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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 150 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.  Follow me on LinkedIn 

 

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), 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.
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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. In addition to her client work at The van Halem Group, Kelly is also a contributor to several industry publications nationally.
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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.
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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.
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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.