About Our Company
Performant Recovery works with government and private organizations that outsource the identification of overpayments and underpayments to agencies whose core competencies are in the efficient and thorough examination and resolution of healthcare related assets. Performant Recovery is dedicated to providing organizations that have practical consideration for not just the immediate identification of underpayments and overpayments that may have resulted from erroneous, fraudulent, or wasteful procedures, but also aim to successfully recover all necessary overpayments within a set timeframe and budget. Performant Recovery can also provide other professional services related to the recovery effort, including reporting capabilities, support services, and stakeholder training programs meant to mitigate future instances of improper payments.
Performant Recovery employs specialized processes to ensure that improper payments are quickly identified and resolved in a fair and equitable manner for all parties involved. Performant Recovery also helps promote outreach efforts and forums to apprise the public and healthcare providers of the nature of a particular program and to gain their understanding and cooperation in determining the correct outcome of the disbursement of payments.
Prior to the release of the most recent competitive Recovery Audit Contract bid, Performant Recovery was awarded a three-year contract for the Medicare Secondary Payer (MSP) RA Demonstration contract of California by the Center for Medicare & Medicaid Services (CMS). In a final report, an independent committee found that Performant Recovery was responsible for over 90% of the dollars recovered by recovery specialists for the MSP RA demonstration.
In 2008, Performant Recovery received the CMS Recovery Audit (RA) award based on its familiarity with CMS and its proven track record of quick and thorough recovery efforts. Under the RA contract, Performant Recovery will assist providers in reducing Medicare improper payments, and help eliminate waste and abuse within the Medicare program.
Roxanne Cooksey, Interim Project Director
Roxanne Cooksey is the Interim Project Director for RA Region A. Roxanne has over 10 years of experience in the healthcare industry. During this time, she has managed and directed special projects and implementations. She has a strong track record of managing timely, complete, and accurate project deliverables as it relates to adherence to policy, regulatory compliance, contracts and statements of work. She continues to oversee the RA Healthcare Operations and Customer Service team in the San Angelo office and is actively involved in supporting Audit Delivery Functions. Overall, Ms. Cooksey is responsible to ensure the implementation of the RA contract meets CMS requirements and the development of a good working relationship with all interested parties.
Moira T. Dolan, M.D.
Moira T. Dolan, M.D. serves as Chief Medical Officer for Performant Recovery, Inc., the Medical Recovery Auditor (RA) for Region A in the Northeast United States. She has served as a Recovery Audit Contractor Medical Director in the past, conducting audits in three regions of the country. Dr. Dolan has been a State Affiliated Medical Consultant in Texas for the Social Security Administration's Disability Determination Program, and also for the Texas Office of the Inspector General's Medicaid Integrity Program.
Dr. Dolan attended the University of Illinois, Abraham Lincoln School of Medicine in Chicago and completed her residency training at Illinois Masonic Medical Center. She is certified by the American Board of Internal Medicine.
As a Medical Director, Dr. Dolan oversees the development of new audit issues, interprets policy and acts as liaison with the CMS and other contractors. In addition, she directs medical case review and supervises the quality assurance program.
Deborah Wilhelm, RN
Deborah Wilhelm, a registered nurse and certified medical coder, leads the Performant Recovery Healthcare New Issue Development Team. Ms. Wilhelm has a proven track record of leading a virtual team. She is an expert in the Medicare program, including interpreting regulations, policy requirements, claims processing editing, and management of projects and day-to-day operations. Ms. Wilhelm has thorough knowledge of CPT, HCPCS and ICD-9-CM coding and certified ICD-10-CM and ICD-10-PCS trainer. She also has experience as a Clinical Research Coordinator.