Jacqueline Bloink is a Bates Consulting and Testify Expert and a Healthcare veteran, with nearly thirty years’ industry experience in diverse roles, including administration; coding and billing manager at a physician teaching hospital; corporate responsibility auditor for a large healthcare network; and compliance director for the largest healthcare provider group in Arizona and an educator to universities.
Ms. Bloink holds an MBA in Healthcare Management and is a Registered Health Information Management Administrator (RHIA) – the highest credential offered by the American Health Information Management Association. She is also certified in Healthcare Compliance (CHC and CPCO), Professional Coder (CPC and Instructor CPC-I), Medical Reimbursement Specialist (CMRS) and a Fraud Examiner (CFE.) Ms. Bloink also teaches university-level courses in healthcare fraud, anti-fraud techniques and compliance, as well as classes in medical coding and billing.
An accomplished Healthcare Compliance Consultant, Ms. Bloink has extensive medical coding, reimbursement, fraud, and compliance expertise, which she uses to consult and provide expert witness testimony on healthcare matters involving healthcare compliance, provider education, documentation analysis, forensic medical coding and billing to identify and prevent healthcare fraud to companies.
She is an industry educator with talent for training and qualifying healthcare professionals, conducting coding audits, analyzing, restructuring, and implementing provider compliance programs, and supporting data transparency, integrity, and multi-agency compliance. Her consulting work has provided additional experience as a Telehealth Compliance Officer, Provider Educator for a large children’s hospital and Designs Provider/Patient Programs for a national healthcare organization. In her work as a Reimbursement Analyst, Ms. Bloink introduced continuous process and program improvements, optimizing system quality, and facilitating efficient reimbursement and funds recovery processes.
Ms. Bloink has been Consulting since 2013 and an Expert Witness since 2016. Her experience in over 50 cases include: working with providers under a Corporate Integrity Agreement CIA, DME False Claim allegations, IRF False Claims, Rural Health and FQHC Compliance Consultant, Provider Compliance Program Design, Reverse False Claims, Medicaid False Claim allegations, Major Commercial Insurance False Claims allegations, Usual-Customary-Reasonable- (UCR calculations), EMR Evaluation System Failure Evaluation, 3rd Party Billing Fraud Allegations, Evaluation and Analysis of Practice Coding Trends - to name just a few types of healthcare delivery settings. She is a dedicated professional with an unrelenting focus on process and compliance integrity and performance excellence.
A published author and national speaker, Ms. Bloink is well versed on the topic of healthcare compliance and fraud. She has been a co-presenter along with CMS and the OIG on the topic of Healthcare Compliance (2014) and Co-contributor / author of the American Academy of Professional Coders (AAPC) 2017 Compliance curriculum. In 2017, she assisted Association of Certified Fraud Examiners (ACFE) with the implementation of the international Healthcare Fraud Discussion Forum. Ms. Bloink is currently an adjunct Professor of Healthcare Fraud and Compliance at the University of Arizona.
Jacqueline is a consultant and subject matter expert in these Practice Areas and Services:
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AML & Financial Crimes
- Forensic Accounting
- Healthcare
Credentials
EXPERIENCE
Bates Group LLC, Consulting and Testifying Expert, 2018 - Present
Jacqueline Bloink, LLC, CEO, Healthcare Compliance & Medical/Billing Documentation Consultant, San Clemente, CA, 2010 - Present
Expert Witness, Nationally, Healthcare Fraud, UCR Analysis, Forensic Medical Coder, Medical Biller, Medical Documentation, Compliance Specialist, Revenue Cycle/Billing Expert - Litigation Support, 2016 – Present
TeleMed2U, Compliance Officer – Consultant, Roseville, CA, 2018 – Present
Adventist Health System, Provider Educator and Operations Consultant, Central Valley Network, CA, 2018 – Present
University of Arizona, Sociology Department, Adjunct Professor, Healthcare Fraud and Compliance, Tucson, AZ, 2017- Present
Children’s Hospital of Orange County, Health Information Management / Revenue Cycle - Provider Educator – Consultant, Orange, CA, 2017 – Present
Ultimate Medical Academy, Adjunct Professor, Tampa, FL, 2012 - Present
Saddleback College, Health Information Technology Professor, Mission Diejo, CA, 2015 - 2017
Arizona Community Physicians, Director of Compliance, Tucson, AZ, 2011 - 2014
Carondelet Health Network, Corporate Responsibility Auditor, Tucson, AZ, 2010 - 2011
University of Physicians Healthcare, Compliance Liaison/Coding Manager/Interim Reimbursement Manager, University Physician Network, Tucson, AZ,2009 - 2010
San Juan Basin Technical College, Healthcare Management Professor, Mancos, CO, 2006 - 2009
Steven Bloink M.D. PC., Cortez, CO, 1993 – 2005; Medical Practice Administrator, 1996 – 2005; Family Practice Associates, 1993 – 1996
EDUCATION
Post Graduate Program, Registered Health Information Officer (RHIA), Alabama State University, Montgomery, AL
Master of Business Administration (MBA), Healthcare Management, Colorado Technical University, Colorado Springs, CO
Bachelor of Science (BS), Public Affairs Management, Healthcare Emphasis, Michigan State University, East Lansing, MI
PROFESSIONAL CERTIFICATION, AFFILIATIONS, & BOARD MEMBERSHIPS
ACFE (CFE), Certified Fraud Examiner, Association of Certified Fraud Examiners, 2016-Present
- Specializing in Healthcare Fraud.
AHIMA (RHIA), Registered Health Information Administrator, American Health Information, June 2015 – Present
- 2019-2020 Chapter President of Greater Orange County Health Information Association (GOCHIA)
HCCA (CHC), Certified in Health Care Compliance, Health Care Compliance Association, 2011 – Present
AAPC (CPCO), Certified Professional Compliance Officer, American Academy of Professional Coders, August 2017
(CPC) Certified Professional Coder and (CPC-1) Coder Instructor Certified in ICD-10, American Academy of Professional Coders, 2008 - Present, AAPC (CPC/CPC-1)
AMBA (CMRS), Certified Medical Reimbursement Specialist, American Medical Billing Association, 2009 – Present
American Health Lawyer Association, Member, 2017 – Present
College Instructor Credentials; Medical Coding/Billing, Compliance, Health Information Management and Healthcare Fraud Prevention: Commission for Independent Education Instructional and Administrative Personnel, Florida, 2012 – Present; California College Instructor Credential, 2015 – 2017; Colorado College Instructor Credential, 2006 – 2010; Arizona College Credential, 2011 – 2013; University of Arizona Instructor Credential, 2017- Present
Greater Orange County, California Health Information Assoc., (GOCHIA), 2020 - 2021; Secretary, President Elect, President, 2019 – 2020; Past President, 2020 - 2021
AWARDS
- The Arizona Sentinel Award, Association of Certified Fraud Examiners, Arizona Chapter, Choosing Truth Over Self, 2015 (Largest FCA case in Arizona history)
- Ultimate Medical Academy, Tampa, Florida, Champion Instructor Award, 2014 and 2015
- Faculty of the Year Award, Mancos, Colorado, San Juan Basin Technical College, 2009
PUBLICATIONS AND PRESENTATIONS
Upon Request