Jacqueline Nash Bloink, MBA, RHIA, CHC, CFE, CPC

Jacqueline Nash Bloink, MBA, RHIA, CHC, CFE, CPC

Bates Group expert and consultant Jacqueline Bloink is 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.


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Jacqueline Nash Bloink, MBA, RHIA, CHC, CFE, CPC

A Consultant and subject matter expert in these services:

Credentials

EXPERIENCE

Jacqueline Bloink, LLC, San Clemente, California, CEO, Healthcare Compliance & Medical/Billing Documentation Consultant, 2010 - Present

Expert Witness, Nationally, Forensic Medical Coder, Medical Biller and Compliance Specialist -Litigation Support, Non- Inclusive list of clients served include: Healthcare Providers, Insurance Carriers, Third Party Billers, Qui Tam parties, Cities in California, and others. Serving Defendants and Plaintiffs, 2016 – Present

TeleMed2U, Roseville, California, Compliance Officer – Consultant, 2018 – Present

Adventist Health System, Central Valley Network, California, Provider Educator and Operations Consultant, 2018 – Present

University of Arizona, Sociology Department, Tucson, Arizona, Adjunct Professor, Healthcare Fraud and Compliance, 2017- Present  

Children’s Hospital of Orange County, Orange, California, Health Information Management / Revenue Cycle - Provider Educator – Consultant, 2017 – Present

Ultimate Medical Academy, Tampa, Florida, Adjunct Professor, 2012 - Present

Saddleback College, Mission Diejo, California, Health Information Technology Professor, 2015 - 2017

Arizona Community Physicians, Tucson, Arizona, Director of Compliance, 2011 - 2014

Carondelet Health Network, Tucson, Arizona, Corporate Responsibility Auditor, 2010 - 2011

University of Physicians Healthcare, Tucson, Arizona, Compliance Liaison/Coding Manager/Interim Reimbursement Manager, University Physician Network, 2009 - 2010

San Juan Basin Technical College, Mancos, Colorado, Healthcare Management Professor, 2006 - 2009

Steven Bloink M.D. PC., Cortez, Colorado, Medical Practice Administrator, 1996 – 2005; Family Practice Associates, 1993 – 1996

EDUCATION

Alabama State University, Montgomery, Alabama, R.H.I.A., Post Graduate Program, Registered Health Information Administrator, 2015

Colorado Technical University, Colorado Springs, Colorado, Master of Business Administration, Healthcare Management, 2010

Michigan State University, East Lansing, Michigan, Bachelor of Science Degree, Public Affairs Management, Healthcare Emphasis, 2006

PROFESSIONAL CERTIFICATION, AFFILIATIONS, & BOARD MEMBERSHIPS

American Health Information, Registered Health Information Administrator, June 2015 – Present      

AHIMA, CHIA, GOCHIA, (RHIA) * Secretary of GOCHA, 2016 – Present

Health Care Compliance Association, Certified in Health Care Compliance, 2011 – Present, HCCA (CHC)

American Academy of Professional Coders, Certified Professional Compliance Officer, August 2017, AAPC (CPCO)

Certified Professional Coder (CPC) and Coder Instructor (CPC-1), Certified in ICD-10

American Academy of Professional Coders, 2008 - Present, AAPC (CPC/CPC-1)

American Medical Billing Association, Certified Medical Reimbursement Specialist, 2009 – Present, AMBA (CMRS)

Greater Orange County, California Health Information Assoc., (GOCHIA), Secretary, 2016 – Present

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 of the 2017 AAPC - CPCO Curriculum, November 2016

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

Automat:ee