Dr. Ben-David is the Chief Operating Officer at Celtic Consulting, LLC. She is a clinician who brings over two decades of experience, having worked in the highly regulated environment of healthcare within the US, with a focus on Compliance across, billing, reimbursement, pharmaceutical promotion, and privacy. Her areas of expertise include: Healthcare Regulatory Compliance, Revenue & Profitability Growth, Litigation Support & Investigations, Process Improvements, Efficiency, Medicare Parts A & B, HR Counsel & Advisory, Training & Leadership Mentoring, Rehabilitation Program Oversight, Team Leadership & Motivation, and Workflow Analysis. Cheryl is a Doctor of Physical Therapy, Certified Health Care Compliance (CHC), Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC) and Certified Dental Coder, (CDC).
Combining her clinical, operational and compliance background, Cheryl has supported clients, and their counsel, to address:
- Medicare reimbursement appeals
- Compliance matters
- Independent Review Organization (IRO) monitorship
- Workflow Analysis
- Performance Improvement Plans
- Documentation Training
Cheryl’s work products have been used to achieve substantial reduction of settlement amounts, as well as favorably influence redetermination decisions of denied claims.
Investigational clinical documentation reviews performed under attorney-client privilege have assisted:
- Skilled Nursing Facilities (SNF)
- Hospice Agencies
- Home Health Agencies (HHA)
- Outpatient Therapy Clinics
- National Dental Clinics
- Durable Medical Equipment Providers (DME)
Compliance audits of medical coding and billing records across the post-acute health care continuum, dental coding, and durable medical equipment services, have helped clients:
- Defend against allegations of improper billing
- Modify related policies and procedures
Cheryl’s clients have turned to her as a trusted advisor – supporting business decisions in the context of both pro-active and reactive compliance engagements. The result of sustaining meaningful interactions across client’s organization levels and service lines.