Andy is a partner-in-charge of our Pharmacy engagement team out of our Baltimore office. For more than 20 years, he has been performing health care and government-related audit and consulting engagements for Myers and Stauffer.
Andy has led Medicaid, Medicare, and other governmental health care audits related to a variety of provider types, including nursing facilities, pharmacies, health plans, and pharmacy benefit managers (PBMs). These engagements have been performed for Medicaid agencies, the Centers for Medicare & Medicaid Services (CMS), state employee benefit programs, and other governmental agencies. His areas of expertise include Medicare Parts C and D, pharmacy, program integrity, risk assessments, and Medicare/Medicaid reimbursement.
For the past 15 years, Andy has focused on providing oversight of managed care organizations (MCOs) and PBMs. These engagements include performing financial audits, compliance audits, performance audits, program integrity reviews, benefit audits, and demonstration program reviews. He also supports federal law enforcement in performing damage calculations, and has testified in federal health care fraud cases.
Andy is a Certified Public Accountant and a member of the Maryland Association of Certified Public Accountants, the American Institute of Certified Public Accountants, Health Care Compliance Association, and the National Health Care Anti-Fraud Association.