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Meet Our Team

The van Halem Group  has become one of the nation’s most respected healthcare audit and consulting firms. 

Together, our team has more than 130 years of related experience. We have worked collaboratively with key government stakeholders, such as Centers for Medicare and Medicaid Services (CMS), the Office of Inspector General (OIG), Medicare administrative contractors (MACs), recovery audit contractors (RACs), unified program integrity contractors (UPICs), private payors, and other government contractors and agencies.  This expertise provides clients the benefit of knowing proper communication channels and processes reducing the regulatory burden.

Wayne H. van HalemWayne H. van Halem, AHFI, CFE

Wayne H. van Halem, AHFI, CFE founded The van Halem Group in 2006.  The Atlanta-based firm merged with VGM Group in 2014 and Wayne currently serves as its President as they assist providers navigate complex issues related to audits, appeals, enrollment, and compliance. As a CMS contractor for 10 years, he spent a majority of that time as a fraud investigator and national Appeals Director. Wayne is also a published author and well-known lecturer.  He is an Accredited Healthcare Fraud Investigator through the National Health Care Anti-fraud Association (NHCAA); a Certified Fraud Examiner through the Association of Certified Fraud Examiners (ACFE), and an active member of the Health Care Compliance Association (HCCA). He has served on the faculty for each of these national organizations. He also sits on the American Association for Homecare’s Regulatory Council, Medtrade’s Educational Advisory Board, Medicare DME MAC Jurisdiction D Advisory Council, MAC Jurisdiction 6 Home Health and Hospice Vendor Coalition; and on the Advisory Board for HME Business Magazine. He has also served as a legal expert in various criminal and civil proceedings.  

 

Carrie Nienberg
Carrie Nienberg, RN, CPC 

Carrie Nienberg, RN, CLNC, CPC  serves as the Clinical Operations  Director for The van Halem Group  responsible for overseeing and  managing the clinical teams.  Carrie has over 30 years of nursing experience in multiple settings including a hospital, physician office, ambulatory surgery center and a Medicare program safeguard contractor (PSC).  Her specific areas of expertise include peri-operative (including pre-op), operating room, surgical assistance, recovery, and Medicare medical review and benefit integrity.  During her time with a Medicare program safeguard contractor, Carrie was responsible for traditional medical review functions and medical review in support of benefit integrity of durable medical equipment claims.  Carrie is also a certified legal nurse consultant and certified professional coder.

 

 

Kelly Grahovac, MBA

Kelly Grahovac serves as a Senior Consultant for The van Halem Group where she focuses on audits, appeals, education and training, and business development. Kelly is a known lecturer in the DME industry, speaking at national conferences, state associations, and for private events. Kelly has nearly 10 years of experience at one of the nation’s leading Medicare contractors where she worked for the Durable Medical Equipment Regional Carrier (DMERC), Qualified Independent Contractor (QIC), and A/B Medicare Administrative Contractor (MAC).  Her various roles with Medicare include working as a senior provider relations representative, QIC Adjudicator and Training Specialist. Kelly has in-depth knowledge in Medicare appeals, policy and education and training. In addition to her client work at The van Halem Group, Kelly is also a contributor to several industry publications nationally.

 

Christine Bodahl

 

Christine Bodahl serves as an Administrative Coordinator and HIPAA Compliance Consultant for The Van Halem Group and has 25 years experience in the healthcare industry. Christine has worked as a medical assistant and health aide in clinics, home health settings, and in the public school system. In addition, Christine worked over 10 years in claims management for a third party administrator. Christine has been with The van Halem Group since 2015 and her responsibilities include Audit and Appeal transmissions, requesting medical records and serves a HIPAA consultant with HIPAAwise.

 

Danaya Bryant

Danaya Bryant serves as the Business Analyst for The van Halem Group and has over 13 years of healthcare experience.  Her focus has been in administration and technical support, previously working for a DME supplier, hospital, and private insurance company.  She also gained Medicare experience working for Palmetto GBA with the Part D prescription drug program, as well as the Qualified Independent Contractor (QIC).  As a Business Analyst, she manages ongoing projects, onboarding new clients, conducts training sessions, and provides system support.

 
Sandra Gauron

Sandra Gauron serves as an Audit and Appeals Coordinator for The van Halem Group.  Sandra has 16 years of experience working in the healthcare auditing field.  For 10 of those years, she worked as a Medicare Fraud Analyst and Fraud Investigator with one of the first Medicare Program Safeguard Contractors (PSC).  She conducted benefit integrity audits of medical equipment suppliers working hand in hand with carriers and law enforcement.  She has worked with The van Halem Group in a similar capacity since 2011 and assists clients through the challenging appeals processes.

 

Heather Rodriguez, RHIT, CCA

Heather Rodriguez serves as the Operations Team Lead for The van Halem Group and has 8 years of management experience.  She joined The van Halem Group as a Transmission Coordinator, where she was responsible for submissions of audits and appeals to the DME MACs and audit contractors. She currently works with clients on quarterly compliance and post-payment audits.  As Operations Team Lead, Heather works hand-in-hand with her team to ensure that they produce the highest quality product for each client. 

 

Kim Turner, RN

Kim Turner serves as the Rehab Clinical Consultant and Team Lead. She has more than 20 years of nursing experience in a variety of settings including clinical and hospital-based medical/surgical nursing, intensive care, surgical intensive care, and cardiac care telemetry at both the staff nurse level and as an Assistant Nurse Manager. She has experience as a medical review nurse for DME with a Medicare contractor, as well as developing medical review criteria for several medical policies. In 1996, Kim began her career as a Medicare Reimbursement and Clinical Consultant. As a consultant, she assists medical equipment providers in evaluating Medicare coverage by reviewing the medical documentation they obtain for their specified client. She provides proper equipment HCPCs codes, modifiers, and other billing instructions necessary for filing a Medicare claim. Kim also assists providers with recovery of denied Medicare claims by preparing clinical summaries and providing clients guidance on how to proceed with an appeal.  

 

Abrielle Uritz, RN, BSN

Abrielle Uritz is a Clinical Consultant for The van Halem Group. She has 8 years of nursing experience, including working as an RN supervisor for a skilled nursing facility/rehabilitation center for 5 years. Her Medicare experience includes working for the Qualified Independent Contractor (QIC) reviewing a wide variety of durable medical equipment claims. Certifications include RN, BSN, CPR/AED, BLS, and CPC.

 

Kathy van Halem

Kathy van Halem serves as an Administrative Coordinator for The van Halem Group. Kathy previously worked as a pharmacy technician for 17 years, serving long term and assisted living facilities. During that time her duties included handling medical records and transcribing physician orders. Kathy has been a part of The van Halem Group since 2013 and her responsibilities include intake for all clients, audit transmission, medical records requests and work on special projects.  

 

Donna Youngblood, RN, BSN, CPC

Donna Youngblood serves as a Clinical Consultant for The van Halem Group.  Donna has a Bachelor’s degree in Nursing and is a Certified Professional Coder. Donna has over 15 years nursing experience, with focus on same day surgery and inpatient surgery, to include pre-op, intra-op and post-op care. Other experience includes Joint Commission accreditation and medical record reviews for performance measures and quality healthcare. Her most recent Medicare experience includes working as a reconsideration specialist for the Qualified Independent Contractor (QIC), performing all types of Durable Medical Equipment (DME) reviews.