Regina Alexander

Director of IRO Services | FACHE, CHC

ralexander@berrydunn.com

A Senior Manager on our Healthcare Compliance and Credentialing team, Regina is a healthcare compliance and revenue cycle operations expert. In her role as the Director of Independent Review Organization (IRO) Services, Regina supports clients under Corporate Integrity Agreements with the HHS OIG in meeting their specific compliance obligations associated with CIA terms, including claims and arrangements reviews.

Over her 25+ year career, Regina has served in many roles, including as Director of Health Information Management (HIM) and Privacy Officer for a community hospital, Associate Director of HIM for a large health system, and Senior Product Manager/Medicare Advantage for a regional health plan. Her experience on the payer side of the industry provides unique and practical compliance and revenue integrity insights for healthcare provider side clients.

D 802.365.7554

experience education & certifications industries services presentations & publications memberships community service events insights

Regina’s credentials include Certification in Healthcare Compliance (CHC) through the Health Care Compliance Association. She is also a board-certified fellow (FACHE) in healthcare management through the American College of Healthcare Executives.

Experience highlights

Regina helps clients with a variety of issues including:

Medicare and Medicaid payment and program policy
Laboratory, inpatient facility, home health, and hospice coding and documentation reviews
Payer audit response
Compliance plan development and effectiveness reviews
HIPAA Privacy and 21st Century Cures Act consulting
Health Information Management (HIM) process improvement
Revenue cycle operations management
Stark and anti-kickback statutes compliance
Focus arrangements tracking
Corporate Integrity Agreement (CIA) monitoring

Presentations and publications

Focus Arrangements Transaction Reviews: The Curling of Compliance Work Plans?, Journal of Health Care Compliance, 2022
Turning Over a New Leaf: It's Never Too Late to Create a Culture of Integrity, 2021
Thanksgiving, Plant Based Diets and Healthcare Compliance, 2021
Glamping v. Camping & Healthcare Fraud v. Abuse, 2021
2021 Home Health and Hospice Compliance Work Plans: Addressing New Risks and Fresh Takes on Old Favorites, Health Care Compliance Association (HCCA) Webinar, 2021
We Cannot Make This Stuff Up: Tales of Non-compliance and Risk Management, Health Care Compliance Association (HCCA) National Compliance Institute Presentation, 2020
Security Incident or Breach? The Differences, Making the Right Call, and Why it Matters, Medical Group Management Association (MGMA) Webinar, 2019
Behavioral Health and SUD Services: Getting paid is the easy part!, Healthcare Financial Management Association MA/RI Chapter Annual Compliance Update, 2019
Challenges of the Hybrid Medical Record: Impact on Clinical, Coding, and Fiscal Outcomes, Lorman Educational Services Webinar, 2019
PDGM and PDPM: Potential Compliance Perils of Post-Acute Payment Model Change, Health Care Compliance Association (HCCA) Webinar, 2019
Start with the End in Mind: Investigating Workforce Violations of the HIPAA Privacy Rule, Health Care Compliance Association (HCCA) Webinar, 2019
Unknown Unknowns: How what you don’t know about provider credentialing, privileging and enrollment creates strategic and compliance risks, barriers to care, and claim denials, New England Society for Healthcare Strategy (NESHS), 2018
Far Beyond Hospital Walls: Making the Case for HIM and CDI Professionals in the Post-Acute World, Connecticut Health Information Management Association (CTHIMA), 2018
The Unknown Unknowns of Credentialing, Privileging and Enrollment, Health Care Compliance Association (HCCA) Webinar, 2018
42 CFR Part 2 and HIPAA: Intersection or Roundabout?, Connecticut Hospital Association (CHA) Issue Based Forum, 2018
42 CFR Part 2, Connecticut Medical Group Management Association (CMGMA), 2017

Articles

Mitigating risk of grant funded healthcare programs

Debunking the myths of HIPAA: Five steps to better compliance

Memberships and committees

AUPHA Journal of Health Administration Education, Reviewer Panel Member
University of Phoenix College of Health Professions, Associate Faculty

Related Services

Consulting

Business Advisory

Business Associate Agreement Audits Clinical Documentation Improvement and Coding Compliance Healthcare Compliance Independent Review Organization Services Revenue Cycle Management Overview