital systems, academic medical centers, ambulatory settings, long term care/sub-acute facilities, provider networks, PPO networks and managed care organizations. She is a trained Forensic Investigator and Auditor as well as Compliance Professional.Health Care Fraud and Abuse Investigator, Sarbanes Oxley - Stark - Anti-Kickback, False Claims Act Regulatory Compliance; Financial/Operational controls; Federal and State Regulations/Standards/Surveys for CMS, JCAHO, HEDIS, HHS, OIG, and CDPH Compliance and Surveys for Healthcare Facilities, Comprehensive enterprise risk management and regulatory compliance functions; internal audit controls; reimbursement/billing compliance; process analysis -redesign- and operational Improvement of provider organizations, CQI (QAPI), RAC reviews, denials/appeals management, retrospective and concurrent review. Project manager leading implementation of numerous Corporate Integrity Agreements (\"CIA\") imposed by the government. Devised and lead monitoring program for these CIA\'s to ensure compliance.

Education

• California State University, Long Beach

  Nursing

• University

  Doctor of Law - JD

Skills

• Compliance Privacy and Ethics
• Hipaa
• Medical Coding
• Working with Physicians
• Managed Care
• Internal Investigations
• Foreign Corrupt Practices Act
• Litigation Support
• Medicare/Medicaid Reimbursement
• Board Governance
• Revenue Cycle
• Clinical Research
• Ehr
• Medicare
• Liability Analysis
• Legal Research
• Cross-Functional Team Leadership
• Healthcare Consulting
• Corporate Fraud Investigations
• Healthcare Industry
• Compliance Program Management
• Health Information Management
• Quality Assurance
• Mergers & Acquisitions
• Fcpa
• Personal Injury Analysis
• Due Diligence
• U.s. Health Insurance Portability and Accountability Act (Hipaa)
• Legal Writing
• Litigation
• Research
• Contract Negotiation
• Physicians
• Negotiation
• Public Policy
• Enterprise Risk Management
• Mediation
• Electronic Medical Record (Emr)
• Management
• Government & Aca