Raeann Penick

• ADR review consultant. Review all ADR request for CMS, Medicare, Medicare Advantage, Worker's compensation, commerical, Medicaid and others.
• Review the medical record, organized and submit the medical records to portal, mail, or fax according to the request.
• Follow the claim until paid or denied. Complete discussions, dispute and appeals when qualifies.
• Provide audit findings when trends found to improve quality of care, compliance and revenue.

Open the first psychiatric geriatric hospital in Martin as DON. Later open hospitals in Columbia, Clarksville, Huntsville, AL and Memphis 2005-2014.

• DON with duty of education, in-service training, up dating P&P with CMS, CARF and Department Of Mental Health updates.
• Supervising staff and assisting with patient care and family support.
• Reviewing co-morbidities to increase patient's outcomes and proper revenue capture.
• 2009 -2014 Consultant for the facilities.

• Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
• Supervised and hired nursing staff, provided in-services, competencies.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

• Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
• Worked with therapy to meet the appropriate RUG scores.