Biography

Christina Melnykovych, BS, RHIA, CFE, AHFI is a Strategic Consultant with EBG Advisors, Inc. Ms. Melnykovych has over 30 years of experience managing health information management, patient financial services, quality improvement, case and utilization management, social work, and disease management departments in quaternary, tertiary and community hospital settings. Ms. Melnykovych's responsibilities have included coding operations at large teaching facilities and community hospitals, including hospital-owned practice locations. She served as the primary point of contact for contracted review organizations both prior to and after the inception of Medicare's Payment Error Prevention Program (Hospital Payment Monitoring Program). While employed in the provider community, she served on Corporate Compliance Committees and was the primary point of contact for outside counsel on matters pertaining to organizational compliance.

Ms. Melnykovych has been asked to provide expert witness services on numerous occasions during the course of the last sixteen years. She has been retained by counsel for both providers and payers and has testified regarding coding, accuracy rates and the propriety of clinical documentation.

Representative Experience

Previously, as Vice President, Medicare Part B, for the State of Washington, Ms. Melnykovych administered the Medicare Part B contract. Her responsibilities included claims processing, appeals, fair hearings, program integrity (i.e. fraud and abuse), medical and utilization review, coverage, and provider relations. She was the principal point of contact for communications with the Seattle Regional Office of the HHS-OIG for purposes of case referrals for further investigative follow-up. During Ms. Melnykovych’s tenure with Medicare, she was responsible for implementation of Physician Payment Reform and the education of 20,000 providers in Washington State.

During the course of her career, she has been asked on numerous occasions to present information regarding coding and billing compliance at national, regional and local seminars. Ms. Melnykovych has spoken at conferences sponsored by DecisionHealth, HCPro, American Healthcare Radiology Administrators, AHIMA, and AAPC. She has been interviewed by Modern Healthcare, Briefings on APCs and Radiology News. She has provided technical expertise to the American Healthcare Radiology Administrators’ Link Coding Q & A and has served on the advisory boards of HCPro’s APC Answer Letter and CCH’s Compliance Edge. Ms. Melnykovych has taught the Compliance and Documentation chapters of the AAPC Professional Medical Coders Curriculum (“PMCC”).

Education

  • University of Kansas  (B.S.)

Memberships & Affiliations

She passed the AHIMA Registered Health Information Management (“RHIA”) examination and was credentialed as an RHIA. She has maintained her AHIMA membership and credentialed status since 1982.  She is also a Certified Fraud Examiner (“CFE”) and Accredited Health Care Fraud Investigator (“AHFI”).

American Health Information Management Association (“AHIMA”)

American Academy of Professional Coders (“AAPC”)

Health Care Compliance Association (“HCCA”)

Association of Certified Fraud Examiners (“ACFE”)

National Health Care Anti-Fraud Association (“NHCAA”)