Leadership Team

Photo of  Michael T. Dougherty

Michael T. Dougherty

CEO

Phone: (313) 434-4934

Profile

Michael is the founder and Chief Executive Officer of Provident and is a nationally recognized consulting professional. Prior to founding Provident, Michael led the ICD-10 Services practice for a national healthcare consulting firm integrating extensive healthcare performance improvement and technology experience in Revenue Cycle, Clinical Documentation, and Health Information Systems. He was also the national practice leader for the Compliance & Investigations practice which provided comprehensive solutions for healthcare organizations and their legal counsel, addressing all aspects of compliance, governance, risk management, audits, investigations, and litigation.

 

 

Photo of  Valerie S. Reich

Valerie S. Reich

Professional Services, Senior Vice President, Compliance Officer

Phone: (312) 835-9446
(312) 835-9446

Profile

Practice Focus
Valerie has broad experience advising a variety of healthcare providers including health systems, hospitals, hospices, nursing homes, third-party billing companies, laboratories and home health agencies on regulatory compliance, government investigations and transactions.  Valerie has managed numerous projects related to regulatory compliance, compliance program effectiveness, federal and state fraud investigations, document review, self-disclosure analysis, drafting and implementing corporate integrity agreements, performing independent review organization services, HIPAA/HITECH compliance, due diligence, enterprise risk assessments and ICD-10 implementation.  Valerie’s varied experience provides clients with operational solutions to complex regulatory matters.

Practice Areas

  • Compliance Program Assessments
  • Best Practices for Compliance Programs
  • ICD-10 Services
  • Post ICD-10 Compliance
  • Healthcare Investigations and Litigation Support
  • Ensuring HIPAA and HITECH Compliance
  • Accountable Care Organizations Implementation and Compliance
  • Implementation of Healthcare Reform Reimbursement Models
  • 501(r) Compliance
  • Stark and Anti-Kickback Statute Compliance
  • Corporate Integrity Agreement Services
  • Sentinel Events – Data Analytics and Process Improvement
  • Enterprise Risk Management
  • Ensuring Repayment Compliance

 Education

  • Juris Doctor, DePaul University College of Law, Health Law Certificate
  • Bachelor of Science, Food Science and Human Nutrition, Chemistry

Professional Associations

  • American Health Lawyers Association
  • Health Care Compliance Association
  • American Bar Association – Health Law Section

Representative Engagements

  • Key team member in the ICD-10 work group having assisted major health systems with various ICD-10 initiatives including, training and education, payer readiness, systems readiness, and operational impacts
  • Assess organization’s ability to identify and remediate sentinel events and provide recommendations for root cause analyses and mitigation efforts
  • Assist ACOs with developing infrastructure in compliance with federal recommendations and creating tools for tracking and reporting quality measures
  • Develop policies and processes to assist healthcare organizations with responding and appealing RAC requests/findings
  • Perform compliance program effectiveness assessments for major health systems, physician groups, laboratories, hospice, nursing homes and home care identifying strengths, opportunities for improvements and providing recommendations based on best practices and federal and state guidance
  • In collaboration with outside counsel, assisted with investigations related to length of stay, Stark compliance and E&M levels
  • Play a key role in our credentialing and privileging assessment work stream assessing compliance with state and federal law as well as Joint Commission standards
  • Assist general counsels with meeting Corporate Integrity Agreement obligations as related to policies and procedures, training and education, and the overall compliance program
  • Act as the Independent Review Organization for a corporation that owns and operates 21 skilled nursing facilities
  • Assess health systems compliance with research billing rules and regulations
Photo of  Ben Sayabovorn

Ben Sayabovorn

Clinical Documentation and Education Services, Senior Manager

Phone: (917) 589-0704

Profile

Practice Focus
Ben has over 10 years experience with health information management, inpatient coding, and clinical documentation improvement.  He was the ICD-10 Education Workstream lead for multiple large hospitals systems across the U.S where he developed and implemented ICD-10 education for providers, coders, nurses, and other hospital staff. He currently specializes in CDI implementations, inpatient auditing, and physician education.  Prior to joining Provident (formally a part of Huron), Ben was an Associate Director at Navigant where he was a project manager and lead trainer for various clinical documentation improvement program implementations and an inpatient auditor utilizing the MS, AP, and APR DRG methodologies.

Practice Areas

  • ICD-10 Services
  • Post ICD-10 Compliance
  • Billing and Coding Compliance
  • Compliance Auditing
  • Physician and Coder Clinical Documentation Training
  • MS-DRG and APR-DRG compliance audits

Education

  • B.A., English, Rutgers University, Rutgers College, Piscataway, NJ
  • A.A.S., Health Information Technology, Borough of Manhattan Community College, NY, NY

Certifications

  • Certified Coding Specialist, American Health Information Management Association
  • Registered Health Information Technician, American Health Information Management Association
  • AHIMA Approved ICD-10-CM/PCS Trainer

Professional Associations

  • Member, American Health Information Management Association
  • Member, American Academy of Professional Coders

Representative Engagements

  • Education and Staff Retention workstream lead at large multi-facility hospital system
  • Lead of CDI turnaround project resulting in $1.2M annual revenue gain
  • Lead trainer for a regional clinical documentation improvement program implementation
  • APR DRG coding reviewer identifying monthly revenue opportunities of $50K -$100K
Photo of  Cindi Watson

Cindi Watson

Revenue Integrity and Compliance Audit Services, Senior Auditor

Phone: (412) 925-0944
(412) 925-0944

Practice focus

Cindi is part of our Clinical Documentation Assessment team and has over 22 years of experience assisting academic medical centers, hospitals, and physician practice groups with ICD-9 coding compliance audits. She is currently involved with ICD-10 readiness assessment and implementation projects including assessments of coder, physician and clinician training needs.

She specializes in Clinical Documentation Improvement (CDI), MS-DRG and APR-DRG compliance audits, and physician education. She has experience in deliberating the RAC appeal process along with the Keystone Peer Review organization (KEPRO).  She was recently consulted to assist in the development of an automated concurrent CDI program with a large health system in western Pennsylvania.

Practice Areas                                                                                                                                                                                  

  • Clinical Documentation Improvement
  • MS-DRG, APR-DRG compliance audits
  • ICD-10

Education and certifications

  • Associates Degree in Health Information Management
  • Registered Health Information Technology (RHIT)
  • Certified Coding Specialist (CCS)

Professional Associations                           

  • American Health Information Management Association
  • Western Pennsylvania Health Information Management

Representative Engagements:

  • In-depth review of MS-DRG payers (Medicare and commercial)
  • Collaborated with physicians, CDI specialists, and coding staff for MS-DRG accuracy
  • Analyzed remittance advices to create a focused audit list for optimum reimbursement
  • Educated CDI specialists and coders on monthly audit results including documentation improvement areas and financial impact
Photo of  Cathy Straub

Cathy Straub

Revenue Integrity and Compliance Audit Services, Senior Auditor

Phone: (412) 463-2761
(412) 463-2761

Practice Focus

Cathy is a part of Provident’s Clinical Services Group and has over 25 years of experience in health information management, inpatient coding, hospital/facility outpatient coding and DRG auditing. She is currently involved with ICD-10 DRG auditing and assessments of coder, physician and clinical training needs.

Cathy specializes in Clinical Documentation Improvement, MS-DRG compliance audits and coder education. She has proficiency in ICD-10-CM/PCS and CPT-4 coding systems, and is a member of the educational advisory board for the Health Information Technology (HIT) program at CCAC in Pittsburgh.

Practice Areas

  • Clinical Documentation Improvement
  • MS-DRG compliance audits
  • ICD-10
  • Coding compliance

Education and certifications

  • Associate Degree in Health Information Management
  • Registered Health Information Technology (RHIT)
  • Certified Coding Specialist (CCS)

Other Professional Accomplishments

  • AHIMA Approved ICD-10-CM/PCS Trainer

Professional Associations

  • American Health Information Management Association (AHIMA)
  • Pennsylvania Health Information Management Association (PHIMA)
  • Western Pennsylvania Health Information Management Association (WPHIMA)

Representative Engagements

  • ICD-10 clinical documentation improvement assessments
  • Assistance with development of clinical training tools for coder and physician education