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Management

Sandra S. Love, MS, RHIA
Sandy. Love is an experienced Registered Health Information Administrator with 23 years of Health Information Management experience, including extensive teaching and consulting experience in ICD-9-CM and CPT-4 coding. She has progressive administrative, managerial, and consulting experience in a variety of health care settings – hospital, skill nursing facility, physician practice, and government contract administration. Responsibilities include budget preparation and monitoring, management for over 50 FTEs, client management with the Centers for Medicare and Medicaid Services and affiliated contractors, training, meeting facilitation, and management of accurate and timely deliverables.   Ms. Love joined Delmarva in 1996, specializing in consulting with providers to improve coding and medical record management. She has strategically guided the National Contracts Division which includes the Medicare Program Safeguard Contracts of the Western Integrity Center,whichis responsible for statistical analysis, medical review and fraud case development for 15 western states, covering health care services for more than 6 million beneficiaries. Ms. Love’s other responsibilities include oversight of the National Medicaid Payment Error Rate Measurement ( formerly Payment Accuracy Measurement – PAM),  Program Director of the Medicare Prescription Drug Integrity Contract (MEDIC), and Program Director for the newly awarded Medicaid Integrity Contract.  She is responsible for proposal development, project design and implementation for all national contracts.

Pati Serio
Mrs. Serio brings over 15 years experience in many facets of the health care industry. Her experience includes the full spectrum of the health care delivery cycle beginning with clinical care at a group physician practice. Mrs. Serio moved on to spend many years monitoring the many facets of health payor work, including utilization review, claims payment, and healthcare informatics to bring an understanding of health care claims data and information systems to her work. Mrs. Serio’s work experience includes performing data analysis and claims analysis from private insurance carriers and government payers, management of analytical and claims staff, and project management. Mrs. Serio is responsible for managing day to day activities on the MEDIC contract; including oversight of the Call Center and analytical staff, client management with the Centers for Medicare and Medicaid Services, deliverables management, hiring, training, and serving on the Quality Steering Committee. Mrs. Serio holds a Bachelor’s of Science in Information Systems Management from the University of Maryland and is currently pursing a Master’s of Science in Health Care Administration at the University of Maryland.

Glenna Heckathorn, MBA
Glenna Heckathorn is a Director in Health Integrity.  She is a Subject Matter Expert and responsible for policy, planning, auditing, and review of deliverables.  Ms. Heckathorn has more than 25 years experience in health care administration with both payers and providers.  She has an MBA in Finance with in-depth knowledge of federal regulations governing Medicare, Medicaid and the Federal Employees Health Benefits Program.  Her expertise is in Compliance, Auditing and Managed Care.  Ms. Heckathorn was the Vice President of Corporate Compliance for MedStar Health, a $2 billion IDS in the mid-Atlantic States.  She was previously Regional Manager for the Blue Cross and Blue Shield Federal Employee Program and a health care consultant.

Pam Foster, RN
Pam Foster is an experienced health care professional with 25 years of managed health care experience that includes directing utilization management, case management and network development departments.  She worked in the PBM industry as the Director of Disease Management programs and Drug Utilization Review.

Ms. Foster was an NCQA surveyor for 8 years, during which time she performed accreditation reviews for many large managed care organizations.  Most recently, before joining Health Integrity LLC, she worked at CMS in the Office of Clinical Standards and Quality (OCSQ) on the Medicare Part D benefit.  Ms. Foster joined Health Integrity in 2005 as the Part D SME and Director of Quality.  She is a Registered Nurse with a Masters Degree from Johns Hopkins University. 

Tasha Trusty, RN
Ms. Trusty is a registered nurse with more than a decade of experience in the clinical and administrative setting. She is the Medical Review Manager for the MEDIC and she is responsible for the oversight of the medical review process and nurse reviewers. She assists with the collection, interpretation and reporting of data, and with the writing of the reports. Previously Ms. Trusty was a Quality Improvement Coordinator for Delmarva, where she managed the development, implementation, and monitoring of focused clinical studies.  From 2002 to 2005, Ms. Trusty was a Practice Administrator for Johns Hopkins Community Physicians, Laurel Health Center. She was responsible for the daily operation of the health center, which included budget management, hiring, supervision, staffing, and evaluation.  Ms. Trusty has a Bachelor of Science in Nursing and a Master of Science in Health Care Administration.

 

 
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