Casey Estep is a Senior Managing Director at FTI Consulting and is based in Brentwood, TN. She is part of the Health Solutions segment. Ms. Estep has over eighteen years of professional experience in the health care consulting industry. The focus of her work is on regulatory compliance, investigations and disputes.
As a key member of the Independent Review Organization (IRO) teams that have been engaged by healthcare providers under their Corporate Integrity Agreements (CIA), she has managed the annual reviews for several CIA work plans. Reviews typically include overseeing the claims review or arrangements review, conducting transaction testing, analysis of results, interviewing of key client personnel, and preparation of the final reports which are submitted to the Office of the Inspector General (OIG). Clients include hospitals and health systems, institutional pharmacy providers, and device companies.
Ms. Estep has worked under privilege on a significant number of engagements, including provider self-disclosure reviews under the Department of Health and Human Service OIG Self-Disclosure Protocol, as well as a number of Department of Justice investigations. Significantly, she has led all phases of multiple large-scale investigations related to inpatient “short stays” at several providers nationwide. Ms. Estep managed the InterQual® review of medical records, analysis of providers against industry, coordination of second level physician review, overall results analysis and synthesizing, calculations of error rates, and reporting to counsel. She also assisted counsel in compiling detailed presentations and financial models that would be presented and provided to the Department of Justice in settlement negotiations.
Over the years, Ms. Estep has been involved in various other engagements involving reviews of billing and coding for services provided, investigations regarding billing practices, reviews of compliance programs, and due diligence reviews for potential acquisitions. The settings of these reviews include, but are not limited to the following: inpatient, outpatient, ambulatory surgery centers, wound care clinics, multi-specialty physician practices, infusion centers, inpatient psychiatric hospitals, outpatient behavioral health, skilled nursing facilities, ambulance providers and suppliers, and institutional pharmacies, to name a few.
Ms. Estep is certified in Healthcare Compliance (CHC) and is a member of the Health Care Compliance Associate (HCCA). Prior to joining FTI Consulting, Ms. Estep served as a Supervisor with McBee Associates, a management and financial health care consulting firm in Columbia, MD. She also spent over three years with Navigant Consulting and two years with Arthur Andersen LLP, both based in Baltimore, MD.
Ms. Estep holds a Bachelor of Science from The Pennsylvania State University in Health Policy and Administration.