The activities managed include establishing rates and cost settlements, developing and performing agreed upon procedures, monitoring litigation and resolutions, Medicaid financing, and consulting with the client. She oversees attest and/or rate-setting work for rural health centers and federally qualified health centers (RHC/FQHC), community mental health centers (CMHC), intermediate care facilities for individuals with intellectual disabilities, skilled nursing facilities, Veteran Affair nursing facilities, and hospital inpatient and outpatient services. She assists with consulting services including upper payment limit (UPL) demonstrations, hospital directed payments provider tax calculations, certified public expenditures, state plan amendment (SPA) and regulation writing, and fiscal impact analysis. She also oversees the disproportionate share hospital (DSH) exam (since the implementation in 2009) and payment projects for Kentucky. Her experience also includes gaining expertise in reimbursement topics such as PDPM and impacts of COVID-19. 

Tara serves on the firm’s nursing facility rate setting engagement team and is a certified public accountant and a member of the American Institute of Certified Public Accountants, the Kentucky CPA Society, and the Healthcare Financial Management Association.