Amy Bailey, CHC, CPC, COC, CPC-I, CCS-P – Principal
Amy has over 20 years of healthcare experience and specializes in regulatory compliance for coding and billing with emphasis in documentation, coding and billing reviews; due diligence and risk assessment reviews; internal investigations, and litigation support services. Amy has extensive experience working with publicly traded healthcare companies, large hospital systems, law firms and physician group practices. Amy’s experience ranges from handling routine compliance issues to provider defense of government false claims and fraudulent coding and billing cases. Amy is certified in healthcare compliance and is also a certified coder for both physician and hospital coding, and an approved coding instructor for the American Academy of Professional Coders. She has taken many leadership roles in the industry, including currently serving as an Auditing and Monitoring Tools Editorial Board Member for the Healthcare Compliance Association and is also a former Regional Governor and Examination Committee Chair American College of Medical Coding Specialists. Amy has published articles featured in Compliance Today and Health Lawyers Weekly and is a co-author of the American Health Lawyers Compliance Manual. She has also been selected as a speaker for groups including the American Health Lawyers Association, American Academy of Professional Coders, Healthcare Compliance Association, Georgia Hospital Association, Idaho Medical Group Management Association and the Idaho Association of Home Care. Click here for Amy’s CV.
Kenneth E. Hooper, CPA, CFE, CHC – Director
Ken has over 30 years of experience in public practice including consulting and litigation support services for health care providers. He is a licensed CPA in Idaho, Washington, and Georgia, as well as a Certified Fraud Examiner and Certified in Healthcare Compliance. Ken’s healthcare consulting experience includes provider compliance and litigation matters including due diligence, internal investigations, self-reporting, and forensic services. Ken has testified, been deposed, or consulted on cases in both Federal and state courts. He has also served in interim compliance positions while a permanent replacement was recruited. Ken is a contributing author of the American Health Lawyers Association Healthcare Compliance Legal Issues Manual. He also is a former board member of the Idaho Food Bank and former corporate contributions chair for the Idaho Easter Seals. Click here for Ken’s CV.
Sarah Spry, CHC, CPC, COC, CPC-I – Consulting Manager
Sarah has over 20 years of billing and coding experience, which includes serving as a Coding Manager for a large third-party medical billing company, as well as, providing expert consulting services on matters involving compliant coding and billing. She has performed documentation, coding, and billing audits. She has also overseen coding and billing operations for a variety of provider services including: evaluation and management, pain management, radiology, radiation and medical oncology, emergency department, anesthesiology, and pathology. She routinely provides customized education and training regarding proper documentation and coding to both coders and providers. She has lectured on compliant documentation, coding, and billing to national organizations including the American Academy of Professional Coders, the Healthcare Compliance Association, and the Idaho Health Care Association. She has also published articles in the American Health Lawyers Association, Health Lawyers Weekly. Click here for Sarah’s CV.
Richard E. Remington, MS – Consulting Statistician
Richard is a professional statistician with 15 years of experience as a statistical consultant. He holds statistical degrees from Northwestern University and University of Idaho (MS Statistics); and current research appointments as Affiliate Faculty at the College of Pharmacy at Idaho State University and Statistician at Boise Veterans Affairs Medical Center. Richard’s experience applying statistical methods is broad, including: medical research, environmental research, agricultural experiments, statistical process control of business analytics, sampling design and extrapolation in large billing disputes. In all of this work, his primary objectives are to identify appropriate statistical methods, assess data adequacy, handle statistical aspects of missing data, provide rigorous and defensible data analysis, and assist with interpretation and reporting of results. Richard has also developed and taught both graduate school statistics and continuing education courses in applied statistical methods, and recently fulfilled a five-year term as President of the American Statistical Association, Snake River Chapter. Click here for Richard’s CV.
John Campbell – Senior Consultant
John has 10 years of healthcare experience and specializes in clinical documentation, patient care and clinical procedures, case management, and utilization review with expertise Interqual. John began his career in healthcare in 2009, while serving in the United States Army. John received his Bachelor of Arts degree from Boise State University in 2016 and will receive his RN from the College of Southern Idaho in 2020. He is an active member of the Idaho Nursing Student Association. While serving in the United States Army, John received certifications as a combat medic and EMT, as well as his LPN license in the states of Texas and Idaho. He served as a practicing LPN working at Walter Reed Army Medical Center in addition to the 328th Combat Support Hospital, giving him a specialized knowledge in healthcare. Click here for John’s CV.