Meet Your Expert
Heidi has 20 years of experience in health care legal and compliance related issues. Her experience includes positions at a large hospital corporation, serving as a compliance officer for a sleep lab/DME company and a compliance director, chief privacy officer and interim chief compliance officer at a medical device manufacturer.
In addition, she has represented and advised critical access and long-term care hospitals, physician groups, home health agencies, DME companies, pharmacies (including compounding pharmacies), non-profit organizations, and licensed individuals. As a result, she understands the complexities and challenges that providers large and small face in complying with increasingly varied and complex laws.
She is an expert in all aspects of compliance and privacy programs, including developing and deploying policies, procedures and training. Her experience includes implementing the various requirements and aspects of a Corporate Integrity Agreement, responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level, guiding clients through voluntary self-disclosures, seeking advisory opinions from the OIG, and defending FDA audits.
Heidi developed criteria for and implemented an aggregate spend system, permitting a medical device manufacturer to timely report correct information under the Physician Open Payments Acts (also known as the Physician Payments Sunshine Act).
In addition, she is experienced in developing and implementing a compliance program to address Foreign Corrupt Practices Act requirements, including Eucomed guidelines. She also has significant reimbursement experience, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues.
Training Sessions by Heidi Kocher
Collecting money from patients is essential to keeping your practice in the black, but not every medical billing and collection strategy is beneficial - in fact, some can get you into big trouble. The reality is that many practices are handling patient collections all wrong from a compliance standpoint. Waiving the wrong copay, offering discounts to the wrong patients, and […]Learn More
Routinely writing-off out-of-network co-payments or amounts due to financial hardship will most certainly land you in hot water with the OIG – unless you know exactly how to comply with the new balanced billing laws. Balanced billing laws and regulations continue to be more complicated each year. Many states now require you to get out-of-network payment from your health plan, […]Learn More