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Crystal Fox

Senior Consultant

cfox@berrydunn.com

A Senior Consultant in BerryDunn’s Medicaid Practice Group, Crystal has experience in financial system processing, requirements definition, system design, development, and testing for large health information enterprise systems. She provides consulting services to state Medicaid and Children’s Health Insurance Program (CHIP) programs.

Crystal assists with the Payment Error Rate Measurement (PERM) cycle, Medicaid Management Information System (MMIS) claims and adjudication process analysis, Children’s Health Insurance Program (CHIP) Managed Care Organization (MCO) transitions, and Medicaid Enterprise System (MES) Modernization Strategy and Procurement (MSP). With experience as both a vendor and a consultant during her career, Crystal brings valuable perspective to every client engagement.

A Senior Consultant in BerryDunn’s Medicaid Practice Group, Crystal has experience in financial system processing, requirements definition, system design, development, and testing for large health information enterprise systems. She provides consulting services to state Medicaid and Children’s Health Insurance Program (CHIP) programs.

Crystal assists with the Payment Error Rate Measurement (PERM) cycle, Medicaid Management Information System (MMIS) claims and adjudication process analysis, Children’s Health Insurance Program (CHIP) Managed Care Organization (MCO) transitions, and Medicaid Enterprise System (MES) Modernization Strategy and Procurement (MSP). With experience as both a vendor and a consultant during her career, Crystal brings valuable perspective to every client engagement.

Experience highlights 

Crystal helps clients with a variety of issues including:

  • Payment Error Rate Measurement (PERM) cycle support
  • Medicaid Eligibility Quality Control (MEQC) support
  • Medicaid Management Information System (MMIS) claim edits and adjudication processes
  • Medicaid policy, including National Correct Coding Initiative (NCCI) editing and Diagnosis Related Group (DRG) Calculations for Teaching Facilities
  • Children’s Health Insurance Program (CHIP) Managed Care Organization (MCO) transition support

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