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Cheryl McGee-Waltko
CAPPM, EFPM, CCP
PRESIDENT / CEO
Ms. Waltko has over twenty-five years of physician practice operations management as well as hospital administrative experience.
Her previous accomplishments include development and implementation of controls that significantly improved reimbursements
from third party payers and patients. She has been responsible for the implementation of a Quality Assurance monitoring systems
to improve quality and consistency throughout the operations of hospital and physician practices. Her past experience as the Chief
Operating Officer for a company which owned and managed primary care physician practices includes coordination of external and
internal marketing efforts to increase market share, contract negotiations with managed care carriers, development of patient recall
systems, supervision of the management team responsible for the daily activities of over 100 employees, hiring, training,
development and implementation of all policies and procedures for the company practices and monitoring compliance of offices
with federal and state laws and regulations related to both clinical and business operations. With National Medical Enterprises, Inc.,
Ms. Waltko participated in a corporate "trouble shooting" program for other corporate owned facilities and was consulted for
marketing, utilization review, tracking procedures, and accounts receivable turn-around projects for their psychiatric hospital
division. Her focus as the Associate Vice President of Quorum's Physician Practice Management Division included operations,
medical record documentation reviews, CPT-4 and ICD-9 coding to realize appropriate reimbursement potential, accounts
receivable management, physician practice ‘start-ups’, interim and out-sourced practice management, compliance program
implementation and developed and conducted workshops and seminars of the same. She has extensive experience in providing
assistance to academic medical centers, provider-based (hospital-based) practices and rural health clinics. Her expertise in regards
to physician billing compliance has resulted in her recent long-term contract with defense attorneys to provide corrective action and
oversight management to clients subsequent to OIG/Medicare payback settlements. She is an active member of Medical Group
Management Association, American Health Lawyers Association, Who's Who Worldwide, and listed in Two Thousand Notable
American Women.
AREAS OF SPECIALIZATION
PUBLICATIONS & PRESENTATIONS
CAPPM, EFPM, CCP
PRESIDENT / CEO
Ms. Waltko has over twenty-five years of physician practice operations management as well as hospital administrative experience.
Her previous accomplishments include development and implementation of controls that significantly improved reimbursements
from third party payers and patients. She has been responsible for the implementation of a Quality Assurance monitoring systems
to improve quality and consistency throughout the operations of hospital and physician practices. Her past experience as the Chief
Operating Officer for a company which owned and managed primary care physician practices includes coordination of external and
internal marketing efforts to increase market share, contract negotiations with managed care carriers, development of patient recall
systems, supervision of the management team responsible for the daily activities of over 100 employees, hiring, training,
development and implementation of all policies and procedures for the company practices and monitoring compliance of offices
with federal and state laws and regulations related to both clinical and business operations. With National Medical Enterprises, Inc.,
Ms. Waltko participated in a corporate "trouble shooting" program for other corporate owned facilities and was consulted for
marketing, utilization review, tracking procedures, and accounts receivable turn-around projects for their psychiatric hospital
division. Her focus as the Associate Vice President of Quorum's Physician Practice Management Division included operations,
medical record documentation reviews, CPT-4 and ICD-9 coding to realize appropriate reimbursement potential, accounts
receivable management, physician practice ‘start-ups’, interim and out-sourced practice management, compliance program
implementation and developed and conducted workshops and seminars of the same. She has extensive experience in providing
assistance to academic medical centers, provider-based (hospital-based) practices and rural health clinics. Her expertise in regards
to physician billing compliance has resulted in her recent long-term contract with defense attorneys to provide corrective action and
oversight management to clients subsequent to OIG/Medicare payback settlements. She is an active member of Medical Group
Management Association, American Health Lawyers Association, Who's Who Worldwide, and listed in Two Thousand Notable
American Women.
AREAS OF SPECIALIZATION
- Regulatory Compliance to include OSHA and CLIA
- Joint Commission Accreditation Preparation for Physician Practices
- Physician Practice Management (consulting, interim management, start-up, status transition)
- Rural Health Clinic Operations and Reimbursement
- Faculty Clinic Operations and Billing Regulations
- Educational Presentations
- Physician Compensation
- Business Office Functionality (revenue cycle)
- Provider-based Clinic Operations and Reimbursement
PUBLICATIONS & PRESENTATIONS
- “Provider-Based Clinic and Rural Health Clinics” presented at 2006 Health Care Compliance Association Annual
Conference, Las Vegas, Nevada April 23-26, 2006. - “Physician Practice-Table Topics” presented at the QHR Annual Leadership Conference May 2005.
- “Physician Practice Billing Compliance Issues” presented at QHR Financial Officer Training Program, August 2004.
- “Medical Necessity & CMS Teaching Physician Billing Rules” presented at Meharry Medical College OB/Gyn Faculty Retreat,
April 2004. - “Physician Practice Billing and Operations” presented at Meharry Medical College Medical Staff Education, September-
October 2003. - “OSHA and CLIA Compliance” presented at Indiana MGMA Chapter Annual Conference, 1997.
- “Compliance Auditing and Monitoring for Teaching Physician Services” presented at Meharry Medical College, June 2002.
- “Medical Record Auditing Workshop” presented at Quorum Health Resources Learning Institute, 1997, 1998, 1999, 2001.
- “Physician Practice Operations” 3-Day Seminar presented at Quorum Health Resources Learning Institute 1996, 1997, 1998.
- “CLIA & OSHA for Physician Practices” presented to the Indiana Chapter of Medical Group Management Association, 1996
HCCR
HealthCare Compliance & Consulting Resources, Inc.
HealthCare Compliance & Consulting Resources, Inc.
Copyright 2007 - HCCR, Inc. All Rights Reserved
Copyright 2007 - HCCR, Inc. All Rights Reserved
Copyright 2007 - HCCR, Inc. All Rights Reserved
511 Union Street
Suite 1860
Nashville, TN 37219
ph: 615.238.6390
fax: 615.238.6391
Suite 1860
Nashville, TN 37219
ph: 615.238.6390
fax: 615.238.6391