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Hilary Foster Moles

Senior Consultant | RN, Prosci® CCP

hfostermoles@berrydunn.com

As a Senior Consultant in BerryDunn’s Medicaid Practice Group, Hilary provides project management and consulting services to state Medicaid agencies. She assists clients with the Payment Error Rate Measurement (PERM) cycle and Medicaid Management Information System (MMIS) claims and adjudication process analysis.

Hilary has over 8 years of Medicaid policy experience. She is a Registered Nurse and a Prosci® Certified Change Practitioner (CCP).

As a Senior Consultant in BerryDunn’s Medicaid Practice Group, Hilary provides project management and consulting services to state Medicaid agencies. She assists clients with the Payment Error Rate Measurement (PERM) cycle and Medicaid Management Information System (MMIS) claims and adjudication process analysis.

Hilary has over 8 years of Medicaid policy experience. She is a Registered Nurse and a Prosci® Certified Change Practitioner (CCP).

Experience highlights

Hilary helps clients with a variety of issues including:

  • Payment Error Rate Measurement (PERM) cycle support
  • Medicaid Eligibility Quality Control (MEQC) support
  • Telehealth policy and reimbursement consulting
  • Medicaid policy, including hospice, home health, rehabilitation, and Durable Medical Equipment (DME)
  • Project management

Memberships and committees

National Association of Medicaid Program Integrity (NAMPI)

Related Industries

Insights

Education

BS, Nursing, magna cum laude, West Virginia University Institute of Technology

Certifications

  • RN
  • Prosci® CCP