Meredith Rarus assists clients in assessing the risk of healthcare entities based on their coding, billing, and documentation.

She has extensive experience providing strategic consulting and litigation support to healthcare payors, providers, and suppliers, as well as law and private equity firms. Ms. Rarus has performed financial, economic, operational, and regulatory analyses to review the compliance risk of acquisition targets, providers under government investigation, and in the capacity as an appointed independent review organization. She has comprehensive knowledge of the claim billing, coding, submission, and reimbursement process, as well as applicable industry benchmarks. Additionally, Ms. Rarus uses years of data management and analysis experience to identify potential risk areas and provides clients with meaningful, accessible, and actionable results and recommendations.

Ms. Rarus is Certified in Healthcare Compliance (CHC) and is a Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), and Certified Hematology and Oncology Coder (CHONC). She has evaluated provider compliance programs to assess their adherence to government recommendations for effective compliance programs. Additionally, she has reviewed thousands of patient medical records and claims submitted to both government and private payors. The services analyzed have included hospice, emergency medicine, home health, laboratory, radiology, surgery, ophthalmology, dermatology, orthodontics, behavioral health, medication-assisted treatment (MAT), durable medical equipment (DME), and physical therapy.

Ms. Rarus has a master’s degree in economic analysis and bachelor’s degree in math and economics from DePaul University.

Employment History

The Parliament of Ireland
Research analyst
2009

Professional Affiliations

Health Care Compliance Association (HCCA)

American Academy of Professional Coders (AAPC)

Credentials

Certified in Healthcare Compliance (CHC)

Certified Professional Coder (CPC)

Certified Risk Adjustment Coder (CRC)

Certified Hematology and Oncology Coder (CHONC)

Community/Civic Involvement

Big Brothers Big Sisters of America

Areas of Expertise

Education

DePaul University
MS, Economics and Policy Analysis
BA, Mathematics and Economics