Our Experts

Sean M. Weiss, CCP-P, ACS-EM, CPC, CPC-P

Sean serves as Vice President and Chief Compliance Officer of DecisionHealth Professional Services. With more than 15 years in health care, Sean focuses on representing physicians and other health care organizations at hearings that have been targeted by carriers for fraud and/or abuse; or where a request for overpayment refund has been assessed. As a management consultant, certified auditor, and nationally recognized speaker, Sean has worked with physicians, medical groups, hospitals, and medical management societies to meet the challenge of delivering medical care in a complex marketplace without sacrificing government compliance.

Sean is an author or contributing author to multiple model compliance programs (HIPAA, OIG, OSHA, personnel policies and procedures) as well as publications on Medicare, Carrier Appeals Evaluation and Management services, coding and specialty-specific training. Sean is also a contributing author for several medical practice coding, compliance and management periodicals and online discussion groups.

Regan Tyler, CPC, CPC-H, CPMA, CEMC, ACS-EM

Regan has been working in health care for the past twelve years across several physician office specialties including Ophthalmology/Optometry, Cardio-Thoracic Surgery, Dermatology, Otolaryngology and Neurology. During that time Regan has focused much of that time auditing and educating physicians and their staff on proper documentation and compliance. Regan currently serves as coding content expert for several DecisionHealth publications and Chart Audit Consultant for DecisionHealth Professional Services. Regan has previously worked as a contract chart auditor working for private organizations as well as Medicare, and is a frequent presenter on physician office coding topics for several specialty societies and coding publications.

John Burns, CPC, CPC-I, RMC

John is an experienced Certified Professional Coder (CPC) and nationally recognized speaker on various topics including CPT®, HCPCS II and ICD-9 coding, Medicare compliance, Fraud and Abuse initiatives and coding certification “bootcamps.” He is recognized as a Professional Medical Coding Curriculum approved instructor. He has extensive knowledge relative to fee schedule analysis, medical record compliance audits and physician/staff education.

Andrea Manning, BS, RN, HCS-D, COS-C

Andrea is a nationally recognized expert in the homecare industry with over 20 years of experience as a nurse, healthcare executive and entrepreneur. Her innovative, leadership-based approach to homecare management has made her a highly sought after expert in leadership, agency operations, clinical management, ICD-9 coding and OASIS-C.

Andrea has taken a leadership role in advocating the value of homecare in the healthcare delivery system and has an ongoing dialog with members of Congress regarding homecare issues. She is an active member of the Texas Association for Home Care & Hospice and the Alaska Homecare and Hospice Association.

John F. Bishop, PA-C, MS, CWS, CPC

John has been involved in the clinical, compliance and business aspects of health care for the past 34 years. He is a surgical physician assistant and a certified professional coder who provides guidance and education in a variety of areas including, surgical and medical coding, reimbursement and compliance initiatives.

 

 

Robert W. Liles, Esq.

At Liles Parker, PLLC, based in Washington, D.C., Robert focuses his practice on fraud defense, internal audits/investigations, voluntary disclosure issues, compliance and regulatory matters. He has represented a wide variety of clients in civil and criminal proceedings and complex civil litigation. Robert has achieved an “AV” rating by Martindale-Hubbell, the highest rating that may be accorded to an attorney and has been assessed as “Superb” by AVVO, an independent attorney rating service. Before entering private practice, Robert served as Deputy Director for Legal Programs at the United States Department of Justice (DOJ), Executive Office for United States Attorneys (EOUSA). Prior to serving in Washington, D.C., he worked as an Assistant United States Attorney in the Southern District of Texas, Houston office, where he primarily handled False Claims Act matters and cases.

Bill Dacey, MHA, MBA, CPC

Bill provides direct physician education, chart review and litigation support to providers and payers nationwide. Bill is a nationally recognized expert on how to both safeguard against negative audit activity and identify appropriate reimbursement for physician services.

 

 

Margie Scalley Vaught, CPC, CPC-H, CCS-P, MCS-P, ACS-EM, ACS-OR

Margie has over 25 years of experience in health care as a nurse’s aide, ward clerk, medical transcriptionist and office manager. For the last 17+ years she has focused on orthopedic coding, billing and reimbursement issues, and has contributed many articles to the AAOS Bulletin.

 

 

Larry Gold, MBA, M.Ph

Larry is a highly experienced businessman with an extensive background as a senior executive, entrepreneur, CEO, business consultant, management advisor, technology/marketplace facilitator and strategy and planning specialist. He has considerable experience developing and implementing successful strategies and operational plans for the rapid improvement of profitability in medical practices and service companies. He is experienced in a wide variety of clinical specialties and has successfully guided both start-ups and high-growth organizations. He is a turnaround expert who has rescued numerous troubled practices.

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