AHFI Roster
International SOS
- Keri Andrews, MS, AHFI
iSpace Inc.
- Greg Hunter, AHFI, CPC
Jeff & Marci Barnhart Enterprises, LLC
- Marci Barnhart, AHFI, COC
John Hancock Financial Services
- Carmen E. Russo, AHFI, CFE
Kaiser Permanente
- Denise Barrow, AHFI
- Jeffrey Fairbanks, AHFI, CFE, CPC
- Luz M. McCullough, RN, MSN, AHFI, CPC, CCS
- Ericson Salmo, MD, CCS, CRC, AHFI
Kaiser Permanente Washington (Formerly Group Health)
- Megan Pedersen, AHFI
KPMG, LLP
- Holly Atkins, M.Ent., CFE, CGAP, CHC, AHFI
L.A. Care Health Plan
- Patricia Luna, AHFI
- Edd Malone Jr., CFS, AHFI
Liberty Dental Plan
- Rebecca Nichols Gould, AHFI
- Mary Grace Vanatta, AHFI
Louisiana Department of Health
- Virginia Brandt, AHFI
- John Korduner, JD, AHFI
- Richard Pierce, CPIP, AHFI
Lumeris
- Deborah M. Kreps, AHFI, CPC, HIA
Magellan Health, Inc.
- Wendy J. Bohannon, AHFI
- Regina Hedman, AHFI, CFE
- Patricia Hoofnagle, AHFI
- Noelle Richardson, CPC, AHFI
- Sergio Rosales, AHFI
- Gabriel J. Sena, MA, LPCC, CPC, AHFI
- Lorna Smith, AHFI
Massachusetts Office of Medicaid, EOHHS
- Olugbenga Anthony Osho, AHFI
Mastercard International Incorporated
- Tim McBride, CPC, AHFI
Mayo Clinic
- April Carlson, MBA, AHFI, CFE, CPC, CPhT
Medica Health Plans
- Nancy Holt, HCAFA, AHFI
Medicaid Fraud Control Unit of Florida, OAG
- Touckay L. McCurdy, AHFI
- Joseph Ricci, AHFI
Medicaid Fraud Control Unit of Indiana, OAG
- Andrea Anderson, AHFI
- Ronnie Formyduval, AHFI
- Tina M. Hampshire, AHFI
- Diane M. Hedges, MBA, CFE, AHFI
- Rebecca Reinhard, AHFI
- Sherri Taylor, AHFI
Medicaid Fraud Control Unit of Louisiana, OAG
- Glynn B. Edwards, AHFI
- Myra L. Lafleur Bates, AHFI
- Erin L. McAlister, AHFI
- Katherine Ross Collins, AHFI
- Todd G. Scioneaux, AHFI, CFE
Medicaid Fraud Control Unit of Mississippi, OAG
- Randolph Brown, AHFI, CFE
- David L. Domino, AHFI
Medical Affairs Partners, LLC
- Fred F. Holt, MD, JD, AHFI
Medical Card System, Inc.
- Olgamarién Castillo Aguiar, JD, AHFI, CFE, CHC, CHPC
- Shayra Martinez Arcelay, RN, RHIA, AHFI
MetLife
- Dorene Whaley, HCAFA, AHFI
MetroPlus Health Plan
- Linda Osborn, AHFI, CFE, CPC, CEMC, CPMA, CCS
Midwest Medical Examiners Office
- Cheryl Witsoe, AHFI
Minnesota Department of Human Services, OIG
- Rachel Lewis, AHFI, CPC
MMM Holdings, LLC
- Gilberto J. Alvarado Serrano, AHFI, CFE, JD
Moda Health
- Toni L. Slocum, AHFI, CPC, CPC-P
Molina Healthcare, Inc.
- Joe T. Christensen, AHFI, CWFI
- Shane O. Tiernan, AHFI
MVP Health Care
- Sandra Caffarella, RN, CPC, AHFI
- Rocco Cordato IV, ACAMS, AHFI
- Pamela Durant, MSN, RN, CPC, AHFI
My Care Alabama
- Presley Rebman, AHFI, CFE, PMP
Myers and Stauffer LC
- Melissa Parks, CFE, AHFI
- Toni Prine, RPH, CPC, AHFI
NALC Health Benefit Plan
- Karen L. West, AHFI
National Enforcement Investigation Agency
- Garry Williams, PhD, AHFI
National Health Care Anti-Fraud Association
- Cynthia A. Lucas, AHFI
NCI AdvanceMed Corporation
- Sharon M. Doorley, RN, AHFI, CPMA
- Anita Fuqua, AHFI
- Kristi B. Van Slyke, AHFI
Nebraska Department of Insurance, Insurance Fraud Prevention Division
- Kimberly P. Church, SCLA, CIFI, AHFI
- Charles P. Starr, AHFI, SCLA, CIFI
Nebraska Total Care
- Amanda Brown, MBA, AHFI
Needles & Associates, LLC
- Alma Vazquez-Hernandez, AHFI
New Directions Behavioral Health, LLC
- Jill Carraher, LMSW, AHFI
- Kendra Daniels, LPC, AHFI
- Veronica Highley, MA, LPC, AHFI
New Jersey Office of the State Comptroller, Medicaid Fraud Division
- Jennifer Cregg, AHFI, CPC
New York Life
- Richard J. Matarante, AHFI, CFE
North Carolina Dept. of Health & Human Services
- Susan Bryan, MBA, AHFI, NCI
Optima Health Plan
- Caroline L. Abenante, AHFI, CPC
Optum
- Betzaida Arroyo, MBA, AHFI
- Jennifer Corinella, CFE, AHFI
- Holli A. Dexter, AHFI
- Susan Gibbs, AHFI
- Christopher Hensley, CFE, AHFI
- Blake C. Hughes, AHFI, MPA
- Jacob Kearney, AHFI
- Grace Kopakow, AHFI
- Dwayne Luby, AHFI, CPA, MBA, CFE
- Traci Mack, MBA, AHFI
- Gwen Masser, AHFI
- Gisele Moses, AHFI
- Lynne A. Reed, AHFI, CPC
- Christy A. Torres, AHFI
- Michele M. Woodbury, AHFI, CPC, HCAFA
Optum/QSSI
- Olive Page Fleury, AHFI
OptumCare
- Joseph H. Popillo, AHFI, CPC-A, CPCO
OptumRx
- Susana Cabrera, CPhT, AHFI
- Lisa Regalado, MSPharm, CPhT, AHFI
- Mandy Rhubin, MBA, AHFI, HCAFA, CPhT
Other Organization
- Joanne Allison, RN, AHFI, CCM, PA
- Lynn Anderton, RN, AHFI, CPC
- Stanley Ayers, DDS, AHFI
- Brittany Bechtel, AHFI
- Carolyn J. Bennett, HIA, AHFI, HCAFA
- Clark J. Bolton, JD, AHFI, CFE
- Dan S. Bowerman, DC, DABCO, AHFI, CPC, DABCC
- Kurt Bremer, AHFI
- Thomas P. Brennan Jr., AHFI
- Dawn E. Brinkley, AHFI
- Thomas J. Cantwell, AHFI, CFE
- Nadine Y. Casey, AHFI
- Elizabeth DeVoe, LPN, AHFI, CPC, CPC-H, CPMA
- Karen Dunn, AHFI
- Kay Eckroth, DDS, CDC, AHFI
- Edward Eklund, LCSW, AHFI
- Flora Focarino, AHFI
- David M. Ford, AHFI, CFE
- Adolfo Garcia, AHFI
- Mary Alice Garcia, AHFI, CPC, HCAFA, CHC
- Kelli L. Garvanian, AHFI
- Sharon Gilmore, AHFI, CFE
- Sharon Green, AHFI, CFE
- Carolyn Ham, JD, AHFI
- Dave Hennings, AHFI, CFE
- Bernard A.K.S. Ho, AHFI, MBA, CFE
- Pamela Horn, AHFI
- Karen Kinser, AHFI
- Mary Kiteley, AHFI
- Sharon D. Kvasnicka, AHFI
- Brian A. Lane, AHFI, CFE
- Julie Lowrie, AHFI, CFE, CEBS
- Cynthia W. Makara, AHFI
- John T. Malloy, AHFI
- Thomas E. Mills, CFE, AHFI
- Shirley A. Mize, RN, CPC, AHFI
- Tammy O'Hare, AHFI
- Bonnie Parenteau, AHFI, FCLS, BSRN
- Gerardo Patrizio, AHFI
- Jack L. Price, AHFI, ALHC, CFE
- Marca Reese, AHFI
- Daniel Reutlinger, AHFI, CFE
- Lisa Robinson, AHFI
- Rose M. Sabo, AHFI, MPA
- Deon L. Scaife, AHFI
- Jean L. Sexton, AHFI
- Mitchell K. Sherrod, MPA, BSCJ, AHFI
- Cynthia Steedman, RN, BSN, AHFI, CPC, HCAFA
- Barbara A. Stencil, AHFI
- Judy Taylor-Fischer, AHFI
- Cissy Walker, AHFI, RHIA, CFE
- Phyllis Watson, JD, AHFI
- Jon P. Wengronowitz, AHFI
- Frances White, AHFI, CFE
- Janice M. Winston, AHFI
Palmetto GBA
- Marlena R. Harris, AHFI, ACFE, CFE
- Miko Hughes, ACFE, CFE, AHFI
- Barry McManus, AHFI, ACFE, CFE
- Kathy Spires, AHFI
- Laurie Wiese, AHFI, CFE
Partners Behavioral Health Management
- Michael Bomar II II, AHFI
- Donde Jones, AHFI
- Julie Pitt, MSW, LCSW, AHFI
- Teresa C. Shirley, AHFI
- Summer Surratt, MS, AHFI
PBMares, LLP
- Adahzell T. McMillan, AHFI
Performant
- Ted Doyle, MA, AHFI, CFE, CIFI
PGBA, LLC/TRICARE
- Robin Holland, AHFI
Pharmacy Investigators and Consultants
- Susan A. Hayes, AHFI, CPhT
Physicians Health Plan of Northern Indiana, Inc.
- Janice R. Konchalski, RN, AHFI, COC, CPC, CPC-P, CRC, CFPC, CPEDC
Pivot Health
- Mindy L. Stadel, FMLI, PCS, AHFI
Plessen Healthcare
- William R. Banter, AHFI, CFE
Pondera Solutions, Inc.
- Kristen Koelle, AHFI, CPCO, CEMA
- Gregory Riley, MSN, RN, CPC, AHFI
Preisch Audit & Investigations
- Steven P. Price, AHFI, CFE, PI
Premera Blue Cross
- Ingrid Gaurys, AHFI
- Laura H. Hunter, AHFI, HCAFA, CPC-P, CFE
- Gena L. Rooney, AHFI, CFE, CCEP, CPC, CPC-P, CPMA, CPCO
Presbyterian Health Plan
- Sandra J. Brewer, LPN, CMAS, CPC, AHFI
PricewaterhouseCoopers LLP
- Mark Anderson, MBA, AHFI
- Sherri Ballou, RPh, AHFI
Prime Therapeutics LLC
- Michael Ihrke, AHFI
- Jared Mendoza Duenas, AHFI
- Tiffany Mlodzik, MA, AHFI, CFE, CPhT
Priority Health
- Annette DeGraaf, AHFI
- Brenda Gross, RN, BSN, AHFI
Probity Financial Services
- Gayle Ann Seyl, AHFI, CFE
ProCode Compliance Solutions, LLC
- Alicia Shickle, AHFI, CHC, CPCO, CPC, CPMA, CPPM, CRC
Prominence Health Plan
- Kristin Griego, AHFI
Provider Resources, Inc.
- Marie L. Templeman, MSA, PMP, CCS, AHFI
Purisolve, Inc.
- Humberto Marrero, AHFI, CFE
Qlarant
- Trudy Bell, AHFI
- Dana Causey, AHFI, CFE
- Nancy K. Downes, BSN, RN, AHFI
- Polly C. Lacoco, RN, AHFI, CPC, HCAFA
- Christopher Mabile, CFE, AHFI
- Wendy L. Naquin, AHFI, CPC
- Kay Rankin, MD, MBA, AHFI, CFE, CPC, CPC-H
- Jeffrey D. Sells, AHFI
- Lynda Stewart, AHFI
- Carrie Ward, AHFI, CFE
- Stephen Scott Ward, AHFI, CFE
SafeGuard Services, LLC
- Ruth Morin, AHFI
- Terrence Payton, AHFI
- Christianne Sucher, AHFI
Sandhills Center
- Kathleen Lindner Collins, MA, LPC, NCC, AHFI
SAS Institute Inc.
- Benjamin S. Wright, AHFI, CDP
SelectHealth
- Jason L. Bailey, AHFI
Sempra Energy
- Teresa L. Cooper, AHFI
Social Security Administration, Office of Anti Fraud Programs
- Mark Majestic, AHFI, CFE
South Carolina Department of Health & Human Services
- Catherine S. Hyman, ALHC, AHFI, CPC-A
- Althea B. Myers, AHFI, CFE, CFS, CPM, NCI
- Larry Overbaugh, AHFI, CPC
Specialized Medical Investigations, Inc.
- Vicki Kirby, AHFI, CPC, MS
Sterling Life Insurance
- Susan Durham, MBA, AHFI
SureBridge Insurance
- Elizabeth Bullinger, AHFI
- Debbi Cheatham, AHFI
- Kristi Colbert, AHFI
- Taryn S. Risucci, MBA, AHFI, MPM, PMP
- Jennifer Sample, HCAFA, AHFI
T&M Protection Resources
- Anthony Spaventa, AHFI
Tapp Agency LLC.
- Dana Crenshaw, AHFI, CFS
Tenet Healthcare
- Joanne Thompson, AHFI, CHC, CCEP, LPEC
Texas Health & Human Services Commission, OIG
- Glynn Bell, CFE, AHFI, CFI
The MITRE Corporation
- Lisa R. Cannady, RN, BSN, CPC, AHFI
- Amber L. Fee, AHFI, CPC
- Alanna M. Lavelle, AHFI, MS, CPC
The van Halem Group
- Wayne H. van Halem, AHFI, CFE
Travelers Insurance
- Kristen Rozanski, AHFI, CFE
- Brent Walker, SCLA, AHFI
Trillium Health Resources
- Katie Hewitt, AHFI
- Julie Kokocha, AHFI
- Amanda M. Willett, MS, CHC, AHFI
TriWest Healthcare Alliance
- Susan Foreman, AHFI
Trusted Third Party
- Daniel Kreitman, CFE, AHFI
Trustmark Insurance Company
- Pamela S. Ankley, AHFI
Tufts Health Plan
- Patricia A. Ganley, RN, AHFI
U.S. Dept. of Defense, Defense Health Agency
- Alison Coleman, AHFI, CFE, CPC, CPCO, CEMC
- Tom Coufal, AHFI
- Timothy A. Hockert, CFE, AHFI
- Cindy Roegner, MS, AHFI, CFE
- Don E. Wunderlin, MS, AHFI, CFE
U.S. Dept. of Health & Human Services, CMS
- Lawrence Ball, AHFI, CFE
- Gina G. Bertram, AHFI
- Elizabeth Brady, AHFI, CFE
- Ilene S. Jacob, RN, AHFI
U.S. Dept. of Justice, Federal Bureau of Investigation
- Larry Guerin, CFE, AHFI
U.S. Dept. of Labor, Office of Workers' Compensation Programs, Division of Federal Employees' Compensation
- Eric King, AHFI, CFE
U.S. Dept. of Veterans Affairs, Office of Community Care, Directorate of Business Integrity & Compliance, Dept. of Program Integrity
- Karen Gwinn, AHFI, CFE
United Concordia Companies, Inc.
- Jill D. Williamson, AHFI
United States Attorney's Office, Central District of Illinois
- Thomas E. Henrikson, CPA, AHFI, CFE
United States Attorney's Office, Middle District of Florida
- Kevin M. Codol, AHFI
United States Attorney's Office, Middle District of Georgia
- Donna J. Davis, AHFI, CFE
United States Attorney's Office, Southern District of Texas
- Rosemary Moll, AHFI, CFE
UnitedHealth Group
- Joseph Croce, AHFI, CFE
- Celia Fernandez, AHFI
- Mary A. Hull, RN, CCS-P, LNC, AHFI
- Benjamin Wilbur, AHFI, CFE
UnitedHealthcare Investigations
- Mia Alderete, CPC, CCS-P, CFE, CHISP, AHFI
- Mabel Louisa Barnes, MHA, AHFI
- Matthew Berls, MA, AHFI
- Jennifer Boren, MBA CPhT CFE AHFI
- Patricia C. Bramlet, AHFI
- Alena Dietz, CPhT, AHFI
- Lisa Hagen, AHFI, HCAFA
- John M. Haney, AHFI
- Bridgett Hard, AHFI
- Roberta Hooyman, HIA, AHFI
- Andrea C. Johnson, MHA, AHFI
- Kelly A. Kalemba, AHFI
- Thomas D. Laurila, CFE, AHFI, CPCO
- Jeffrey G. Lewitzke, AHFI
- Bob Lucyk, AHFI
- Erica Marshall, MSW, AHFI
- Richard E. Munson, AHFI
- Melissa Nevala, AHFI, CFE
- Wendy Pellett, RN, RHIT, CPC-P, AHFI
- Shatina Ray, AHFI
- Lucy Russo, CPC, AHFI
- Cynthia Simmons, AHFI
- Christine Staats, AHFI
- Kelly Tobin, AHFI, CFE
- David Webb, AHFI, HCAFA
UnitedHealthcare/Optum
- David Beachler, AHFI
- Paulina N. Davis, JD, CPC, AHFI
- Roberta Ferlita, ALHC, FCLA, AHFI
- James L. Guy II, CFE, AHFI
- Jaime Leyden, AHFI, CPC, CPC-H
- John J. Logan, AHFI, CFE, CFS
- Julie N. Miller, AHFI
- Douglas Moore, AHFI, CFE
- Amy Sellers, AHFI
- Dawn E. Voris, AHFI, COC, CPC, CPC-P
UnitedHealthcare/XLHealth
- Claire M. Wrisley, AHFI, CFE
Univera Healthcare an Excellus Company
- Sharon Cortese, RN, AHFI
UPMC Health Plan
- Heidi Beggan, RN, BSN, AHFI, CPC, CPMA
- Richard M. Celko, DMD, MBA, AHFI
- Stefanie Lawrence, RN, BSN, AHFI, CPC
- Eleanor Medved, RN, MSN, AHFI
Vaya Health
- Donna Baker Oliver, LCSW, CI, AHFI
- Anthony Philmon, AHFI
- Tina Takala, AHFI
Verisk Insurance Solutions
- Ryan Cleverly, AHFI
- Alisha Evans, CPC, AHFI
- Julie Jensen, CPC, AHFI
- Lori Olsen, AHFI, CPC
- Corie Thomas, AHFI, CPC
Verisys Corporation
- John P. Benson, JD, AHFI, CFE, CIFI
- Richard Duggan, AHFI
Virginia Department of Medical Assistant Services
- Louis Elie, AHFI
Vision Service Plan
- Thomas M. Jones, AHFI, CFE, CPO
- Jennifer Mahoney, AHFI, CFE, CPO
- Brent J. Riddles, AHFI, CFE
- Monica Shriver, CFE, CPO, AHFI
- Brandon Utterback, CFE, AHFI
Viveka Health
- Laurent Laor, AHFI
Well Sense Health Plan
- Katherine Boutin, JD, CFE, AHFI
WellCare
- Jacquelyn Autie, AHFI
- Latanya Johnson, AHFI
- Cheryl A. Lowry, CFE, AHFI
- Lori Peters, AHFI
- Susan M. Rainey-Biler, AHFI, CFE
- James Eric Shell, AHFI
1199SEIU Benefit & Pension Fund
- Keenan Emmanuel, MS, CFE, AHFI, RMC
Aetna
- Raymond Alamo, AHFI
- Stephanie Baumert, AHFI, CPC
- Linda M. Brislin, AHFI
- Robbin L. Cizek, AHFI, RN, BSN, LNC
- Courtney Coates, AHFI, CFE, CPC
- Linda Cote, AHFI
- Linda Delaney, AHFI
- Patricia B. Dralle, AHFI
- Todd Durler, AHFI
- Michael L. Fennessy, AHFI
- Susan Fields, CPC, AHFI
- Kimberly A. Gentry, AHFI, HIA, HCAFA
- Angela Herald, LPN, MBA, HCA, AHFI
- Mari Ellen Kiefer, AHFI
- Tabitha J. Kielb, AHFI, CPhT
- Andree M. Lebel, MBA, AHFI, CFE, HCAFA
- Susan A. Lee, RN, CHCQM, CCS-P, AHFI
- Sandra P. Miller, AHFI, CPC
- Christine Mozik-Zingale, AHFI
- Amanda Musel, CPC, AHFI
- Cherie Ottochian, CPC, AHFI
- Kathy A. Richer, AHFI, RN, BSN
- Heather Rickards, HCAFA, AHFI
- Elizabeth A. Saragusa, MA, AHFI, CFE
- Jodi L. Smith, AHFI, CPC, CPCO
- David Zaccheo, AHFI, CPhT
Aflac
- William E. Capps, AHFI, CFE, FCLS
- Karen Collins, AHFI, CFE
- Sandra L. Frazier, AHFI, FCLS, HCAFA
- Guy R. Powell, AHFI, CFE, FCLS, CICA
Allegiant Experts, LLC
- Jessica S. Schmor, RN, CPC, CCS, CHCAF, AHFI, CLNC
Alliance Behavioral Healthcare
- Tanya Held, AHFI
Amenity Consulting, LLC
- Kristen K. Folding, AHFI, RHIA, CCS, CCS-P, CFE, CHDA
AmeriHealth Caritas
- Yolander Hall, MBA, AHFI
AmeriHealth Caritas
- Vicki S. Bicking, AHFI
- Edward Dyksterhouse, CPhT, AHFI
- Malcolm Fletcher, AHFI
- Caitlin Jones, AHFI
- Priscilla R. Leggs, AHFI
- Andrea Lopez, MSM, AHFI
- Trevor McCall Sr., AHFI
- Kimberly L. Miller, AHFI, CFE
- Wesley Nichols, AHFI, CFE
- Erin O'Connor-Pritchard, M.S., AHFI
- Justin Seward, AHFI
- Walter Smith, RN, MBA, CFE, CHC, CPC, CPC-P, CPCO, AHFI
- Stacy Warner, AHFI
- Arvin Wright, AHFI
- Valerie Yow, LMSW, AHFI
AmeriHealth Caritas Iowa
- Andrea Geier, AHFI
- Stephanie Jones, RN, AHFI
AmerisourceBergen
- Rachel DeMaree, AHFI, CHC
Anthem Blue Cross
- Jessica Palmer, AHFI
- Anne Louise Smith, AHFI, CFE
Anthem, Inc.
- Jennifer Allen, AHFI
- Amy Andercyk, AHFI
- Stewart R. Balikov, DDS, AHFI
- Stephen Ballew, AHFI
- Mary Blair, D.C., AHFI
- Janet Bonham, AHFI
- Lorraine Boothe, RN, AHFI
- Sharron M. Cannella, AHFI
- Richard Carbone, AHFI
- Mary Jude Cribbs, AHFI
- Dustin Dibble, AHFI
- Marcee L. Doherty-Elst, MA, CHIE, AHFI
- Maureen Eng-Tan, AHFI, CFE, CPC
- Haley N. Everson, AHFI
- Linda Gilbreath, CPC, CPC-I, COC, AHFI
- Stacy L. Gilhooly, CPC, CFE, AHFI
- Carrie A. Godby, MS, AHFI, CFE
- Phyllis Heller, AHFI
- Kelly Hensley, AHFI
- Anthony F. Ingui, AHFI, CFE, CPC
- Jamie S. Johnston, AHFI, CFE, CPC, HCAFA, DBA
- Ayms Lang, MD, CPC, AHFI
- Howard Levinson, DC, AHFI, CFE, DABFP, CPC
- Charlene L. Marks, RN, AHFI, HCAFA, CPC
- Melissa Martin, AHFI
- Melinda Matzell, AHFI
- Robert Mays, AHFI, CFE
- Charles McCall, AHFI, CFI, FCLS
- Amy Mize, RPh, MS, CPC, AHFI
- Mary Morales, MHSA, RDH, AHFI
- Sandra M. Nadler, AHFI
- Kimberly Obermeyer, AHFI, CFE
- Amanda Patacsil, AHFI
- Carl Reinhardt, AHFI, CPC
- Veronica Scott, AHFI
- Frances Shirek, AHFI
- Tina Sinclair, CPC, AHFI
- Katina Spadoni, DDS, CDC, AHFI
- Erin Walsh, AHFI
- Alethea Williams, AHFI, CFE
APWU Health Plan
- Talbert E. Cuffey Jr., AHFI
- Stephanie L. McClellan, AHFI
Arete Pharmacy Network, LLC
- Delia Catalasan, MBA,CFE, AHFI,CPhT
Arkansas Blue Cross Blue Shield
- Tammy Chastain, AHFI, HCAFA, EMT-B
Artemis Health Inc.
- Kim Ann Dufour, AHFI, MA
BAE Systems Applied Intelligence, Inc.
- William R. Palmisano III, AHFI, CFE, CSPO
Beacon Health Options
- Rosa Castellanos, AHFI
- Katie Miller Cossette, AHFI
- Heather Stuart, AHFI
Blue Cross and Blue Shield of Alabama
- Margaret Cox, AHFI
- Lisa M. Ellis, RN, CPC, AHFI
- Cindy McKenzie, RN, AHFI
- Claude W. "Trey" Millican III, AHFI
- Leah Sheehan, AHFI, RN, CPC
- Steven Sheppard, AHFI, CFE, CPC, CPhT
Blue Cross and Blue Shield of Kansas
- Marguerite Mzhickteno, AHFI, CPC
- Roger Palmer, AHFI, CFE
Blue Cross and Blue Shield of Louisiana
- Kandyce S. Cowart, AHFI, CFE
- Darrell Langlois, AHFI, CPA, CIA
- Latisha Mire, AHFI, CFE
Blue Cross and Blue Shield of Massachusetts
- Joanna M. Andrade, AHFI, CFE, CPC
- Christine Ensko-Spadea, HCAFA, AHFI
- Martin E. Flood, HCAFA, AHFI
- Julie Georgoulis, AHFI
- Matthew Kern, HCAFA, AHFI
Blue Cross and Blue Shield of Michigan
- Nina Burnett, JD, AHFI
- Daniel Crowell, AHFI
- Diana Ford, AHFI
- Jill M. Kraczon, AHFI
- James Martin, AHFI
- Sue Post, AHFI
- Steve Ryner, AHFI
- Amy Walker, AHFI
- Brian Zasadny, AHFI
Blue Cross and Blue Shield of Minnesota
- Richard Dickinson, AHFI
- Melissa M. Entwistle, AHFI
- Kelly J. Lunde, AHFI
- Sonia Metzger, AHFI, CBCS
- Tara Nauha, AHFI
- Rick G. Peterson, AHFI
- Eric Salkowski, AHFI
- Jennifer Sawyer, AHFI
Blue Cross and Blue Shield of Mississippi
- Jennifer J. Aultman, AHFI
- Darrell Gates, AHFI
- Blair F. Pyron, AHFI
Blue Cross and Blue Shield of Nebraska
- Anthony Cimino, CFE, CMBI, AHFI
Blue Cross and Blue Shield of North Carolina
- Ellen Clemens, CPC, AHFI
- Roger I. Purnell, AHFI, CFE
Blue Cross and Blue Shield of Rhode Island
- Sharon M. Dennis, AHFI, CPC, CPC-P
- Kyla DePonte, AHFI
- Josie Mazza, AHFI, CFE, CPC
- Doreen A. Paola, AHFI, CPC
Blue Cross Blue Shield Association
- Lisa Chase-Craig, AHFI
- Jacqueline R. Morton, AHFI, CPC
- Barbara Scott, BSN, RN, CPC, CFE, AHFI
Blue Cross Blue Shield of Arizona
- Dawn Morgan, AHFI
Blue Cross Blue Shield of Illinois (HCSC)
- Benjamin Andersen, AHFI
- Kevin Andersen, AHFI
- Karla Miller, DC, RN, MS, CPC-P, CPMA, CPCO, AHFI
- Mary Pray, RN, CCS, CCS/P, CHCA, CHACF, CHCAS, AHFI
Blue Cross Blue Shield of Montana (HCSC)
- Jamie Smith, AHFI, CPC
Blue Cross Blue Shield of Texas (HCSC)
- Nathan Zimring, AHFI
Blue Cross Blue Shield of Vermont
- Karen Fondry, RN, BC, AHFI, CPC-P
Blue Cross of Idaho
- Mindy Scott, AHFI
- Karen C. Wright, AHFI, CFE
Blue Shield of California
- Karen Chrisman, AHFI
- Jonnie Massey, CPC, CPC-P, CPC-I, CPMA, AHFI
- Maria Rodriguez-Ramel, AHFI
BlueCross BlueShield of Kansas City
- Ashlee Heath, AHFI, CPC
- Jennifer Waddle, MSW, AHFI
BlueCross BlueShield of South Carolina
- Karen W. Davenport, AHFI
BlueCross BlueShield of Tennessee
- Bobby Angel, AHFI
- Laura A. Bell, CPhT, AHFI
- Jessica Harrell, CPC, AHFI
- Ginger Morrow, CPC, COC, CHC, AHFI
- Julie M. Wilson, AHFI
Booz Allen Hamilton
- Afee Roberts, AHFI, CFE
Cahaba Safeguard Administrators, LLC
- Karen Hurley, AHFI, CFE
Capital BlueCross
- Dottie Berg, HSA, RN, AHFI, CPC
Capital District Physicians' Health Plan, Inc.
- Lisa Vickerson, RN, AHFI, CPC, COC , CPMA
Cardinal Innovations Healthcare
- Amber Burris, MBA/MHA, AHFI, CHC
CareFirst BlueCross BlueShield
- Alecia Cooke, CPC, AHFI
- Brian Koch, CPC, AHFI
- Shauna Vistad, CFE, CPC, CFI, MBA, AHFI
CareSource Management Group
- Ann-Marie Asher, CPhT, HCAFA, AHFI
- Tynetra Bracken, AHFI
- Nathan Duling, HCAFA, AHFI
- Dale E. Hockenbery, AHFI, CFE
- Angela S. Hyatt, AHFI, CPC
- Lora Jones, AHFI, CFE
- Janine Kumanchik, AHFI, HCAFA
- Katherine M. Leff, RN, ALHC, CLU, AHFI, CPC, CFE, CHC
- Pasquale Leone, HCAFA, CPhT, AHFI
- Brandon Olinger, AHFI, CPC, HCAFA
Carolinas Center for Medical Excellence
- Robyn S. Winters, AHFI
Centene Corporation
- Denise Brown, MS, BSN, RN, CLNC, AHFI
- Joyce Chinock-Somuah, AHFI
- Tammi Ciaravino, AHFI
- Jade Damschroeder, AHFI
- Amber Edler, AHFI, CFE, CPC
- Haley Fisher, AHFI
- Tamiko F. Garrison, AHFI, CFE
- Joey George, RN, BSN, CPC, AHFI
- Elizabeth Govero, RN, CPC, CEMC, AHFI
- Talvin T. Herbert, AHFI
- Beverly Hunter, MA, AHFI
- Bradley Kirkbride, AHFI
- Lisa-Noelle LeGare, AHFI, CFE
- Monica Luna, LPN, CPC, AHFI
- Kay Moore, CPC, AHFI
- Carol Motley, RHIA, LPN, CPC, CPCO, AHFI
- Matthew Nickley, CFE, AHFI
- Meghan Sebaugh, AHFI
- Lisa M. Sweatland, AHFI
- Rose Tippy, MA, CPC, AHFI
- Sandra S. Weston, AHFI
Central Florida Behavioral Health Network, Inc.
- Jennifer L. Fitzgerald, Ph.D., LMHC, CFE, AHFI
Central Florida Law, LLC
- Brian T. Forman, JD, AHFI
Central States Funds
- Deena L. Gallo, BA, AHFI
Central States Health & Life Co. of Omaha
- Carleen Gerjevic, ALHC, ACS, CIFI, FLMI, AHFI, HCAFA, AIRC
CGI Federal Inc.
- Andrea Boyd, AHFI
- Susan DeMay, AHFI, CPC
- Jeffrey A. Snyder, AHFI
Change Healthcare
- Sunday A. Adesina, M,Sc, MPH, AHFI, CFE, CHDA,CPCO, CPC-P,CPMA
- David William Field, AHFI
- Jenica Lyon, AHFI
- Kimberly Nelson, AHFI
- Debra Riekkoff, AHFI, FLMI, HIA, HCAFA, ACS
Cigna
- Deanna L. Anderson, AHFI
- Aneta C.D. Andros, AHFI
- Christopher Fassinger, MPPM, BSN, RN, AHFI, CPC
- Brittany Fritz, AHFI
- Katherine Giuliani, AHFI
- Michael Goldfarb, JD, AHFI
- Ronald J. Gontasz Jr., AHFI
- Briana Hollenbeck, MS, AHFI, CPC, CFE
- Donna Jallits, AHFI
- Kizah Kilgore, AHFI
- Paul Lamay, DC, AHFI
- Donna L. Lamb, AHFI, HIA
- Elizabeth Lokiec, AHFI
- Kayla Maciejewski, AHFI, CPC-A
- Daniel J. Nicoll, MD, AHFI
- Jolanta Nowak, AHFI
- Sean Petree, AHFI
- Kiersten Purves, AHFI
- Lisa Speranzo, AHFI
Cigna-HealthSpring
- Mark Halbach, AHFI, CPC
- Yvette Spalding, AHFI
ClaimSecure Inc
- Mostafa M. Shahein, MD, MBA, CFE, AHFI, ACFS, PMP
Coding Continuum, Inc.
- Christina Melnykovych, BS, RHIA, CFE, AHFI
Community Behavioral Health
- Kenneth Inness, AHFI
Community Health Choice
- Ramona Turner, AHFI
- Ray G. Winfield Jr., AHFI
Community Health Network of Connecticut, Inc.
- Lois H. Lovejoy, AHFI, CPC, CPC-P, HCAFA
Community Health Plan of Washington
- Andrei Barlahan, HCAFA, MBA, AHFI
Comply Systems, LLC
- Carol A. Daniels, AHFI
CONDUENT, Inc.
- Jennie Tupas-Peou, CPhT, AHFI
ConnectiCare
- Patrick D. Hurley, AHFI
Continuum Security Solutions
- Jeffrey J. Matza, AHFI, CFE
Convey Health Solutions
- Susan Garofolo, AHFI
Cotiviti, Inc.
- David A. Bohnenstingel, AHFI
- Denese Ellis, AHFI
- Martin L. Estell, AHFI, CSPO, CSM
- Laurie Jamieson, AHFI
- Stacey Lemmons, RHIT, AHFI
- Jeremy T. Mooney, AHFI, CFE
- Megan Morrison, AHFI
- Rhonda L. Nelsen, RN, BS, AHFI
- Melanie Poole, RN, BSN, AHFI
- Robert Rivers, CFE, AHFI
- Erin M. Rutzler, AHFI, CFE, CPC
- Mark D. Starinsky, AHFI, CFE, CHC
- Lindsay Sullivan, AHFI
CSA, LLC
- Lisa W. Johnson, AHFI, CFE, PMP
CVS Health
- Todd P. Hains, CPhT, AHFI
- Robert Hurd, AHFI
CVS/Caremark, Inc.
- Michael Cariddi, AHFI, CFE, CPhT
- Darunee Flatray, AHFI, CFE
- R. Kathleen Hallinan, AHFI, CFE
Dean Health Plan
- Joanne L. Green, AHFI, CFE, HCAFA, HIA
Delaware Department of Insurance, Fraud Prevention Bureau
- Edwin R. Barker, AHFI
- Stephen Kutch, AHFI
Delta Dental of Arizona
- Kathy Morrow, AHFI
Delta Dental of Kansas
- Kathryn Beal, AHFI
Delta Dental of Michigan, Ohio & Indiana
- Christine J. Danford, AHFI
- Tammy Forman, AHFI
Delta Dental of Virginia
- Kimberly A. Brown, RDH, AHFI
- Patricia M. Shifflett, RDH, AHFI
Delta Dental Plans Association
- Mark Franklin, AHFI
Easterseals UCP NC & VA
- Jelore S. Little, MBA, AHFI
- Denise Mannon, AHFI, CHPC
EmblemHealth
- Gayle Esposito, RN, CPC, AHFI
- Christopher Lupo, AHFI
- Chavonne D. Slade, AHFI, CFE
EnvisionRxOptions
- Detra Gunn, AHFI
Envolve Health
- Katherine Bass, AHFI
Eventus WholeHealth
- Jason L. Martin, MBA, CFE, AHFI
Evolent Health
- Mary L. Beach, AHFI, CFE, HCAFA, HIA, MHP
Excellus Blue Cross Blue Shield
- Margaret Paris, AHFI
EXLService.com LLC
- Rena V. Bielinski, PharmD, AHFI
EXP Healthcare Consulting, LLC
- Sandy Newstein, RN, CPC, CPC-P, CPC-H, CPUR, AHFI, CPMA, CCDS
Express Scripts, Inc.
- Jessica Casanover, AHFI, MBA
- Harriet M. Lewis, MBA, AHFI, CFE, CPC
- Blake Stockwell, CPhT, AHFI
Fidelis Care New York
- Harry B. Guglielmo, AHFI
Florida AHCA, Bureau of Medicaid Program Integrity
- Maureen Barker, AHFI
- Fred Becknell, AHFI
- Kelly A. Bennett, JD, CFE, AHFI
- Dawn Coste, AHFI
- Stephanie Gregie, LCSW, AHFI
- Timothy Helms, MHSc, LDO, AHFI
- Cymeia Hill, AHFI
- Karen Isch, AHFI
- Ann Kaperak, AHFI, CFE
- Karuna Khan-Gordon, AHFI
- Courtney LeBlanc, AHFI
- Angel Morales, AHFI
- Gina Nerey, AHFI
- Trevor Phipps, AHFI
- Robert Reifinger, AHFI
- Jesus Rossello, AHFI
- Tracy Ryder, AHFI
- Ramona Stewart, AHFI
- Penny Taylor, AHFI
- Jessica Zeedyk, AHFI
Florida Blue
- Maria E. Guerrero, CFE, AHFI
- Dawn Murphy, AHFI, CPC, COC, CPC-P, CPB
- Jose Manuel Ramos, AHFI
- Mary C. Tejada, AHFI, CFE, CPC-P, CICA
- Timothy Thacker, AHFI
- Sabrina B. Vera, AHFI
Fraud Solutions
- Erin K. Smith, AHFI, CFE
Gallagher Benefit Services
- Leslie Leach, AHFI
Gateway Health Plan
- Melissa S. Berdell, DHCE, MS, AHFI, CFE
Geisinger Health Plan
- Kathy Coslett, AHFI
- Susan Leitzell, CPhT, AHFI
General Dynamics Health Solutions
- Barbara Ann Connolly, AHFI
- Brandon R. Duffek, CFE, AHFI
- Peter Kapasakis, MHA, AHFI
GeoBlue
- Pieter Rijken, AHFI
Guardian Life Insurance Co.
- Brian M. Bannon, AHFI
- Kelly Gillespie, AHFI
- Deborah L. Palmeri, AHFI
- Lori Retort, AHFI
Guardian/Avesis
- Adam K. Rich, DMD, AHFI
- Jonathan W. Rich, DMD, CDC, AHFI
Harvard Pilgrim Health Care, Inc.
- Brian Robinson, CFE, AHFI
- Jessica Silverman, CFE, CPC, AHFI
Health Care Service Corporation
- Steven J. Adams, AHFI
- Stephanie Tabak, AHFI
Health Net Federal Services Tricare
- Miguel Bryant, AHFI
- Kelly R. Carpenter, PMP® AHFI
- Mark A. Nelson, MA, SA (Ret), AHFI
- Rita Uhren, CPC, AHFI
Health Republic Insurance Company of New Jersey
- James Conroy, MS, CFE, AHFI
Healthcare Fraud Shield
- Debbie Brandenburg, RN CPC CPMA CEMC AHFI
- Kenneth M. Cole III, AHFI, CFE, CPC
- James V. McCall, AHFI
- Cassandra L. Roberts, AHFI, CPC
- Maria Seedorff, DC, AHFI, CPC
- Kathleen A. Shaker, RN, BSN, CPC, CPC-H, AHFI
- Jennifer Steffee, RN, BSN, AHFI, CPC, CPMA
- William E. Van Fleit, AHFI
- Shannon Webster, AHFI
- Karen Weintraub, AHFI, CPC-P, CPMA, MA
Healthfirst
- Kimberly Breininger-Starling, MHA, CPC, AHFI
- Michael Robinson, CFE, AHFI
- Shakeema C. Thom, AHFI
HealthNow New York, Inc.
- Susan P. Schultz, AHFI, CPC-H
HealthPartners, Inc.
- Thea Ann Lind, RN, AHFI
Highmark
- Tina Beall, BSN, RN, AHFI, CPC, COC
- Earl D. Bock, AHFI, CIFI, HCAFA
- Susan M. Collare, AHFI, CFE, CPHT
- Latrisha Oswald, MSFS, AHFI, CFE
- Kathy E. Piccioni, AHFI, CFE
- Elizabeth Schreiner, CPC, AHFI
- Deborah V. Wright, AHFI, HCAFA
HMS, Inc.
- Kevin P. Bradley, MA, AHFI
- Edward L. Hewitt Sr., AHFI, CFE
- Diane Paturalski, RN, MHSA, CCS-P, AHFI
- Shirley P. Vosika, AHFI, CFE, MBA
Horizon Blue Cross Blue Shield of New Jersey
- Lorraine Buckman, AHFI
- Douglas E. Falduto, AHFI
- Jennifer Kovaly, CPC, AHFI
- Mathew B. Lawrie, AHFI
- Megan McCarthy, AHFI
- David Menendez, AHFI
- Paul Michael Thomas, AHFI
Humana
- Debra Anderson, AHFI, HCAFA
- Adela Banawis, AHFI, CFE
- Mary L. Ducat, AHFI
- Deborah L. Hill, AHFI
- Christa J. Jewsbury, JD, CFE, AHFI
- Tammy Jones, RN, BSN, CPC CRC, AHFI
- Deanne M. Ketterer, AHFI
- John Kimble, AHFI
- Bruce McClure, AHFI, CPA
- David S. Popik, AHFI, CFE
- Dexter Price, AHFI, CFE, CFS
- Jared Russell, AHFI
- Kayla Schaeffer, CPA, CFE, AHFI
- Paula Stankevitz, AHFI, CPC
- Lesa Stevenson, RN, CPC, CPC-H, CCS, AHFI
- Ksenia Strobel, RN, CPC, AHFI
- Jeffrey M. Wickwire, AHFI
- Chunmiao Ye, CPC-A, AHFI
Husch Blackwell LLP
- Brian G. Flood, AHFI, CIG, CFS, CHC
IBM Corporation
- Christopher Canfield, AHFI, CFE
IBM Watson Health
- Sarah Albers, AHFI
- Jonathan Boylan, AHFI
- Heidi Bryan, AHFI
- Christine Caufield, AHFI
- Zachery Charlson, AHFI
- Rachael Lozano Cheleuitte, AHFI
- Michelle Cobden, AHFI
- Daryl Fair, AHFI
- Kristine Knutson, AHFI
- Michael S. Kromer, AHFI, CFE
- Suzette Long, RDH, AHFI
- Jane A. Naig, RN, AHFI, CFE
- Lindsey Phelps, MBA, RHIA, CHDA, AHFI
- Jillian Scalvini, AHFI
- Amy Thomas, AHFI
Independence Blue Cross, LLC
- Shamar L. Best, AHFI
- Justin Cottrell, AHFI
- Christopher E. Deery, CFE, AHFI
- Glenn Forte Jr., AHFI
Independent Health
- Teresa Stonebraker, RN, CPC, AHFI
Integrity Advantage
- Jala Attia, AHFI, CFE, CHC
- Jessica Gay, AHFI, CPC, CFE
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Resources
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