Leanne McInelly

About Leanne McInelly

Healthcare compliance leader with 10+ years of experience overseeing CMS regulatory…

Experience

1. Value Based Care Compliance Specialist

   RELI Group, Inc.

   Sep 2023 — Present

   Serve as the Team Lead for CMS Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model Certified Electronic Health Record Technology (CEHRT) audit. • Oversee a team of 10 auditors conducting the ACO REACH CEHRT audit.• Identify the risks associated with non-compliance in ACO REACH by examining the model participant\'s financial incentives, hospital administration, certified electronic health records, and written agreements against the ACO REACH participant agreement related to the provider. • Monitor and audit hospital participation agreements to ensure compliance with the CMS ACO REACH Model.• Oversaw a team of 12 auditors conducting the CMS Primary Care First (PCF) Model audit. • Identify risks associated with non-compliance in the PCF Model and develop documentation of compliance findings for reports to CMS. • Conducted a comprehensive review of the issues and complaints related to the PCF payment policy model and participant provider Electronic Clinical Quality Measures (eCQM). • Make recommendations to minimize the risks of PCF eCQM quality reporting and improve the quality of care participants provide to their patients. • Support the CMS CMMI Compliance Support for Multiple Models (CSMM) and previously supported the Making Care Primary (MCP) audit and compliance contract.

Education

• Brigham Young University

  Bachelor of Science (B.S.), Sociology

  2005 — 2011

• University of Baltimore

  Master of Public Administration (M.P.A.), Healthcare Policy and Administration

  2011 — 2013