Managing Partner, Healthcare Practice works with health systems, health IT companies, and health plans. Recent retentions by the U.S. Department of Justice (DOJ). Drug pricing, patent infringement, medical coding and billing and Qui Tam False Claims Act and fraud case specialties. He has in-depth experience in HIPAA mandates, the HITECH Act and Patient Protection and Affordable Care Act (PPACA) and is a published author and regular speaker. He consults to clients including Health IT investors, Health IT companies, and health plans and hospital systems in matters regarding:HIPAA Privacy Rule, HIPAA Security Rule, HIPAA Breaches, Revenue Cycle Management
Jacqueline N. Bloink, MBA, RHIA, CHC, CFE, CPC, CPC-I, CPCO, CMRS has over 20 years of experience in the field of Healthcare Compliance and Medical Coding / Reimbursement. Educational degrees, certifications and awards in healthcare management, coding, billing, reimbursement, compliance, education, and fraud prevention and identification.
Background - Ms. Bloink served as the Director of Compliance for the largest provider group in Arizona. For several years she worked as a Medical Coding Manager, Reimbursement Manager, and Compliance Liaison for a University Physician Group - Department of Medicine, and as Corporate Responsibility Auditor for a large 3 Hospital network. Ms. Bloink is a Professor and Instructor in the area of Medical Coding, Billing, Health Information Management, and Healthcare Fraud. She also serves as a remote Compliance Officer for a Telehealth organization and works with healthcare providers of multispeciality departments assisting them to better understand medical coding and billing guidelines. She is a national, state and local speaker (author) for such groups as ACFE, HCCA, AAPC, American College of Physicians, CLM, Coalition Against Insurance Fraud, CA AHIMA, and others. As a co-designer and presenter with CMS (MLN) and OIG in 2014 webinar - ACA Provider Compliance Program - she assisted in reaching thousands of healthcare providers learn more about healthcare compliance. In 2015, she was honored to be the recipient of the Arizona ACFE Sentinel Award “Truth Over Self” that acknowledged her assistance to the Office of Inspector General / Department of Justice with the largest Healthcare Fraud Case (FCA) in Arizona history.
Litigation Support - Jacqueline N. Bloink is a knowledgeable expert witness with Healthcare Fraud litigation support history and proven experience with evaluating case allegations and calculating Usual, Reasonable and Customary charges. She offers services to expert witness firms, attorneys, health plans, providers, forensic consulting firms, governments, and IROs.
Areas of Expertise:
During 30+ years of serving the Healthcare Industry, Mr. Blount has served more than 300 clients in 30 states in the areas of Reasonable Charges (UCR), Medical Billing; False Claims, Regulatory Compliance, Reimbursement, Damage Quantification, and Financial Management. Mr. Blount is a Fellow and Certified Financial Professional in HFMA, member of the American Institute & Georgia Society of CPAs, and National Association of Health Underwriters, and has been an Arbitrator for American Health Lawyers Association. He has been admitted as an expert in multiple US District and State Courts and Administrative Hearings, and has testified for plaintiffs and defendants, providers, payors and government clients. A nationally recognized author, Mr. Blount has co-authored AMA’s best selling "Mastering the Reimbursement Process" book.
CV and Legal references provided upon request.