Product World Agenda

Sunday, October 12, 2008

HealthPort will be hosting 2 exciting and informative sessions at Product World at AHIMA. Both sessions will provide valuable information about the Recovery Audit Contractor (RAC) program and HealthPort's new RACPro Solution. 

Click Here to Register

 Click Here to Register

Panel Biographies:

Nancy Hirschl, BS, CCS
President and CEO
Hirschl and Associates

Nancy Hirschl possesses 30 years of experience in the fields of health information and revenue management. As President and Founder of Hirschl and Associates, Nancy develops, administers, and manages services that address best practices in revenue integrity. Known as an innovator and leader, Nancy has developed and implemented:

• Hospital-based inpatient and outpatient revenue integrity consulting services,
• Recovery Audit Contractor (RAC) consulting services
• Medicare Part C – Risk Adjusted data mining, auditing and training services,
• DRG, APC, and RAC data mining and tracking software, and
• Nationally celebrated training programs.

Hirschl and Associates, a privately owned corporation located in Southern California has extensive experience in RAC related issues including but not limited to Training, Organizational Deployment, Workflow Management, Database Management, Strategic Planning, Data Mining, Revenue/Risk Reporting, and RAC Auditing.

Nancy received her Bachelor’s Degree from The Ohio State University and is a Certified Coding Specialist. She is a member of The American Health Information Management Association and The Healthcare Financial Management Association, Southern California chapter.

Back to Top

Lane Edenburn
Executive Vice President & General Counsel
Health Data Insights, Inc.

Lane Edenburn brings more than 15 years healthcare industry experience to the HealthDataInsights management team.  As Executive Vice President and General Counsel, Mr. Edenburn is responsible for the general legal affairs of the company, including legal and corporate compliance, statutory filings, contracts and human resources. 

Mr. Edenburn also served as the Backup Project Director of HDI’s CMS Recovery Audit Contractor (RAC) Demonstration Project.  Mr. Edenburn was involved with all facets of leadership, operations and oversight of HDI’s RAC Demonstration contract from June 2005 until the Demonstration’s March 2008 expiration, and worked with providers, suppliers, CMS personnel, and other affected stakeholders.  Mr. Edenburn is responsible for drafting correspondence, interaction with providers and suppliers, negotiating extended repayment plans; and providing interpretation of local and national coverage decisions, the RAC Demonstration Statement of Work, CMS payment, claims processing and improper payment regulations; negotiating and drafting Joint Operating Agreements with CMS contractors; and leadership of the HDI Rapid Response Team.  During the Demonstration period, HDI’s RAC team identified the greatest number of improper payments of any Demonstration Contractor. 

Immediately prior to joining HDI, Mr. Edenburn served from February 2004 to June 2005 as the Branch Manager for Benefit Integrity (fraud and abuse), Debt Management (Overpayments) and Medicare Secondary Payer functions for the Region IX office of the Centers for Medicare and Medicaid Services (CMS) in San Francisco.  While at CMS, Mr. Edenburn was awarded a group CMS Administrator’s Achievement Award and the HHS Secretary’s Award for Distinguished Service for his role in leading the Southern California Fraud Task Force, saving hundreds of millions of dollars for the Medicare Trust Funds.

Stanley Padfield is the System Director of Health Information Management and the Patient Information Privacy Officer for Lee Memorial Health System.  Lee Memorial Health System (LMHS) is a nationally recognized community health system - one of the 10 largest public health systems in the nation and is the leading provider of healthcare services in Southwest Florida and has served the citizens of Lee County and surrounding communities since 1916. LMHS is an integrated healthcare deliver network comprised of over 1400 acute care beds in 5 acute care facilities, 1 acute rehabilitation and children’s hospital, 40 owned physician practices, stand-a-lone outpatient facilities and a long term care facility.  

Duties include the management of information regulations and standards for the system, interpretation, investigation and leadership for privacy practices and a member of the Information Services Leadership Team.  He has ten years experience in the position and over 30 years experience in HIM. 

Back to Top

Carol Richardson, MA, RHIA
Director, Health Information Management & Corporate Privacy Official
Adventist Health

Corporate Director, Health Information Management and Corporate Privacy Official for Adventist Health, Inc.  Adventist Health owns and manages 17 acute care facilities in California, Oregon, Washington and Hawaii,
14 of which are in California.  Many years of health care industry experience including acute care, hospital-based outpatient product lines, behavioral health, managed care, compliance, interim management
and consulting.  Received undergraduate and graduate degrees from University of Texas at Dallas.

Took on the role of Corporate RAC Coordinator for Adventist Health in 2006 and implemented an enterprise RAC activity data base, engaged vendor assistance in review of potential RAC denials, and launched an
aggressive coding education program system-wide.  Active participant in the California Hospital Association RAC Workgroup and CHA Medical Rehabilitation Service task force focusing on Inpatient Rehabilitation
RAC activity.

Back to Top