Cheryl F. Ben-David is a medicare reimbursement and fraud & abuse compliance expert with more than 25 years of experience in the healthcare industry in clinical and consultancy roles. These roles include working with skilled nursing facilities, assisted living facilities, inpatient rehabilitation departments, home health, outpatient, hospice organizations and durable medical equipment.
Cheryl is an associate director and is regularly called upon by health law clients to provide subject matter expertise in matters involving fraud & abuse. This includes investigational clinical documentation reviews under attorney-client privilege and compliance audits of medical coding and billing records across the continuum. Her areas of expertise also include post-acute care clinical operations, post-acute readiness reviews, and compliance assessments of durable medical equipment services (DME) within the context of regulatory conformation. In addition, work flow analysis and process mapping. Moreover, she is a certified coding professional for medical and dental coding across the billing continuum, as well as a certified risk adjustment coder and has performed field force monitoring of Life Sciences companies under corporate integrity agreements.
Cheryl has performed post-acute care readiness assessments for skilled nursing facilities seeking to expand service offerings; performed multiple clinical documentation reviews for long term care organizations, continuing care retirement communities (CCRCs), and hospice and home care services to assess regulation conformity, assessments of operational efficiency and revenue opportunities for services rendered, as well as assist clients with medicare reimbursement appeals in New York State and New Jersey. She is experienced in working with rehab clinicians on program development and documentation, and has participated on large, multi-faceted engagements involving interdisciplinary teams.