WebEXpert Call Information

JoNell Moore, RN
Principal, Health Care Services, Eide Bailey

Knowledge and Experience

• More than 34 years of health care experience, including nine years at Blue Cross Blue Shield of North Dakota in the positions of Medical Review Examiner, Supervisor of Medicare Claims Processing and Provider Education Departments, which involved the management of personnel and workloads, process improvements and quality and internal controls.
• Supervisor of the Medical Patterns of Care Project funded by the Health Care Financing Administration (HCFA), a claim review system that linked procedures to diagnoses. Position involved organizational planning, facilitation and arbitration for individuals with diverse and conflicting views.
• Licensed Registered Nurse for 34 years with clinical experience in surgery, medical, neurological, rehabilitation units, coronary care and intensive care units.
• Specializes in consulting and training of providers regarding Medicare and other third-party payer regulations, coverage, reimbursement, litigation support, corporate compliance programs, compliance audits, documentation requirements in the areas of hospital, swingbed, rural health clinics, skilled nursing facilities, dialysis, DME and UB-04 coding and billing procedures.
• Extensive experience in chargemaster/cost report reviews particularly in the areas of compliance, risk assessment, charge generation, coding, billing and payment processes.