Traci Creegan has over twenty years of healthcare and management experience focused on health information technology (IT) and regulatory compliance.
She utilizes her understanding of the complex health IT landscape to provide litigation support and advisory services to health IT developers, healthcare organizations (HCOs), payers, and counsel in alleged healthcare fraud, disputes and investigations, noncompliance matters, and mergers and acquisitions.
Ms. Creegan has extensive experience developing, testing, implementing, and marketing health IT software solutions that span all facets of healthcare, from individual specialized modules to integrated electronic health records (EHRs), in alignment with regulatory requirements. She has actively engaged with the programs and federal regulations mandated by the American Recovery and Reinvestment Act of 2009, Medicare Access and Chip Reauthorization Act of 2015, and 21st Century Cures Act of 2016. She has spent over a decade studying, interpreting, and translating federal regulations for clients to provide contextually appropriate advisory services. Ms. Creegan’s expertise focuses on the federal rules published by the Centers for Medicare & Medicaid Services (CMS) Promoting Interoperability (PI) Program (previously Meaningful Use and the EHR Incentive Program), the Office of the National Coordinator (ONC) Health IT Certification Program, and the Merit-based Incentive Payment System (MIPS).
Ms. Creegan has advised HCOs on developing and implementing strategic plans for achieving and maintaining compliance with annual PI, MIPS, and Clinical Quality Measure (CQM) requirements and educates the organizations on the risks of noncompliance.
Since the inception of the ONC Health IT Certification Program, Ms. Creegan has collaborated with and advised health IT developers on achieving certification, interpreting the certification criteria, performing gap analyses, developing software and workflow requirements, implementing standard nomenclature, utilizing industry-standard testing tools, leveraging industry forums, certification demonstration strategies, best-practice documentation requirements, and staff education.
Health IT developers and their counsel have engaged Ms. Creegan to assess compliance with the ONC Health IT Certification Program via documentation and certification audits. Her in-depth knowledge of the ONC HIT Certification Edition specific requirements and experience advising HCOs allow her to take a holistic approach to evaluating Health IT Certification compliance. Ms. Creegan’s expertise with all Certification Editions (2011, 2014, 2015, 2015 Cures Update) is essential in assessing a health IT developer’s compliance with a past Certification Edition as part of a US Department of Justice (DOJ) investigation.
Ms. Creegan regularly advises HCOs and payers regarding the effectiveness of their compliance and ethics programs. She utilizes her experience as a Certified Professional Compliance Officer (CPCO) and first-hand industry experience with complex and continually changing regulatory requirements to provide strategic advice to her clients.
Medical Information Technology
Corporate Strategy and Marketing, 2002-2015
American College of Healthcare Executives (ACHE), Member
Health Information Management System Society (HIMSS), Member
Health Care Compliance Association (HCCA), Member
American Association of Professional Coders (AAPC), Member
Certified Professional in Health Information and Management Systems (CPHIMS)
Certified Professional Compliance Officer (CPCO)
Areas of Expertise
East Carolina University
BS, Rehabilitation Service, 1998