Milliman’s Tampa Office provides Health Insurance, Health Care and Employee Benefit Consulting to law firms, insurance companies, hospitals, HMO’s, Blue Cross/Blue Shield plans, employers and government agencies. Our staff is experienced with medical, dental, long-term care, Medicare supplement & critical illness.
We assist clients nationwide with forensic actuarial work, rate filings, regulatory compliance, reserve projections, valuations, employee benefit analysis and design, mergers and acquisitions, demutualizations, claim cost analysis, and utilization management programs.
These health care services are used in litigation relating to:
Mary Wickens, JD, CFE, CHC has over 35 years experience in the Healthcare Insurance, Managed Care, and Compliance Industry. Her experience includes advising and counseling health care providers, insurers, government contractors, and others in compliance, ethics, fraud and abuse, Medicare, Medicaid and Federal Employees Plan, managed care, and other matters. Background Experience - Ms. Wickens is a former compliance officer for a major health insurer and former legal and compliance specialist for a CMS Medicare Program Safeguard Contractor. Also a former operations director for government programs (Medicare Part C, Medi-gap, and FEHBP) for a major HMO, she is experienced with government audits and investigations, commercial audits, as well as self-reporting and internal investigations. Ms. Wickens has decades of experience as in house counsel to HMOs and health insurers. She has drafted, developed, negotiated, and implemented numerous healthcare provider-payor contracts, and developed and implemented codes of conduct, ethics programs, compliance programs and numerous corrective action plans. Litigation Support - Mary Wickens provides litigation support, including skilled expert services, reports and testimony in federal False Claims Act cases, arbitrations, and provider-payer disputes. She is an experienced testifying expert, responsive to the needs of counsel, with excellent report writing skills. Ms. Wickens' services are available to counsel representing both plaintiff and defendant. Areas of Expertise:
Kimberly A. Baldwin-Stried-Reich, MBA, MJ, PBCI, CPHIMS, RHIA, CEDS, CPHQ, FAHIMA, has over 30 years of experience in a variety of healthcare settings. She specializes in Healthcare Informatics and HIPAA Compliance.
Ms. Reich holds a Master’s of Business (MBA) from the Lake Forest Graduate School of Management, a Master’s of Jurisprudence (MJ) in Health Law and Policy from the Loyola School of Law - Beazley Institute for Health Law and Policy in Chicago, IL and a Post Baccalaureate in Clinical Informatics (PBCI) from the Johns Hopkins School of Medicine Clinical Informatics Certificate Program. She is the first Registered Health Information Administrator (RHIA) to complete the Johns Hopkins Division of Health Sciences Informatics Certificate Program and certification in EDiscovery. She is the lead author of the 2012 AHIMA publication E-Discovery and Electronic Records, a first of its kind healthcare e-discovery resources.
Ms. Reich maintains active membership and participates in The Sedona Conference® for Privacy & Security & Electronic Records Production, American Health Information Management Association (AHIMA), American Medical Informatics (AMIA), Healthcare Compliance Association (HCCA), Society for Corporate Compliance & Ethics (SCCE), Society for Participatory Medicine (SPM), American Society for Healthcare Risk Management (ASHRM), Information Governance Initiative (IGI) and Greater Chicago Health Information Management Systems Society (GCCHIMSS).
Litigation Support - Ms. Reich is an expert witness for both defense and plaintiff legal counsel in matters involving HIPAA, e-discovery, and Electronic Health Records Systems fraud and abuse. Her services include thorough report preparation, depositions, and trial testimony.
Areas of Expertise: