Shelly Dailey

Shelly Dailey

MSN, BSN, RN, CPHM

A passionate patient and provider advocate with a Master’s Degree in Nursing, Shelly has 25+ years of experience in health care; including a degree and certification in Healthcare Administration. Shelly became an integral member of the NGS Mobile Medical Review Team in 2011 and joined Provider Outreach & Education at NGS in 2014. She has a significant background in state and federal Medicare regulations, nursing education, home health, hospice, adult medicine, corrections, psychiatry, skilled nursing facility, ambulance, and inpatient and outpatient hospitalization.

Shelly is also an adjunct professor at Roberts Wesleyan College in Rochester, NY and a matriculated Ph.D. student at The Catholic University of America in Washington, D.C. She has worked closely with the Department of Justice on multiple Medicare fraud trials, and has received two prestigious NGS awards, Continuous Improvement and Values in Action, for her hard work and dedication to provider collaboration and education. She is a Member of the CNY Medical Reserve Corp, the Sigma Theta Tau International Nursing Honor Society and the International Nurses Association (INA), who recognized Shelly as a World-Wide Leader in Healthcare in 2017.

4B – Planning, Strategizing and Surviving a Medicare Audit

Speaker(s): Shelly Dailey MSN, BSN, RN, CPHM During this 75 minute session, Shelly Dailey from National Government Services will provide detailed information regarding the targeted probe and educate process. This session will include information on the TPE process, preparing and submitting documentation in response to an additional documentation request. We will discuss top medical review […]

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5B – Medicare Billing Updates

Speaker(s): Shelly Dailey MSN, BSN, RN, CPHM During this 60-minute session, Shelly Dailey from National Government Services will provide billing updates to include new information on the hospice redesign and new instructions that impact billing. This session will provide information regarding hospice transfers. Updates will be provided to discuss upcoming changes as identified by the […]

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