Mark is a principal with Myers and Stauffer. He leads projects that involve developing audit programs and completing examinations of various types of health care providers and also works with various payment systems and benefit integrity issues.
Mark has more than 25 years of extensive experience working on health care and government compliance audit engagements. Prior to being at Myers and Stauffer, he was the Director for the Division of Provider Audit Operations, Office of Financial Management for the Centers for Medicare & Medicaid Services (CMS) in Baltimore, where he managed the national Medicare cost report audit and reimbursement process. Some of his accomplishments include overseeing the development and updating of Medicare cost report audit and reimbursement protocols used by contractors nationwide, managing numerous contractor activities, managing the cost report appeals process, and quality review processes. He also worked in conjunction with other CMS components to develop, review, and implement policy updates.
Mark worked closely with the Office of the Inspector General (OIG), Federal Bureau of Investigation (FBI), and Department of Justice (DOJ) regarding instances of fraud and to provide litigation support. He led the development and implementation of the CMS Electronic Health Record (EHR) Meaningful Use (MU) Audit Program used by Medicare, which included the development of the overall audit strategy, as well as the audit methodologies. Mark has a background of working closely with state and federal clients to develop audit strategies and protocols, building risk assessments, and providing various benefit and program integrity functions.
Mark is a Certified Fraud Examiner (CFE) and is a member of the Association of Certified Fraud Examiners.