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Kristine West, BSN, RN, CPC, CPMA, CPIP

Senior Consultant | Berry, Dunn, McNeil & Parker, LLC

Kristine is a Senior Consultant in BerryDunn's Medicaid Practice Group. With more than 15 years of progressive leadership in Medicaid compliance, program integrity, and healthcare operations, Kristine advises state agencies and related organizations on regulatory compliance, fraud, waste, and abuse (FWA) prevention, risk management, audit readiness, and program integrity improvement initiatives.

Kristine's approach is grounded in data-informed decision-making and cross-functional collaboration, enabling organizations to strengthen compliance, manage risk, and improve program performance. She has led high-performing teams, directed federal and state audit and oversight activities, and served as a trusted advisor to executive leadership, policymakers, and regulatory organizations.

Kristine is a Senior Consultant in BerryDunn's Medicaid Practice Group. With more than 15 years of progressive leadership in Medicaid compliance, program integrity, and healthcare operations, Kristine advises state agencies and related organizations on regulatory compliance, fraud, waste, and abuse (FWA) prevention, risk management, audit readiness, and program integrity improvement initiatives.

Kristine's approach is grounded in data-informed decision-making and cross-functional collaboration, enabling organizations to strengthen compliance, manage risk, and improve program performance. She has led high-performing teams, directed federal and state audit and oversight activities, and served as a trusted advisor to executive leadership, policymakers, and regulatory organizations.

Experience highlights

Kristine has extensive experience navigating complex regulatory environments and aligning programs with Centers for Medicare & Medicaid Services (CMS) requirements. Her expertise includes compliance program development, program integrity oversight, governance and accountability, corrective action planning, audit strategy, and operational transformation.

Kristine's clients benefit from her expertise in: 

  • Healthcare auditing, coding validation, and payment integrity
  • Audit strategy, oversight, and readiness 
  • Risk management and compliance monitoring
  • Medicaid compliance and program integrity 
  • Procedure coding expertise
  • Corrective action planning and remediation oversight
  • Regulatory investigations and expert witness testimony
  • FWA prevention and mitigation
  • Policy development and regulatory alignment

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Education

BS, Aspen University, Nursing

AAS, Ross State College, Nursing

Certifications

  • BSN
  • RN
  • CPC
  • CPMA
  • CPIP