Amy has been with the firm since 1991 providing consulting and public accounting services to more than twenty state Medicaid agencies regarding health care reimbursement issues. She is a member of the firm’s Executive Committee. She is also involved in the firm’s nursing facility rate setting, hospital reimbursement, and upper payment limit practice areas.

Over nearly 30 years Amy has been with the firm, she has assisted State Medicaid agencies in the development, implementation and maintenance of nursing facility rate setting systems, including case mix and fair rental value, inpatient hospital prospective payment systems based on diagnosis resource groups (DRGs), and outpatient hospital prospective payment systems based on ambulatory payment classifications (APCs)/ambulatory patient groups (APGs). She also serves as project director for the preparation of Medicare upper payment limit (UPL) determinations and ensuring states are in compliance with federal requirements for several of the Firm’s state Medicaid agency clients.

In 2004, Amy established the firm’s Des Moines, Iowa office and hired and trained approximately 15 staff including CPAs, CPA candidates, computer professionals and accounting technicians. She continued to manage the office of 30+ staff through 2012 and currently serves as the partner in charge of the office. During her time at the Iowa Medicaid Enterprise she was instrumental in assisting the state implement provider tax programs, certified public expenditure and intergovernmental transfer programs, enhanced disproportionate share programs, and Iowacare, an 1115 Medicaid demonstration project that expanded eligibility for the Medicaid population.

Her experience also includes policy research and data analysis, preparing fiscal impact models, presenting policy changes to providers, stakeholders and legislators, drafting state regulation and state plan language, and Medicaid cost report reviews across both institutional and non-institutional health care services.

Amy is a Certified Public Accountant and a member of the American Institute of Certified Public Accountants and the Kansas Society of Certified Public Accountants as well as multiple state Societies of Certified Public Accountants.