Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelists
Diana Brijbag, CMM, CPC, CCP, CMSCS
Office Manager | The Springs Family Medical Center, P.A. | Springhill, FL
Diane has operated as the office manager for the Springs Family Medical Center,
P.A. located in Spring Hill (Tampa) Florida, for over 20 years. Prior to this, she worked
for Medicare Part B. She is a member of the Professional Association of Health Care
Office Managers (PAHCOM) and a PAHCOM Certified Medical Manager (CMM).
Read Complete Biography
Laurie Darst
Revenue Cycle Regulatory Advisor | Mayo Clinic | Rochester, MN
Laurie is a Regulatory Advisor for Revenue Cycle at Mayo Clinic in Rochester, MN.
Her primary focus is administrative simplification mandates impacting Mayo Clinic’s
Revenue Cycle and EDI activities.
Read Complete Biography
Joseph Gonzalez
VP Business Development | Secure EDI | Charlotte, NC
Joseph served as the primary consultant for initiatives with the nation’s leading
companies in financial, healthcare and clinical data verticals. These include financial
institutions, healthcare clearinghouses, practice management vendors, EMR vendors,
labs, and related technology firms.
Read Complete Biography
Mary Rita Hyland, RN, BS, MBA
CPO & VP Regulatory Affairs | The SSI Group, Inc. | Mobile, AL
Mary has over 35 years of professional experience in the health care industry
which includes Hospital Administration, Physician Practice Management, Payer,
Clearinghouse and Vendor IT organizations as well as consulting for hospitals
nationally.
Read Complete Biography
Gale Scott
EDI Regulatory Compliance Administrator | Department of Information Technology | Tampa General Hospital
As the EDI Regulatory Compliance Administrator for Tampa General Hospital, Gale
has been responsible for HIPAA EDI development at Tampa General Hospital since
January 2003.
Read Complete Biography
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelists
Deborah Stewart, M.D.
Medical Director, Provider and Client Solutions | Florida Blue, Jacksonville, FL
Dr. Stewart joined Florida Blue in the spring of 2012 as a Medical Director for
Provider and Client Solutions. In her role, Dr. Stewart manages relationships with
providers including helping practices transform into PCMH (Patient Centered Medical
Homes) and ACO (Accountable Care Organizations).
Read Complete Biography
Matthew Ketterman
®
Director of Business Solutions | Availity , L.L.C., Jacksonville, FL
As Director of Business Solutions for Availity1, which operates one of the nation’s
largest health information networks, Matthew is responsible for developing and
managing the execution of product strategy for health plans and vendors.
Read Complete Biography
Lee Ratliff
Clinical Business Technology Consultant | Baptist Health South Florida, Miami, FL
Lee is currently employed with Baptist Health South Florida as a clinical business
technology consultant for ICD-10 planning and implementation. Prior to this, Lee
was involved in HIPAA 4010 implementation and 4010 to 5010 migration at a number
of hospitals.
Read Complete Biography
George V. Vancore, Jr.
Senior Manager | Mandates and Compliance Portfolio | Delivery Systems | Florida Blue, Jacksonville, FL
George has been with Florida Blue for over 19 years. In his current role, he is
responsible for ensuring the successful technical and business process integration
and implementation of external regulatory mandates and compliance programs.
Read Complete Biography
1
Availity®, L.L.C. is a multi-payer joint venture company. For more information or to register, visit Availity’s website at
www.availity.com.
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelist
Diana Brijbag, CMM, CPC, CCP, CMSCS
Office Manager | The Springs Family Medical Center, P.A. | Springhill, FL
Diane has operated as the office manager for the Springs Family Medical Center,
P.A. located in Spring Hill (Tampa) Florida, for over 20 years. Prior to this, she worked
for Medicare Part B. She is a member of the Professional Association of Health Care
Office Managers (PAHCOM) and a PAHCOM Certified Medical Manager (CMM).
In 2001, Diane was nominated for and secured the title of National (PAHCOM) Office
Manager of the Year. Additionally, Diane is a National Certified Coder through the
American Academy of Professional Coders (AAPC), and a Local member, nationally
certified as a Multi-Specialty Coding Specialist (CMSCS) from the Professional
Association of Healthcare Coding Specialist (PAHCS), and a Certified Compliance
Professional – Physician (CCP) from the Board of Medical Specialty Coding and
Compliance (BMSCC).
In 2002, Diane founded and worked as president of the Nature Coast Chapter of
PAHCOM, currently the Spring Hill Chapter. She’s served on the PAHCOM Spring
Hill Chapter board for 12 years and has since resigned to focus on the challenges of
ICD-10 and Meaningful Use Attesting, achieving compliance for her office, and sitting
for her HITECH-PP certification.
Return to Page 1
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelist
Laurie Darst
Revenue Cycle Regulatory Advisor | Mayo Clinic | Rochester, MN
Laurie is a Regulatory Advisor for the Revenue Cycle at Mayo Clinic in Rochester,
MN. Her primary focus is administrative simplification mandates impacting Mayo
Clinic’s Revenue Cycle and EDI activities. Laurie actively participates in a number
of national standard setting organizations including: ANSI X12N, National Uniform
Claim Committee (NUCC), National Uniform Billing Committee (NUBC), and HL7
Attachments Workgroup. She currently serves on the Workgroup for Electronic
Data Interchange (WEDI) Board of Directors Executive Committee, co-chairs WEDI’s
ICD-10 Workgroup and serves as Vice Chair of WEDI’s Programs and Services. At a
state level, Laurie is currently serving as co-chair of the MN Administrative Uniformity
Committee and is also actively involved with the MN Payer/Provider ICD-10
Implementation Collaborative Committee.
Return to Page 1
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelist
Joseph Gonzalez
VP Business Development | Secure EDI | Charlotte, NC
Joseph served as the primary consultant for initiatives with the nation’s leading
companies in financial, healthcare, and clinical data verticals. These include financial
institutions, healthcare clearinghouses, practice management vendors, EMR vendors,
labs, and related technology firms. In addition to professional responsibilities,
Joseph has held leadership roles with industry driving organizations. He has served
as Vice Chairman and Trustee of the Board of Directors to the National Dental EDI
Council, Has chaired or co-chaired committees and workgroups within Workgroup
for Electronic Data Interchange (WEDI), Center Affordable Quality Healthcare’s
CORE initiative and the Electronic Healthcare Network Accreditation Commission
(EHNAC). Joseph currently serves as President of the Cooperative Exchange’s
Executive Committee. In the past, Joseph has been a featured speaker on 4010/5010
transaction transition, innovations in electronic remittance, and authored white
papers on clinical data and electronic medical record strategies and solutions.
Return to Page 1
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelist
Mary Rita Hyland, RN, BS, MBA
CPO & VP Regulatory Affairs | The SSI Group, Inc. | Mobile, AL
Mary has over 35 years of professional experience in the healthcare industry
which includes Hospital Administration, Physician Practice Management, Payer,
Clearinghouse and Vendor IT organizations as well as consulting for hospitals
nationally. She currently serves as the Chief Privacy Officer and Vice President
of Regulatory Affairs for The SSI Group, Inc., a leader in claims management
technology, EDI platforms and networking clearinghouse and revenue cycle data
analytics software. Over the past eleven years, Ms. Hyland provided expertise and
strategic direction for corporate regulatory initiatives and chairs the HIPAA Task
Force as well as leading initiatives for EHNAC, SSAE 16, CORE/CAQH, HFMA Peer
Review certification, as well as governmental and non-governmental audits. Mary
is an active participant in establishing national standards for health information
technology, interoperability, health information exchange, and the HIT Tiger
Teams for Privacy and Security and Data Architecture. She is a speaker at national
conferences and events that include HIMSS, WEDI, The World Health Care Congress,
National Women Legislators, AHIMA, MGMA, HFMA, HBMA, AAHAM and more.
Return to Page 1
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelist
Gale Scott
EDI Regulatory Compliance Administrator | Department of Information Technology | Tampa General Hospital
As the EDI Regulatory Compliance Administrator for Tampa General Hospital,
Gale has been responsible for HIPAA EDI development at Tampa General Hospital
since January 2003. Highlights of her experience include seven years as Director
of Management Information Systems for a hospital system, 13 years of healthcare
consulting with a focus on revenue cycle improvement and many years of direct
operational and system involvement within the hospital information technology and
financial areas.
Gale has been an active member of ASC X12N since 2003 with emphasis on the
837 and 835 workgroups. She’s been an active member of WEDI (Workgroup for
Electronic Data Interchange) since 2003 with direct involvement in several workgroups
as well as serving on the WEDI NPI Outreach Initiative Steering Committee. Gale
is frequently called upon to present at various industry organizations and she has
written for several industry publications.
Return to Page 1
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelist
Deborah Stewart, M.D.
Medical Director, Provider and Client Solutions | Florida Blue, Jacksonville, FL
Dr. Stewart joined Florida Blue in the spring of 2012 as a Medical Director for
Provider and Client Solutions. In her role, Dr. Stewart manages relationships with
providers including helping practices transform into PCMH (Patient Centered
Medical Homes) and ACO (Accountable Care Organizations). Responsibilities
include programmatic and organizational focus on health care disparities. She is also
responsible for working with sales and the network team on client relationships to
provide clinical information to improve outcomes for members and employers. As
part of the quality function, Dr. Stewart participates in several work groups charged
with performance improvement and is chair of the credentialing and peer review
committee for the organization.
Previously, she served as Executive Vice President for Diversified Clinical Services,
the largest wound care and hyperbaric medicine management company in the
country with over 350 clinics in more than 40 states and Puerto Rico. During her
tenure at Diversified she managed physician relations, clinical education and quality
of services. Before Diversified, Dr. Stewart served as CMO at Brooks Health System,
a rehabilitation-focused health system in Jacksonville, Florida which has the largest
acute inpatient rehabilitation hospital in the southeast, is among the largest in the
country and offers all levels of rehabilitation services. Dr. Stewart has an appointment
as a courtesy Clinical Associate Professor of Aging and Geriatric Medicine at the
University of Florida. She has authored numerous peer reviewed articles, book
chapters, and presented hundreds of lectures nationally and regionally. She is board
certified in physical medicine and rehabilitation and trained in internal medicine.
Dr. Stewart has practiced medicine for more than 25 years. She obtained an MBA
at Auburn University in 2005.
Return to Page 2
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelist
Matthew Ketterman
®
Director of Business Solutions | Availity , L.L.C., Jacksonville, FL
As Director of Business Solutions for Availity1, which operates one of the nation’s
largest health information networks, Matthew is responsible for developing and
managing the execution of product strategy for health plans and vendors. Prior to
leading the Business Solutions group, Matthew served in various technical roles at
Availity, most recently as Director of Implementation Services.
Matthew began his health care IT career in 1994 at Rocky Mountain Health Care
Corporation where he was responsible for marketing and technical support for EDI
solutions. He has served in many advisory roles in the insurance and health care
industries, spanning technical, project, product and sales roles. He has been active
in numerous industry groups, including ANSI X12N and the Workgroup for Electronic
Data Interchange (WEDI).
Matthew graduated from the University of New Mexico with a bachelor’s degree in
Marketing Management. He resides in Jacksonville, Florida.
Return to Page 2
1
vaility®, L.L.C. is a multi-payer joint venture company. For more information or to register, visit Availity’s website at
A
www.availity.com.
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelist
Lee Ratliff
Clinical Business Technology Consultant | Baptist Health South Florida, Miami, FL
Lee is currently employed with Baptist Health South Florida as a clinical business
technology consultant for ICD-10 planning and implementation. Prior to this, Lee
was involved in HIPAA 4010 implementation and 4010 to 5010 migration at a number
of hospitals.
Lee has over 25 years of healthcare industry experience that has included many
levels and areas of responsibility such as project management, strategic planning,
contract negotiation, RFP management, vendor relations, policies and procedures,
regulatory compliance, clinical systems, revenue cycle management systems,
technical support and end-user support.
Return to Page 2
900-4162-1213
Open Line Friday: ICD-10 Edition Provider Teleconference Series
Program Panelist
George V. Vancore, Jr.
Senior Manager | Mandates and Compliance Portfolio | Delivery Systems | Florida Blue, Jacksonville, FL
George has been with Florida Blue for over 19 years. In his current role, he is
responsible for ensuring the successful technical and business process integration
and implementation of external regulatory mandates and compliance programs.
George’s primary emphasis is on defect-free systems, technical infrastructure and
business process integration. His role also includes external third-party readiness
and assessment and the strategic development, delivery and support for integration
testing and migration of external electronic trading partners, delegated entities,
physicians, providers and customers. Prior to his tenure with Florida Blue, George
was employed by several other Fortune 500 companies including AT&T, WarnerLambert, Nabisco, and RJ Reynolds where he held various IT related positions.
George holds an undergraduate degree in Computer Science with a minor in
Mathematics from State University College at Potsdam New York. He is currently a
2012 candidate for his Master’s Degree in Information Technology from the University
of North Florida.
Return to Page 2
900-4162-1213