for Contract Fiscal Year 2016
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1 CONTACT INFORMATION for Contract Fiscal Year 2016 To help assist the provider s regarding any questions on the completion of the desk review of their Medicare Cost Report, we are providing contact information to help facilitate the communication process. Below is listed the two offices (Springfield, IL and Columbia, SC) contact numbers and the corresponding extensions for the supervisors and their respective team of auditors. Further below are listed the desk reviews to be completed in the current MAC Contract Year and their assigned auditor to complete the review. Please note due to staffing and regulatory environment, the listing is subject to change. Also you may contact the auditor via at firstname.lastname@ cgsadmin.com. If you have any questions, please contact the auditor assigned to complete the review. Springfield, IL Supervisor: John Menke Ext 231 Auditors Raymond Luebbert Assistant Senior Auditor Ext 255 Joshua Ferrill Auditor Ext 211 Steve Tisckos Auditor Ext 267 Michael Smith Auditor Ext 244 Katie Zeter Auditor Ext 268 Ryan Jenkins Auditor Ext 228 Kevin Hsiao Auditor Ext 256 Grant Rhodes Auditor Ext 233 Doug Limper Senior Auditor II Ext 226 Supervisor: JoElla Draper Ext 205 Auditors Amanda Boggs Senior Auditor Ext 204 Trent Ulsaker Auditor Ext 269 Brian Fitzpatrick Auditor Ext Deanna Stemmons Auditor Ext 259 Amanda Sharpe Auditor Ext 246 Taylor Hish Auditor Ext 257 Vittorio Cascio Auditor Ext 247 Jordan Courtney Auditor Ext 232 Supervisor: Sharon Merriman Ext 242 Auditors Byron Wendte Assistant Senior Auditor Ext 203 Marlin Silver Auditor Ext 263 Doug Heneghan Auditor Ext 262 Milton LeFlore Auditor Ext 212 Yuxi Liu Auditor Ext 264 Matthew Runkel Auditor Ext 236 Melissa Miller Senior Auditor Ext Columbia, SC Supervisor: Arteya Robinson Ext Auditors Sanya Watters Senior Auditor Ext Taylor Gause Senior Auditor Ext Sheree King Assistant Senior Auditor Ext Sarah Nettles Auditor Ext Yashaciqa Davis Auditor Ext Thomas Fort Auditor Ext Misti English Assistant Senior Auditor Ext Monica Bailey Auditor Ext Originated March 1, 2016 Page Copyright, CGS Administrators, LLC.
2 Kentfield Rehab Hosp 6/30/2014 Kevin Hsiao Kentfield Rehab Hosp 6/30/2015 Trent Ulsaker Northern California Rehab 12/31/2014 Thomas Fort Vibra Hospital Denver 12/31/2014 Deanna Stemmons Massac Memorial Hospital 3/31/2015 Misti English Whitesburg ARH Hospital 6/30/2014 Sarah Nettles Muhlenberg Comm Hosp 9/30/2013 Raymond Luebbert Highlands Reg Med Ctr 6/30/2014 Amanda Boggs St. Joseph Hosp. 6/30/2014 Amanda Boggs Hardin Mem. Hosp. 6/30/2014 Matthew Runkel The Medical Center 3/31/2014 Sheree King Jewish Hosp Shelbyville 6/30/2014 Taylor Hish T. J. Samson Comm. Hosp 9/30/2013 Ryan Jenkins Pineville Comm. Hosp. 6/30/2014 Doug Limper Springview Hospital 9/30/2013 Kevin Hsiao Murray Calloway Co Hosp 9/30/2013 Sanya Watters Hazard ARH Hospital 6/30/2014 Michael Smith Jewish Hospital 6/30/2014 Trent Ulsaker Pikeville Medical Center 9/30/2013 Katie Zeter Ephraim McDowell Reg Med 9/30/2013 Ryan Jenkins Pattie A Clay Infirmary 8/31/2014 Taylor Hish Harlan ARH Hospital 6/30/2014 Sanya Watters Jennie Stuart Med Center 12/31/2013 Doug Limper Fleming County Hospital 6/30/2014 Matthew Runkel Methodist Hospital 6/30/2014 Sarah Nettles Saint Joseph Mt Sterling 6/30/2014 Jordan Courtney Logan Memorial Hospital 2/28/2014 Sarah Nettles University of Kentucky 6/30/2014 Deanna Stemmons University of Kentucky 6/30/2013 Brian Fitzpatrick Williamson ARH Hospital 6/30/2014 Thomas Fort Twin Lakes Reg Med Ctr 6/30/2014 Jordan Courtney Baptist Regional Med Ctr 8/31/2014 Michael Smith Kentucky Hospital, LLC 4/30/2014 Trent Ulsaker Baptist Health Madisonvil 8/31/2014 Taylor Gause Crittenden Co. Hosp. 9/30/2013 Michael Smith Georgetown Community Hosp 2/28/2014 Deanna Stemmons Central Baptist Hospital 8/31/2014 Melissa Miller Western Baptist Hospital 8/31/2014 Milton LeFlore Monroe County Medical Ctr 2/28/2014 Trent Ulsaker Rockcastle County Hosp 10/31/2013 Raymond Luebbert 2016 Copyright, CGS Administrators, LLC. Originated March 1, 2016 Page 2
3 Jackson Purchase Med Ctr 2/28/2014 Deanna Stemmons Baptist Hospital East 8/31/2014 Raymond Luebbert Lake Cumberland Reg Hosp 12/31/2013 Doug Heneghan Baptist Hospital NE 8/31/2014 Joshua Ferrill St. Joseph East Hospital 6/30/2014 Doug Heneghan Westlake Regional Hosp 6/30/2014 Marlin Silver James B Haggin Mem Hosp 9/30/2014 Doug Limper Nicholas County Hospital 12/31/2013 Joshua Ferrill Trigg County Hospital 4/30/2015 Byron Wendte Methodist Hosp Union Co 6/30/2014 Doug Limper Methodist Hosp Union Co 6/30/2015 Doug Limper Morgan CO ARH Hospital 6/30/2014 Trent Ulsaker Morgan CO ARH Hospital 6/30/2015 Trent Ulsaker Bluegrass Comm Hosp 2/28/2015 Yashaciqa Davis Casey Co Hospital 6/30/2014 Brian Fitzpatrick Casey Co Hospital 6/30/2015 Deanna Stemmons St. Elizabeth Med Center 12/31/2014 Deanna Stemmons New Horizons Health Syste 12/31/2014 Doug Heneghan Caverna Memorial Hospital 6/30/2014 Steven Tisckos Caverna Memorial Hospital 6/30/2015 Raymond Luebbert Fort Logan Hospital 9/30/2014 Raymond Luebbert ARH Mary Breckinridge 6/30/2014 Michael Smith Cumberland County Hosp 6/30/2014 Raymond Luebbert Cumberland County Hosp 6/30/2015 Katie Zeter The Medical Ctr at Frankl 3/31/2015 Jordan Courtney Livingston Hospital 12/31/2014 Raymond Luebbert Wayne County Hospital 10/31/2014 Taylor Hish Caldwell County Hospital 6/30/2014 Doug Limper Ohio County Hospital 9/30/2014 Melissa Miller Med Ctr at Scottsville 3/31/2015 Taylor Gause Jane Todd Crawford Hosp 6/30/2014 Brian Fitzpatrick Marshall County Hospital 12/31/2014 Milton LeFlore Knox County Hospital 6/30/2014 Brian Fitzpatrick Knox County Hospital 6/30/2015 Brian Fitzpatrick Russell County Hospital 6/30/2014 Amanda Boggs Russell County Hospital 6/30/2015 Amanda Boggs McDowell ARH Hospital CAH 6/30/2014 Misti English McDowell ARH Hospital CAH 6/30/2015 Taylor Gause Continuing Care Hosp 6/30/2014 Kevin Hsiao Continuing Care Hosp 6/30/2015 Kevin Hsiao 2016 Copyright, CGS Administrators, LLC. Originated March 1, 2016 Page 3
4 Commonwealth Reg Spec Hos 1/31/2015 Michael Smith Oak Tree Hospital 2/28/2015 Milton LeFlore Southern KY Rehab Hosp 12/31/2013 Monica Bailey Gateway Rehab Hosp 5/31/2014 Kevin Hsiao Western State Hospital 6/30/2014 Doug Limper Western State Hospital 6/30/2015 Doug Limper Eastern State Hospital 6/30/2014 Amanda Sharpe Eastern State Hospital 6/30/2015 Amanda Sharpe Ten Broeck Hospital 12/31/2014 Michael Smith Lincoln Trail Behav H Sys 4/30/2015 Matthew Runkel Central State Hospital 6/30/2014 Thomas Fort Central State Hospital 6/30/2015 Thomas Fort New Bedford Rehab Hosp 12/31/2014 Milton LeFlore Marlton Rehab Hosp 12/31/2013 Jordan Courtney Mercy Hospital Anderson 12/31/2013 Trent Ulsaker University Hospital, Inc. 6/30/2014 Trent Ulsaker Southern Ohio Medical Ctr 6/30/2014 Raymond Luebbert Lima Memorial Hospital 12/31/2013 Marlin Silver Union Hospital 12/31/2013 Michael Smith Mt. Carmel St. Anne's 6/30/2014 Sheree King Wilson Memorial Hospital 12/31/2013 Joshua Ferrill Obleness Memorial Hosp 6/30/2014 Trent Ulsaker Jewish Hospital, LLC 12/31/2013 Yashaciqa Davis Jewish Hospital, LLC 12/31/2014 Kevin Hsiao Grant Medical Center 6/30/2014 Brian Fitzpatrick Barberton Citizens Hosp 12/31/2013 Michael Smith Greene Memorial Hospital 12/31/2013 Steven Tisckos Akron General Medical Ctr 12/31/2013 Kevin Hsiao Akron General Medical Ctr 12/31/2014 Melissa Miller Joint Township Mem Hosp 12/31/2013 Monica Bailey Mt. Carmel West 6/30/2014 Trent Ulsaker Wooster Community Hospita 12/31/2013 Monica Bailey St. Vincent Charity Med 12/31/2013 Trent Ulsaker St. Vincent Charity Med 12/31/2014 Trent Ulsaker Genesis HealthCare System 12/31/2013 Katie Zeter Knox Community Hospital 12/31/2013 Thomas Fort Parma Community Gen Hosp 12/31/2013 Deanna Stemmons Wayne Hospital Company 12/31/2013 Steven Tisckos Wayne Hospital Company 12/31/2014 Steven Tisckos Miami Valley Hospital 12/31/2013 Joshua Ferrill 2016 Copyright, CGS Administrators, LLC. Originated March 1, 2016 Page 4
5 Holzer Hosp Foundation 6/30/2014 Marlin Silver Trumbull Memorial Hosp 12/31/2013 Deanna Stemmons Mercer County Comm. Hosp. 3/31/2014 Thomas Fort MetroHealth Medical Ctr. 12/31/2013 Sarah Nettles MetroHealth Medical Ctr. 12/31/2014 Sanya Watters Humility of Mary Health 12/31/2013 Kevin Hsiao Humility of Mary Health 12/31/2014 Misti English Fisher-Titus Medical Ctr 12/31/2013 Joshua Ferrill St. Rita's Medical Center 12/31/2012 Steven Tisckos Mercy Medical Center 12/31/2013 Ryan Jenkins Van Wert County Hospital 12/31/2013 Milton LeFlore Fairview General Hospital 12/31/2013 Melissa Miller Fairview General Hospital 12/31/2014 Michael Smith Robinson Memorial Hospita 12/31/2013 Thomas Fort St. Charles Hospital 12/31/2013 Ryan Jenkins Euclid Hospital 12/31/2013 Ryan Jenkins Ohio State University 6/30/2014 Misti English Springfield Reg Med Ctr 12/31/2013 Grant Rhodes Lutheran Medical Center 12/31/2013 Milton LeFlore Mercy-Tiffin 12/31/2013 Misti English St. Luke's Hospital 12/31/2013 Katie Zeter Lake Hospital System 12/31/2013 Yashaciqa Davis Bellevue Hospital 12/31/2013 Amanda Sharpe Coshocton County Memorial 12/31/2013 Steven Tisckos Brown County General Hosp 12/31/2013 Marlin Silver MedCentral Health System 12/31/2013 Doug Heneghan Comm Hosp & Wellness Ctrs 9/30/2013 Trent Ulsaker UHHS/CSAHS Cuyahoga, Inc. 12/31/2013 Deanna Stemmons UHHS/CSAHS Cuyahoga, Inc. 12/31/2014 Ryan Jenkins Alliance Community Hosp. 12/31/2013 Sheree King Grandview Hospital 12/31/2014 Brian Fitzpatrick Good Samaritan Hospital 6/30/2014 Misti English University Hospital 12/31/2013 Yuxi Liu Northside Medical Center 12/31/2013 Byron Wendte South Pointe Hospital 12/31/2013 Raymond Luebbert South Pointe Hospital 12/31/2014 Raymond Luebbert Marietta Memorial Hospita 9/30/2013 Misti English Summa Western Reserve 12/31/2013 Taylor Gause Affinity Med. Ctr.-Doctor 6/30/2014 Melissa Miller Belmont Community Hosp. 12/31/2013 Jordan Courtney 2016 Copyright, CGS Administrators, LLC. Originated March 1, 2016 Page 5
6 Southwest General Hosp. 12/31/2013 Milton LeFlore Memorial Hospital of Sand 9/30/2013 Amanda Sharpe St. Joseph Warren Hospita 12/31/2013 Thomas Fort The Christ Hospital 6/30/2014 Katie Zeter Berger Hospital 12/31/2013 Sheree King Upper Valley Medical Ctr 12/31/2013 Yuxi Liu Salem Community Hospital 6/30/2014 Marlin Silver Madison County Hospital 12/31/2013 Yashaciqa Davis Mary Rutan Hospital 12/31/2013 Taylor Hish Southeast OH Reg Med Ctr 12/31/2013 Yuxi Liu Grady Memorial Hospital 6/30/2014 Taylor Hish Lakewood Hospital 12/31/2013 Grant Rhodes Licking Memorial Hosp 12/31/2013 Yashaciqa Davis Mercy Hospital Clermont 12/31/2013 Matthew Runkel Sycamore Hospital 12/31/2013 Michael Smith Edwin Shaw Rehab, LLC 12/31/2013 Trent Ulsaker Arthur GJ Cancer Research 6/30/2014 Taylor Gause Arthur GJ Cancer Research 6/30/2013 Taylor Gause Arthur GJ Cancer Research 6/30/2015 Taylor Gause The Woods at Parkside 12/31/2013 Deanna Stemmons Bay Park Comm. Hospital 12/31/2013 Michael Smith Three Gables Surgery 12/31/2013 Deanna Stemmons Mt. Carmel New Albany 6/30/2014 Sheree King Medical Center at Elizabe 12/31/2013 Monica Bailey Dublin Methodist Hospital 6/30/2014 Monica Bailey West Chester Medical Ctr 6/30/2014 Joshua Ferrill Paulding County Hospital 12/31/2014 Marlin Silver Community Memorial Hospit 12/31/2014 Doug Heneghan Twin City Hospital 12/31/2014 Amanda Sharpe Twin City Hospital 6/30/2015 Amanda Sharpe Lodi Community Hospital 12/31/2014 Taylor Gause Greenfield Area 12/31/2014 Ryan Jenkins Doctors Hosp. Nelsonville 6/30/2014 Melissa Miller Doctors Hosp. Nelsonville 10/14/2014 Melissa Miller Mercy Allen Hospital 12/31/2014 Yuxi Liu Harrison Community CAH 12/31/2014 Byron Wendte Morrow County Hospital 12/31/2014 Milton LeFlore H.B. Magruder Memorial 12/31/2014 Marlin Silver Hardin Memorial Hospital 6/30/2015 Joshua Ferrill Bucyrus Community Hosp 6/30/2014 Steven Tisckos 2016 Copyright, CGS Administrators, LLC. Originated March 1, 2016 Page 6
7 Bucyrus Community Hosp 6/30/2015 Steven Tisckos Fostoria Community Hosp 12/31/2014 Milton LeFlore Selby General Hospital 9/30/2014 Sarah Nettles Barnesville Hospital 12/31/2014 Thomas Fort Bluffton Hospital 12/31/2014 Monica Bailey Dunlap Memorial Hospital 12/31/2014 Byron Wendte OhioHealth Shelby Hospita 6/30/2015 Yashaciqa Davis Galion Community Hospital 6/30/2014 Sanya Watters Galion Community Hospital 6/30/2015 Sanya Watters Adams County Regional MC 12/31/2014 Sanya Watters CHWC - Montpelier 9/30/2014 Ryan Jenkins Defiance Regional Med Ctr 12/31/2014 Yashaciqa Davis Hocking Valley Hospital 12/31/2014 Sheree King Highland District Hosp 12/31/2014 Sheree King Fulton County Hlth Ctr 12/31/2014 Katie Zeter Pike Health Services 12/31/2014 Sarah Nettles Drake Center, Inc. 6/30/2014 Trent Ulsaker Drake Center, Inc. 6/30/2015 Trent Ulsaker Elmwood Health Care Ctr 12/31/2014 Yashaciqa Davis Grace Hospital 6/30/2014 Jordan Courtney Grace Hospital 6/30/2015 Jordan Courtney Acute Care Specialty 9/30/2014 Thomas Fort Regency Hospital-Columbus 6/30/2015 Monica Bailey Advanced Spec Hosp Toledo 2/28/2015 Monica Bailey Hillside Rehab Hospital 12/31/2013 Grant Rhodes South III Leasing Co. 7/1/2014 Matthew Runkel HealthSouth Rehab - Drake 9/30/2013 Jordan Courtney Summa Rehab Hospital, LLC 1/31/2014 Thomas Fort OHRH, LLC 6/30/2014 Jordan Courtney Children's Hosp Med Ctr 6/30/2014 Grant Rhodes Children's Hosp Med Ctr 6/30/2015 Grant Rhodes Akron Children's Hospital 12/31/2014 Sarah Nettles Dayton Childrens 6/30/2014 Katie Zeter Dayton Childrens 6/30/2015 Katie Zeter Twin Valley BHO-Cols Camp 6/30/2014 Grant Rhodes Twin Valley BHO-Cols Camp 6/30/2015 Grant Rhodes Northcoast BHO-Northfield 6/30/2014 Taylor Hish Northcoast BHO-Northfield 6/30/2015 Taylor Hish Northcoast BHO-Toledo 6/30/2014 Yuxi Liu Northcoast BHO-Toledo 6/30/2015 Marlin Silver 2016 Copyright, CGS Administrators, LLC. Originated March 1, 2016 Page 7
8 Appalachian BHO-Athens 6/30/2014 Marlin Silver Cambridge Behavioral Hosp 12/31/2014 Deanna Stemmons Heartland BHO 6/30/2014 Grant Rhodes Heartland BHO 6/30/2015 Grant Rhodes Summit BHO 6/30/2014 Taylor Hish Summit BHO 6/30/2015 Taylor Hish Arrowhead Behav. Health 12/31/2014 Kevin Hsiao Mental Hlth Svcs Clark Co 6/30/2014 Yuxi Liu Mental Hlth Svcs Clark Co 6/30/2015 Yuxi Liu Ohio Hospital for Psych 12/31/2014 Michael Smith Ten Lakes Center, LLC 12/31/2014 Monica Bailey Lindner Center of Hope 6/30/2014 Thomas Fort Lindner Center of Hope 6/30/2015 Yashaciqa Davis Evergreen SW Behavioral 10/3/2014 Monica Bailey Ridgeview Hospital 9/30/2014 Milton LeFlore Haven Behavioral Care 12/31/2014 Marlin Silver Dublin Springs, LLC 12/31/2014 Grant Rhodes Access Hospital Dayton 12/31/2014 Yuxi Liu Beckett Springs 12/31/2014 Sarah Nettles Vibra Speciality Hospital 7/31/2014 Jordan Courtney Highlands Reg Rehab Hosp 5/31/2014 Matthew Runkel Beckley ARH Hospital 6/30/2014 Amanda Sharpe Summers CO ARH Hospital 6/30/2014 Sheree King Summers CO ARH Hospital 6/30/2015 Taylor Gause 2016 Copyright, CGS Administrators, LLC. Originated March 1, 2016 Page 8
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