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Employers
Roster of AHFIs
The Gold Standard of Professionalism in
Health Care Fraud Investigation
AHFI Accredited Individuals
Caroline L. Abenante, CPC, AHFI
Optima Health Plan
Steven J. Adams, AHFI
Health Care Service Corporation
Flora Allen, AHFI
Excellus Blue Cross Blue Shield
Diana M. Alviggi, AHFI
Aetna, Inc.
Kathleen A. Amato, RN, BSN, CPC, CPC-H, AHFI
Capital BlueCross
Julie Amburgey, CFE, AHFI
TriCenturion
Joanna M. Andrade, CFE, AHFI
Blue Cross Blue Shield of Massachusetts
Pamela S. Ankley, AHFI
Trustmark Insurance Company
Shelia A. Arms, AHFI, CFE
WellPoint, Inc.
Jennifer Armstrong-Day, CFE, AHFI
TriCenturion
Carol Arth, LPN, AHFI
Government Employees Health Association, Inc.
Kimberly Artley, RN, CPC, CPC-H, AHFI
Capital BlueCross
Jala Attia, AHFI
Health Net
Jennifer J. Aultman, AHFI
Blue Cross Blue Shield of Mississippi
Jennifer A. Bajor, AHFI
Health Net
Margaret Baldomino, AHFI
Government Employees Health Association, Inc.
Colleen Balkin, AHFI
U.S. Dept. of Justice, Federal Bureau of Investigation
Stephen Ballew, AHFI
Amerigroup Corporation
Adela Banawis, CFE, AHFI
Safeguard Services LLC
William R. Banter, AHFI
Medicaid Fraud Control Unit of Indiana, Office of the Attorney General
Mabel Louisa Barnes, MHA, AHFI
Blue Cross Blue Shield of North Carolina
Cyndy Barton, AHFI, CPC
Blue Cross Blue Shield of Alabama
Philip E. Baucom, AHFI
Cahaba Safeguard Administrators, LLC
Mary L. Beach, AHFI, CFE
Amerigroup Corporation
Trudy Bell, AHFI
Health Integrity, LLC
Carolyn J. Bennett, HIA, AHFI, HCAFA
Arkansas Blue Cross Blue Shield
John P. Benson, CFE, CIFI, JD, AHFI
Verisys Corporation
Kati A. Berman, AHFI
Aetna, Inc.
Rena V. Bielinski, PharmD, AHFI
National Audit
Kevin Bird, CFE, CPP, AHFI
CIGNA
Donna J. Blaschak, AHFI
Thomson Reuters
Wendy Jo Bohannon, AHFI, CPC
WellPoint, Inc.
Katherine Boutin, JD, CFE, AHFI
WellPoint, Inc. - Eastern Division
Kevin P. Bradley, MA, AHFI
Thomson Reuters
Elizabeth Brady, CFE, AHFI
ViPS, a General Dynamics IT Company
Margaret A. Bramble, RN, CPUR, AHFI
Health Integrity, LLC
Geraldine Brand, HCAFA, AHFI
EmblemHealth Services Inc.
Michael H. Brandt, AHFI, ACFS, CPI
Blue Shield of California
Kim Breininger-Starling, MHA, CPC, AHFI
Universal American
Thomas P. Brennan Jr., AHFI
Phoebie J. Brent, AHFI
Linda M. Brislin, AHFI
Aetna, Inc.
Beverly Brown, LPN, AHFI
Ingenix
Lorraine Buckman, AHFI
Horizon Blue Cross Blue Shield of New Jersey
Robert E. Bunch, AHFI, CFE, CIA
Blue Cross Blue Shield of Florida
Thomas J. Cantwell, AHFI, CFE
EmblemHealth Services Inc.
William E. Capps, AHFI
AFLAC
April Carlson, AHFI, CFE
Prime Therapeutics LLC
Richard M. Celko, DMD, MBA, AHFI
P&R Dental Strategies, Inc
Michael D. Cesario, AHFI
AdvanceMed Corporation
Margaret L. Chambers, AHFI, BA, RN, CPC
Premera Blue Cross
Stephen M. Chaney, AHFI
Blue Cross Blue Shield of Florida
Lisa Chase-Craig, AHFI
Blue Cross Blue Shield Association
Tammy Chastain, AHFI
Arkansas Blue Cross Blue Shield
Tonya R. Chatman, AHFI, CFE
Highmark
Andrea B. Cherenzia, CFE, AHFI
CareFirst BlueCross BlueShield
Jane Cherry, AHFI, CPC
HealthSouth
Robbin L. Cizek, AHFI, RN, BSN, LNC
Aetna, Inc.
Kimberly K. Coffey, AHFI
TrustSolutions, LLC
Richard G. Colangelo, AHFI
Kenneth M. Cole III, AHFI
Health Net
Louis A. Collado Jr., AHFI, MPA, CFE
Medicaid Fraud Control Unit of Indiana, Office of the Attorney General
David S. Collins, AHFI, CFE
Amerigroup Corporation
Sharon Cortese, RN, AHFI
Univera Healthcare an Excellus Company
Dana Crenshaw, AHFI, CFS
Mississippi Board of Pharmacy
Christine J. Danford, AHFI
Delta Dental Plan of Michigan
Karen W. Davenport, AHFI
Blue Cross Blue Shield of South Carolina
Donna J. Davis, AHFI
U.S. Dept. of Justice, US Attorney General's Office
Robert B. Dean, AHFI
Karen C. Deavenport, AHFI, CFE
Blue Cross Blue Shield of Mississippi
Linda Delaney, AHFI
Aetna, Inc.
Denise DeMaina, AHFI
Blue Cross Blue Shield of Massachusetts
Sharon Donnelly, AHFI, CFE
Blue Cross Blue Shield of Florida
Mary L. Ducat, AHFI
Humana
Brandon R. Duffek, AHFI
AdvanceMed Corporation
Patricia L. Dyer, AHFI, CFE
CIGNA
Marion Gaye Eaton, RN (Ret), AHFI, CFE
Safeguard Services, LLC
Alyce M. Embree, CFE, AHFI, MHP
Catapult Consultants, LLC
Keenan Emmanuel, MS, RMC, AHFI
1199SEIU Benefit & Pension Fund
Maureen Eng-Tan, AHFI, CPC
EmblemHealth Services Inc.
Susan Epstein, AHFI
Horizon Blue Cross Blue Shield of New Jersey
Laura H. Erickson, AHFI, HCAFA, CPC-P
Premera Blue Cross
Gayle Esposito, AHFI, CPC, RN
EmblemHealth Services Inc.
Martin L. Estell, AHFI
ViPS, a General Dynamics IT Company
Robert J. Evraets, AHFI
Guardian Life Insurance Co.
Douglas E Falduto, AHFI
Horizon Blue Cross Blue Shield of New Jersey
Sam A. Fergason, AHFI, CFE
Health Net Federal Services Tricare
Roberta Ferlita, ALHC, FCLA, AHFI
AmeriChoice
Christopher J. Ferrara, AHFI
Medical Mutual of Ohio
Susanne S. Figulski, AHFI, RN
Cahaba Safeguard Administrators, LLC
Edwin Fischl, MD, MS, MBA, AHFI
Highmark
Darunee Flatray, AHFI, CFE
Express Scripts, Inc.
Brian G Flood, AHFI, JD, CHC, CIG
KPMG, LLP
Charles W. Focarino, AHFI
Blue Cross Blue Shield Association
David M. Ford, CFE, AHFI
Maryland Dept. of Health & Mental Hygiene, Board of Chiropractic Examiners
Brian T. Forman, Esq., AHFI
SIU Support Services, LLC
Carol C. Forte, RN, AHFI, CPC-P
CIGNA
Mark Franklin, AHFI
Delta Dental of New Jersey, Inc.
Lorrie M. Freeman, AHFI
Blue Cross Blue Shield of Tennessee
Anita Fuqua, AHFI
AdvanceMed Corporation
Kelli L. Garvanian, AHFI
Trustmark Insurance Company
Darrell Gates, AHFI
Blue Cross Blue Shield of Mississippi
James W. Gault, AHFI, CFI
Blue Cross Blue Shield of Tennessee
Carleen Gerjevic, ALHC, ACS, CIFI, FLMI, AHFI, HCAFA, AIRC
Central States Health & Life Co. of Omaha
Nancy A. Gidley, AHFI
AdvanceMed Corporation
Joanne L. Green, AHFI, CFE, HCAFA, HIA
Wisconsin Physicians Service
Larry Guerin, CFE, AHFI
U.S. Dept. of Justice, Federal Bureau of Investigation
Marta E. Guzman, AHFI
Blue Cross Blue Shield of Florida
Shannon M. Hall, AHFI, CPC
AdvanceMed Corporation
R. Kathleen Hallinan, CFE, AHFI
CVS/Caremark, Inc.
Tina M. Hampshire, AHFI
Medicaid Fraud Control Unit of Indiana, Office of the Attorney General
Nancy Hayden, AHFI
Advanced Pharmacy Concepts
Phyllis Heller, AHFI
Amerigroup Corporation
Dave Hennings, AHFI, CFE
Principal Financial Group
Talvin T. Herbert, AHFI
UnitedHealthcare/Ingenix
Marilyn A. Herrington, AHFI
Arkansas Blue Cross Blue Shield
Maxwell Herrington, J.D., AHFI
HealthSpring, Inc.
Cindy W. Hicks, AHFI
AdvanceMed Corporation
Deborah L. Hill, AHFI
Palmetto GBA
Bernard A.K.S. Ho, AHFI, MBA, CFE
Dale Hockenbery, AHFI
CareSource Management Group
Byron Hollis, Esq, AHFI, CFE
Blue Cross Blue Shield Association
Fred F. Holt, MD, JD, AHFI
Blue Cross Blue Shield of North Carolina
Yvonne Speer Hoover, AHFI
Blue Cross Blue Shield of Alabama
Christopher H. Horan, AHFI
TriCenturion
Blake C. Hughes, AHFI, MPA
Thomson Reuters
Mary A. Hull, RN, CCS-P, LNC, AHFI
Aetna, Inc.
Karen Hurley, AHFI
Cahaba Safeguard Administrators, LLC
Angela S. Hyatt, AHFI
WellPoint, Inc.
Catherine S Hyman, ALHC, AHFI, CPC-A
South Carolina Department of Health and Human Services
Ilene S. Jacob, RN, AHFI
U.S. Dept. of Health & Human Services, CMS
Karen E. James, AHFI, FLMI
Principal Financial Group
Lynda Janes, AHFI
AdvanceMed Corporation
Jamie S. Johnston, AHFI, CFE, CPC
Amerigroup Corporation
Thomas M. Jones, CFE, AHFI
Vision Service Plan
Peter Kapasakis, MHA, AHFI
Magellan Health Services, Inc.
Judy S. Kendrick, AHFI
Mariellen Kiefer, AHFI
Aetna, Inc.
Tabitha J. Kielb, AHFI, CPhT
Aetna, Inc.
Eric King, AHFI, CFE
U.S. Dept. of Defense, TRICARE Management Activity
Vicki Kirby, AHFI, CPC
Specialized Medical Investigations, Inc.
Jacqueline M. Kline, CFE, AHFI
Magellan Health Services, Inc.
Karl Krieger, AHFI, CFE
Blue Cross Blue Shield of Montana
Michael S. Kromer, AHFI, CFE
Thomson Reuters
Polly C. Lacoco, RN, AHFI
Health Integrity, LLC
Donna L. Lamb, AHFI, HIA
CIGNA
Brian A. Lane, CFE, AHFI
CGI Federal Inc.
Darrell Langlois, AHFI, CPA, CIA
Blue Cross Blue Shield of Louisiana
Sandra J. Larson, AHFI
Premera Blue Cross
Alanna M. Lavelle, AHFI, MS, CPC
WellPoint, Inc.
Mathew B. Lawrie, AHFI
State of New Jersey, Office of the Medicaid Inspector General
Susan A. Lee, RN, CHCQM, CCS-P, AHFI
Aetna, Inc.
Katherine M. Leff, RN, ALHC, CLU, AHFI
CareSource Management Group
Howard Levinson, DC, CFE, DABFE, AHFI, CPC
Blue Cross Blue Shield of Missouri
Jeanie Lewis, CFE, AHFI
Safeguard Services, LLC
Harriet M. Lewis, MBA, AHFI, CFE, CPC
Express Scripts, Inc.
Jeffrey G. Lewitzke, AHFI
UnitedHealth Group
Raymond David Lichauer, AHFI, CFE
Highmark
Anthony T. Linsk, AHFI, CFE, PHR
New York State Office of the Medicaid Inspector General
Andrea Lopez, AHFI
International SOS
Wendy R. Loucks, JD, AHFI
AdvanceMed Corporation
Dwayne Luby, AHFI, CPA, MBA, CFE
MDLuby Consulting
Cynthia A. Lucas, AHFI
WellPoint, Inc.
Christopher Lupo, AHFI
EmblemHealth Services Inc.
Mark Majestic, AHFI, CFC
Blue Cross Blue Shield of South Carolina
Cynthia W. Makara, AHFI
CIGNA
Don C. Marshall, AHFI, CFE
Zenith Insurance Company
Melissa Martin, AHFI
HealthFirst
Gwen Masser, AHFI
UnitedHealth Group
Jonnie Massey, AHFI, CPC, CPC-I, CPC-P, CPMA
Regence
Richard J. Matarante, AHFI, CFE
New York Life
Jeff J. Matza, AHFI, CFE
Continuum Worldwide Corporation
Robert Mays, CFE, AHFI
Thomson Reuters
James V. McCall, AHFI
iHealth Technologies, Inc.
Megan McCarthy, AHFI
Horizon Blue Cross Blue Shield of New Jersey
Bruce McClure, CPA, AHFI
Humana
Joanne M. McCoog, RN, BSN, AHFI
Maryland Automobile Insurance Fund
David F. McCreary, AHFI
Ace USA
Roberta L. McGinley, RN, CCM, AHFI
Independent Health
Trey (Claude) W. Millican III, AHFI
Blue Cross Blue Shield of Alabama
Thomas E. Mills, AHFI, CFE
Blue Cross Blue Shield of South Carolina
Sharen Myers Mills, AHFI, CFE
Palmetto GBA
Dawn Morgan, AHFI
Blue Cross Blue Shield of Arizona
John G. Morris Jr., AHFI, CFE
Richard E. Munson, AHFI
UnitedHealth Group
Althea B. Myers, AHFI, CFE, CFS
UnitedHealthcare/Ingenix
Wendy L. Naquin, AHFI
AdvanceMed Corporation
Mark A. Nelson, AHFI
Health Net Federal Services Tricare
Melissa Nevala, AHFI, HIA
UMR
Linda B. Newman, AHFI
CIGNA
Sandy Newstein, RN,CPC,CPC-P,CPC-H, CPUR, AHFI
IMA Consulting
JoAnn Nunes, AHFI
CIGNA
Elizabeth Oberle, AHFI
Ingenix
Kimberly Obermeyer, CFE, AHFI
WellPoint, Inc.
Judith A. Olszowka, AHFI
Health Care Service Corporation
Robert H. Page Jr., MS, CPhT, AHFI
CVS/Caremark, Inc.
Cheryl A. Page, CFE, AHFI
Safeguard Services LLC
Susan Paine, AHFI, CPC
Premera Blue Cross
Roger Palmer, CFE, CIFI, AHFI, CFCI
Blue Cross Blue Shield of Kansas
William R. Palmisano III, AHFI
Health Net
Alice H. Pandolfi, RN, CFE, AHFI, MS, CHCQM
Mahon Consulting Group LLC
Bonnie Parenteau, AHFI, FCLS, BSRN
The Hanover Insurance Group
Margaret Paris, AHFI
Excellus Blue Cross Blue Shield
James Pescetti Jr., FCLS, AHFI
MVP Health Care
Lori L. Peters, AHFI, CFE
Safeguard Services LLC
Kathy E. Piccioni, AHFI, CFE
Highmark
Joseph H. Popillo, AHFI, CPC-A
Universal American
Charles D. Potter, AHFI
IntegriGuard, LLC
Cindy Preller, AHFI
Trustmark Insurance Company
Dexter Price, AHFI, CFE
Ingenix
Steven Perry Price, AHFI, CFE, CFS, PI
Blue Shield of California
Jack L. Price, CFE, ALHC, AHFI
Blue Cross Blue Shield of Tennessee
Franklin T. Pyle Jr., AHFI, CFS
Delaware Department of Insurance
S. Douglas Quave, AHFI, CFE
Health Integrity, LLC
Susan M. Rainey-Biler, AHFI, CFE
Blue Cross Blue Shield of Nebraska
Presley Rebman, CFE, AHFI
Cahaba Safeguard Administrators, LLC
Lynne A. Reed, AHFI, CPC-A
Carl Reinhardt, AHFI
WellPoint, Inc.
Kimberly Reinken, AHFI
U.S. Dept. of Justice
Daniel Reutlinger, CFE, AHFI
1199SEIU Benefit & Pension Fund
Kathy A. Richer, AHFI, RN, BSN
Aetna, Inc.
William A. Riedthaler, AHFI
Lorain County Office of the Prosecutor
Debra Riekkoff, HCAFA, AHFI, FLMI, HIA, ACS
Emdeon
Susan A. Roberts, AHFI, HIA
CIGNA
Virginia M. Robinson, AHFI
Triwest Healthcare Alliance
Gena L Rooney, AHFI
Premera Blue Cross
Lynn P. Ross, RN, AHFI
Blue Cross Blue Shield of North Carolina
Carmen E. Russo, AHFI, CFE
John Hancock Financial Services
Mary C. Sabin, AHFI, RN
Independent Health
Rose M. Sabo, AHFI, MPA
Gregory D. Sacco, AHFI, CFE, CFS, CLFS
AAA Mid-Atlantic
Philip A. Saggione III, CFE, AHFI, ACFE
Nationwide Insurance Company
Margie Sasaki, AHFI
Hawaii Medical Services Association
Richard J. Savini, R.Ph, AHFI
ACS Audit & Compliance Solutions
Charles R. Schaming, AHFI
TriCenturion
Denise L. Scheppler, RN, AHFI
Express Scripts, Inc.
Jessica S. Schmor, RN, CPC, AHFI, CCS
Independent Consultant
Susan P. Schultz, AHFI
HealthNow New York Inc.
Todd G. Scioneaux, AHFI, CFE
Medicaid Fraud Control Unit of Louisiana, Office of the Attorney General
David A. Seel, AHFI
Blue Cross Blue Shield of North Carolina
Vicki L. Segura, AHFI, CFE
Cahaba Safeguard Administrators, LLC
Cynthia A. Severson, AHFI
Wisconsin Physicians Service
Gayle Ann Seyl, AHFI, CFE
Probity Financial Services
Brenda M. Shank, AHFI
Safeguard Services LLC
Todd E. Sheffer, AHFI, CFE
Magellan Health Services, Inc.
James Eric Shell, AHFI
TriCenturion
Steven Sheppard, AHFI, CFE
Blue Cross Blue Shield of Alabama
Carole Sheridan, AHFI
Specialized Medical Investigations, Inc.
Mitchell K. Sherrod, MPA, AHFI
Travelers Insurance
Elizabeth L. Sherrod, AHFI
Tennessee Valley Authority, Office of the Inspector General
Frances Shirek, AHFI
WellPoint, Inc. - Western Division
Marcia A. Silva, AHFI
Safeguard Services, LLC
Elizabeth Simon, AHFI
Government Employees Health Association, Inc.
Carl Skidmore, AHFI, CFE, CFS
Ingenix
Lorna Smith, AHFI
CIGNA
Jeffrey A. Snyder, AHFI
HealthNow New York Inc.
Christina Y. Sperry, AHFI
Dean Health System
Sherri L. Spragg, AHFI, CPC
WellPoint, Inc.
Mindy L. Stadel, FMLI, PCS, AHFI
IHC Administrative Services, Inc.
Cynthia Steedman, RN, BSN, AHFI
Health Integrity, LLC
Barbara A. Stencil, AHFI
Humana
Stephanie Stieglitz, AHFI
Blue Cross Blue Shield Association
Teresa (Terri) Stonebraker, CPC, RN, AHFI
Independent Health
Scott A. Strain, AHFI
American Family Insurance
Christianne Sucher, AHFI
Safeguard Services LLC
James C. Sweat, AHFI
Lisa M. Sweatland, AHFI
Medicaid Fraud Control Unit of Indiana, Office of the Attorney General
Joan M. Syler, RN, BS, AHFI, CPC
Mark L. Symanski, AHFI
New York State Office of the Medicaid Inspector General
Debra M. Teeter, AHFI, CFE
TriCenturion
Paul M. Thomas, AHFI
Horizon Blue Cross Blue Shield of New Jersey
Sharyn Truax, AHFI, CFE
Health Net Federal Services Tricare
Cecilia Ulibarri, CFE, AHFI
CIGNA
Vicki A. Van Dera, AHFI, HCAFA
Humana
Wayne H. van Halem, AHFI, CFE
The van Halem Group, LLC
Faye Vaughan, AHFI
Blue Cross Blue Shield of North Carolina
Mark S. Waite, AHFI, CPC
Selecthealth
Brent Walker, SCLA, AHFI
Travelers Insurance
Cissy Walker, AHFI
AvMed, Inc.
Phyllis Watson, AHFI
Government Employees Health Association, Inc.
Lorraine Watson, AHFI, CFE
Safeguard Services, LLC
Karen Weintraub, AHFI, CPC-P, MA
Health Net
Sandy S. Weston, AHFI
Medicaid Fraud Control Unit of Indiana, Office of the Attorney General
Ronald J. White, AHFI
Independent Health
Jill D. Williamson, AHFI
United Concordia Companies, Inc.
Benjamin S. Wright, AHFI, CDP
Aetna, Inc.
Carl B. Wright, AHFI
Coventry Health Care, Inc.