Meet Our Team

Wayne 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, Advisory Board for HME Business Magazine,  and Board of Directors for Friends of Disabled Adults and Children (FODAC) and the Georgia Association of Medical Equipment Suppliers (GAMES). He has also served as an expert in various criminal and civil proceedings.  Under his leadership, The van Halem Group has saved clients over $100 million in overpayments and denial recoveries. Follow me on LinkedIn 

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), 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 professional coder.
Follow me on LinkedIn

Kelly Grahovac, MBA

Kelly Grahovac serves as the General Manager for The van Halem Group where she focuses on audits, appeals, education and training, and business development, in addition to management duties. Kelly is a known lecturer in the DME industry, speaking at national conferences, state associations, and for private events. Kelly came to The van Halem Group with 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. Kelly is an active member of the Health Care Compliance Association (HCCA) and currently serves on the Medicare DME MAC Jurisdiction D Advisory Council, as well as the National Supplier Clearinghouse (NSC) Advisory Council. Kelly is also an active board member for the South Carolina Medical Equipment Suppliers Association (SCMESA). In addition to her client work at The van Halem Group, Kelly is also a contributor to several industry publications nationally.
Follow me on LinkedIn

Natasha Daugherty

Natasha serves as the Office Coordinator to the President of The van Halem Group. Natasha holds a Bachelor of Arts degree in Psychology and has over 20 years of career experience in the fields of Client Services, Front Office Administration, Claims Management, and Medicare Plan Enrollment. She has worked with The van Halem Group since 2014, starting out as a Medical Records Administrative Coordinator. Since that time, Natasha has taken on additional roles, to include HIPAA Compliance Consultant and also served as a member of the VGM ESOP Communications Committee. Natasha transitioned into her role of Executive Assistant in 2018. 

Sandra Gauron

Sandra Gauron serves as an Audit and Appeals Coordinator for The van Halem Group.  Sandra has 18 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.
 

Kathy van Halem

Kathy van Halem serves as an Administrative Coordinator and Client Liasion 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. Kathy is also proficient with a variety of software, including Frameworks, RNA, Segue, Brightree, and Medforce.
Follow me on LinkedIn

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.