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Jacqueline Nash Bloink, MBA, RHIA, CFE, CHC, CPCO, CPC-I/CPC, CMRS

Jacqueline Nash Bloink, MBA, RHIA, CFE, CHC, CPCO, CPC-I/CPC, CMRS

Jacqueline Bloink is a Bates Consulting and Testify Expert and a Healthcare veteran, with nearly thirty years’ industry experience in diverse roles, including administration; coding and billing manager at a physician teaching hospital; corporate responsibility auditor for a large healthcare network; and compliance director for the largest healthcare provider group in Arizona and an educator to universities.

Ms. Bloink holds an MBA in Healthcare Management and is a Registered Health Information Management Administrator (RHIA) – the highest credential offered by the American Health Information Management Association.  She is also certified in Healthcare Compliance (CHC and CPCO), Professional Coder (CPC and Instructor CPC-I), Medical Reimbursement Specialist (CMRS) and a Fraud Examiner (CFE.) Ms. Bloink also teaches university-level courses in healthcare fraud, anti-fraud techniques and compliance, as well as classes in medical coding and billing.

An accomplished Healthcare Compliance Consultant, Ms. Bloink has extensive medical coding, reimbursement, fraud, and compliance expertise, which she uses to consult and provide expert witness testimony on healthcare matters involving   healthcare compliance, provider education, documentation analysis, forensic medical coding and billing to identify and prevent healthcare fraud to companies.

She is an industry educator with talent for training and qualifying healthcare professionals, conducting coding audits, analyzing, restructuring, and implementing provider compliance programs, and supporting data transparency, integrity, and multi-agency compliance. Her consulting work has provided additional experience as a Telehealth Compliance Officer, Provider Educator for a large children’s hospital and Designs Provider/Patient Programs for a national healthcare organization. In her work as a Reimbursement Analyst, Ms. Bloink introduced continuous process and program improvements, optimizing system quality, and facilitating efficient reimbursement and funds recovery processes.

Ms. Bloink has been Consulting since 2013 and an Expert Witness since 2016. Her experience in over 50 cases include: working with providers under a Corporate Integrity Agreement CIA, DME False Claim allegations, IRF False Claims, Rural Health and FQHC Compliance Consultant, Provider Compliance Program Design, Reverse False Claims, Medicaid False Claim allegations, Major Commercial Insurance False Claims allegations, Usual-Customary-Reasonable- (UCR calculations), EMR Evaluation System Failure Evaluation, 3rd Party Billing Fraud Allegations, Evaluation and Analysis of Practice Coding Trends - to name just a few types of healthcare delivery settings. She is a dedicated professional with an unrelenting focus on process and compliance integrity and performance excellence.

A published author and national speaker, Ms. Bloink is well versed on the topic of healthcare compliance and fraud. She has been a co-presenter along with CMS and the OIG on the topic of Healthcare Compliance (2014) and Co-contributor / author of the American Academy of Professional Coders (AAPC) 2017 Compliance curriculum. In 2017, she assisted Association of Certified Fraud Examiners (ACFE) with the implementation of the international Healthcare Fraud Discussion Forum.  Ms. Bloink is currently an adjunct Professor of Healthcare Fraud and Compliance at the University of Arizona.

Jacqueline is a consultant and subject matter expert in these Practice Areas and Services:

Credentials

EXPERIENCE

Bates Group LLC, Consulting and Testifying Expert, 2018 - Present
Jacqueline Bloink, LLC, CEO, Healthcare Compliance & Medical/Billing Documentation Consultant, San Clemente, CA, 2010 - Present
Expert Witness, Nationally, Healthcare Fraud, UCR Analysis, Forensic Medical Coder, Medical Biller, Medical Documentation, Compliance Specialist, Revenue Cycle/Billing Expert - Litigation Support, 2016 – Present
TeleMed2U, Compliance Officer – Consultant, Roseville, CA, 2018 – Present
Adventist Health System, Provider Educator and Operations Consultant, Central Valley Network, CA, 2018 – Present
University of Arizona, Sociology Department, Adjunct Professor, Healthcare Fraud and Compliance, Tucson, AZ, 2017- Present  
Children’s Hospital of Orange County, Health Information Management / Revenue Cycle - Provider Educator – Consultant, Orange, CA, 2017 – Present
Ultimate Medical Academy, Adjunct Professor, Tampa, FL, 2012 - Present
Saddleback College, Health Information Technology Professor, Mission Diejo, CA, 2015 - 2017
Arizona Community Physicians, Director of Compliance, Tucson, AZ, 2011 - 2014
Carondelet Health Network, Corporate Responsibility Auditor, Tucson, AZ, 2010 - 2011
University of Physicians Healthcare, Compliance Liaison/Coding Manager/Interim Reimbursement Manager, University Physician Network, Tucson, AZ,2009 - 2010
San Juan Basin Technical College, Healthcare Management Professor, Mancos, CO, 2006 - 2009
Steven Bloink M.D. PC., Cortez, CO, 1993 – 2005; Medical Practice Administrator, 1996 – 2005; Family Practice Associates, 1993 – 1996

EDUCATION

Post Graduate Program, Registered Health Information Officer (RHIA), Alabama State University, Montgomery, AL
Master of Business Administration (MBA), Healthcare Management, Colorado Technical University, Colorado Springs, CO
Bachelor of Science (BS), Public Affairs Management, Healthcare Emphasis, Michigan State University, East Lansing, MI

PROFESSIONAL CERTIFICATION, AFFILIATIONS, & BOARD MEMBERSHIPS

ACFE (CFE), Certified Fraud Examiner, Association of Certified Fraud Examiners, 2016-Present

  • Specializing in Healthcare Fraud.

AHIMA (RHIA), Registered Health Information Administrator, American Health Information, June 2015 – Present

  • 2019-2020 Chapter President of Greater Orange County Health Information Association (GOCHIA)

HCCA (CHC), Certified in Health Care Compliance, Health Care Compliance Association, 2011 - Present
AAPC (CPCO), Certified Professional Compliance Officer, American Academy of Professional Coders, August 2017
(CPC) Certified Professional Coder and (CPC-1) Coder Instructor Certified in ICD-10, American Academy of Professional Coders, 2008 - Present, AAPC (CPC/CPC-1)
AMBA (CMRS), Certified Medical Reimbursement Specialist, American Medical Billing Association, 2009 - Present
American Health Lawyer Association, Member, 2017 – Present
College Instructor Credentials: Medical Coding/Billing, Compliance, Health Information Management and Healthcare Fraud Prevention: Commission for Independent Education Instructional and Administrative Personnel- Florida (2012- Present), California College Instructor Credential (2015-2017), Colorado College Instructor Credential (2006-2010), Arizona College Credential (2011-2013) University of Arizona Instructor Credential (2017- Present)
Greater Orange County, California Health Information Assoc., (GOCHIA), Secretary, President Elect,
President (2019-2020), Past President 2020-2021

AWARDS

  • The Arizona Sentinel Award, Association of Certified Fraud Examiners, Arizona Chapter, Choosing Truth Over Self, 2015 (Largest FCA case in Arizona history)
  • Ultimate Medical Academy, Tampa, Florida, Champion Instructor Award, 2014 and 2015
  • Faculty of the Year Award, Mancos, Colorado, San Juan Basin Technical College, 2009

PUBLICATIONS

  • AAPC, Certified Professional Compliance Officer (CPCO), Co-Author and Updates to curriculum 2017,
  • 2019 - AAPC - CPCO Curriculum
  • Monetizing Wellness, Integrated Healthcare Executive- EMS World, December 2015
  • Plan for Compliance, AAPC Cutting Edge, August 2015
  • What Shade of Gray is Your Compliance Plan? AAPC Cutting Edge, December 2013
  • Design a Compliance Plan for the Medical Office, Journal of Medical Practice Management, December 2013
  • Affordable Care Act and Compliance, Arizona AMA, Fall 2013
  • Transitional Care Management, (Co-author with Dr. Ken Adler), American Academy of Family Physicians (AAFP) Family Practice Management, May 2013
  • Templates Can be Compliant, AAPC Cutting Edge, November 2012
  • Medicare Wellness Visits, AAPC Cutting Edge, August 2012
  • HCC / RAF Reimbursement, AAPC Cutting Edge, July 2011
  • Lean Solutions, Medical Practice Digest, July 2011
  • Tips to Increase Service Excellence, Medical Practice Digest, January 2011
     

PRESENTATIONS

  • American Academy of Professional Coders, 2018 National Convention, Healthcare Fraud and Compliance Update- Strategies to Prevent Fraud, April 10, 2018, Orlando, Florida
  • Greater Orange County Health Information Association (GOCHIA), Healthcare Fraud and Fraud Update – What’s Up Doc? 2 CEU’s., January 23, 2018, Orange, California
  • American Academy of Professional Coders, PPACA Compliance is More Than a Set of Rules and Regulations, 4-Hour, 6 CEU, Workshop, August 10, 2017, National Webinar
  • Association of Certified Fraud Examiners 28th Global Conference, Healthcare Compliance - Your Organization at Risk Under the False Claims Act, June 20, 2017, Nashville, Tennessee
  • Health Care Compliance Association (HCCA), Whistle While You Work, Panel discussion on how healthcare boards can / should embrace (follow) effective compliance programs to reduce whistleblower claims related to false claims. March 26, 2017, 3-hour CEU, National Harbor, Maryland
  • Greater Orange County Health Information Association (GOCHIA), Healthcare Compliance and Fraud, 2-hour CEU, February 2017, Orange, California
  • California Health Information Association (CHIA), The Compliance Puzzle; Assembling the Pieces, 5-hour CEU, January 2017, Pleasanton and Garden Grove, California
  • Orange County Association of Certified Fraud Examiners, Healthcare Fraud and Ethics, November 2016, Irvine, California
  • Claims Litigation Management (CLM), 2016 Midwest Medical Legal Conference, Whistle While You Work - How to Prevent Activity Leading to Whistleblowing Actions and Protect Health Organizations and Medical Practices from Whistleblower Threats, June 23, 2016, Omaha, Nebraska
  • Dorothy Marie Lowry Distinguished Guest Lectures, Medical Technology and Insurance Fraud, April 29, 2016, Mission Viejo, California
  • American Academy of Professional Coders, 2015 National Convention, Affordable Care Act and Compliance, March/April 2015, Las Vegas, Nevada
  • Arizona Association of Certified Fraud Examiners Holiday Conference, Healthcare Fraud in Tucson - The Carondelet Case, December 8, 2015, Phoenix, Arizona
  • Association of Certified Fraud Examiners (Tucson Chapter and Los Angeles Chapter), Healthcare Fraud, January / February 2015, Tucson, Arizona and Los Angeles, California
  • Coalition Against Insurance Fraud, 2014 Annual Meeting, Healthcare Fraud, December 2014, Washington, DC
  • Center for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG), June 17 and 26, 2014, Affordable Care Act - Provider Compliance Programs - Getting Started Webinar
  • Health Care Compliance Association (HCCA) 18th National HCCA Convention, Connecting the Dots When Problems Arise in Compliance, April 2014, San Diego, California
  • American College of Physicians, Wellness Visits and Transitional Management Care, November 2013, Tucson, Arizona
  • Health Care Compliance Association (HCCA), 17th National HCCA Convention, Design a Usable Compliance Plan for Physician Practices, April 2013, National Harbor, Maryland        
  • Health Care Compliance Association (HCCA), Clinical Practice Compliance Conference, Improving Compliance with Service and Quality Measurements, October 2012, Philadelphia, Pennsylvania
  • AAPC Local Tucson Chapter, Ethics for Coders and Billers, November 2010, Tucson, Arizona