Missy has more than two decades of experience with health care-related consulting audits, including more than 10 years of work with the U.S. Department of Justice (DOJ). She is currently involved with numerous health care fraud investigations and litigation support service engagements. She has extensive trial testimony experience including testifying in trials, sentencing hearings, and providing non-testimony assistance for trial teams.
She is responsible for assisting the DOJ and the Federal Bureau of Investigation (FBI) with indictment preparation, calculation of damages, identification of issues, asset tracing, money laundering schemes, forensic analysis of bank records, claims trending, claims analysis, calculating the lowest intermediary balance of accounts, length of stay analysis, cycling of patients, time studies, seizure warrants, trial charts, and meeting with relator and hospital on qui tam investigations related to false claims submitted to the government. She has testified in more than 20 federal trials and sentencing hearings related to home health agencies (HHAs), physicians, hospitals, community mental health centers (CMHCs), human immunodeficiency virus (HIV) clinics, and recruiters. She currently oversees the FBI mega contract work which provides any FBI field office assistance with their health care fraud case work. Missy has worked in several of the DOJ strike force cities, and as such, has been a part of joint government agency teams investigating health care fraud.
In addition to her litigation work, she has performed audits on behalf of the Centers for Medicare & Medicaid Services (CMS) related to chief financial officer (CFO) audits, regional office audits, and agreed-upon procedure (AUP) projects. She also has experience with disproportionate share hospital (DSH) state procedures, Medicare cost reports, Medicare audits, and state of Maryland on-site audit work. She is proficient in Medicare, Medicaid, Tricare, and private insurance claims related to all provider types.
Missy is a Certified Fraud Examiner (CFE) and a member of the Association of Certified Fraud Examiners.