Michael B. Falstreau Jr.

Serve in a dual leadership and clinical capacity, functioning simultaneously as the organization’s Director of Compliance and Code of Ethics Officer and as a Certified Addiction Counselor, providing both executive-level compliance oversight and direct clinical services within licensed substance use disorder treatment programs.

Director of Compliance

• Act as the organization’s designated authority for compliance, ethical governance, and documentation integrity across detox, residential, PHP, and IOP services.
• Strengthened audit readiness and documentation defensibility across all levels of care by 80% while reducing compliance risk through standardized monitoring and corrective action systems.
• Lead enterprise-wide compliance auditing programs focused on documentation timeliness, accuracy, medical necessity, and payer defensibility.
• Oversee CARF readiness activities, internal reviews, corrective action planning, deficiency remediation, and executive reporting.
• Conduct high-risk payer audits and retrospective chart reviews; identify systemic deficiencies and coordinate rapid remediation strategies.
• Develop and enforce documentation integrity standards to prevent cloning, backdating, misrepresentation, and incomplete records.
• Establish and enforce organizational Code of Ethics policies, ensuring ethical clinical practice and anti-fraud safeguards.
• Design and deploy standardized compliance tools including audit trackers, acknowledgment forms, retraining protocols, and monitoring systems.
• Lead mandatory staff training on documentation standards, late entry protocols, utilization review alignment, and audit preparedness.
• Serve as primary liaison between executive leadership, clinical directors, HR, and external auditors to protect licensure, accreditation, and reimbursement.

Certified Addiction Counselor

• Provide direct clinical services including individual and group counseling for individuals with substance use and co-occurring disorders.
• Conduct comprehensive biopsychosocial assessments, ASAM-aligned evaluations, and individualized treatment planning.
• Apply trauma-informed, evidence-based modalities including motivational interviewing and relapse prevention strategies.
• Collaborate with interdisciplinary teams (medical, nursing, case management, psychiatry) to ensure cohesive, clinically appropriate care.
• Document clinical services in accordance with regulatory, ethical, and payer standards to support medical necessity and continuity of care.
• Support clients in recovery through therapeutic engagement, treatment goal development, and discharge planning.

• Supervised front desk operations and a team of Patient Access Representatives, ensuring workflow efficiency and high-quality patient service.
• Tracked and reported KPIs including registration accuracy, insurance verification turnaround, and patient wait times by 36% in the first 6 months.
• Led onboarding and training of new staff, ensuring compliance with hospital policies and HIPAA requirements.
• Verified commercial and federal insurance coverage and communicated benefits clearly to patients.
• Collaborated with clinical providers to support coordinated patient care and accurate registration processes.
• Led patient registration processes to ensure accurate capture of demographic and insurance information.
• Mentored junior staff on best practices for patient access and compliance with regulatory standards.

• Collected and entered patient demographic and insurance data to establish accurate medical records.
• Assisted patients with financial counseling and referrals to state and federal assistance programs.
• Supported reduction of accounts receivable through adherence to registration and billing procedures.
• Provided administrative support to clinical staff and ensured completion of patient documentation.
• Managed patient registration processes, ensuring accuracy and compliance with hospital policies by 85%.
• Facilitated insurance verification and eligibility checks to expedite patient access services.