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Erin W. Skinner

Erin W. Skinner, Esq. is Senior Counsel at BluePeak Advisors. She is a legal professional with over 7 years of experience in the Medicare industry, specializing in government and regulatory compliance. Erin’s expertise includes federal and state healthcare compliance, Medicare Parts C and D operations and policy, Sunshine Act (or Open Payments) policy, Marketplace and Marketplace Appeals policy, Stark Law, Medicare and Medicaid program integrity, and other fraud and abuse laws. Erin has conducted and supported numerous audits with her primary expertise in Compliance Program Effectiveness (CPE).

As a consultant, Erin has spent over 11 months serving in compliance leadership roles including as an Interim Chief Compliance Officer for a multi-state organization offering Medicaid, Prescription Drug Plans, (PDP), Medicare Advantage Prescription Drug Program, (MAPD) and SNP products and as an interim Medicare Compliance officer for a single state organization.  She also assisted sponsors with first tier, downstream, and related entity (FDR) delegation oversight processes and operational risk assessments and participated in compliance program effectiveness audits. Prior to joining BluePeak, Erin worked at the Centers for Medicare & Medicaid Services (CMS).  The majority of Erin’s time at CMS was spent in the Medicare Parts C and D Oversight and Enforcement Group, Division of Compliance Enforcement where she was an enforcement lead and a compliance program effectiveness subject matter expert.  She was part of the team that revised Chapter 9/21 – the Compliance Program Guidelines.  While working closely with sponsors under marketing and enrollment sanctions, Erin developed a thorough knowledge of Part C and D operations and CMS audit processes and requirements.  During her tenure at CMS, she also worked in the Center for Program Integrity (CPI) on the continuing implementation of the Sunshine Act compliance and reporting requirements and the Healthcare Fraud Prevention Partnership (HFPP).  Prior to joining CPI, Erin reviewed and analyzed disclosed Stark law violations made under the Physician Self-Referral Disclosure Protocol (SRDP), and also served as a policy analyst and Federal Hearing officer for Marketplace Eligibility Appeals.

Erin is a licensed attorney in Maryland, and a member of the American Health Lawyers Association (AHLA).  She currently resides in Maryland.

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Experienced Medicare staff: Ready when you are!

BluePeak knows how difficult it can be for Medicare Advantage plans and TPAs to find knowledgeable resources with experience in Medicare, especially when demands increase sharply given the Medicare annual cycle. BluePeak maintains a wide variety of experienced Medicare personnel to help you with seasonal projects, operational backlogs, compliance monitoring, remediation activities, and more.

Examples of projects that BluePeak has assisted plans in 2022 include:

  • Clinical chart review by licensed clinicians
  • Call center oversight, including listening to calls for accurate classification and calibration
  • Operational support to resolve grievance backlogs and provider directory compliance
  • Pharmacy support to resolve coverage determination backlogs
  • Program area specific operational and administrative responses to a corrective action (initiated internally or externally)
  • Compliance resources to support compliance program initiatives

Whether you need one resource or many, BluePeak can quickly staff any project, train resources, track results, and deliver success.

Contact us today!