Join us for episode 1 of season 3 as we explore an essential compliance topic: coverage analysis. It’s a complicated process, but lucky for us, we have Andra Popa. Andra is an expert with nearly two decades of experience in healthcare law, compliance, and coverage analysis. As one of the first in the industry to provide coverage analysis, Andra walks us through the intricate details of the process, including why it’s so important and the consequences if you don’t have a proper coverage analysis process in place.

Additional Resources:

• Local Coverage Determinations CMS - https://www.cms.gov/medicare/coverage/determination-process/local
• National Coverage Determinations CMS - https://www.cms.gov/medicare-coverage-database/search-results.aspx?keyword=nat&areaId=all&docType=NCD
• Thorny Medicare Coverage Issues article by Andra Popa - https://compliancecosmos.org/thorny-medicare-coverage-issues
• Learn more about HRP Consulting here: https://thehrpconsultinggroup.com/
• Learn more about CITI Program at about.citiprogram.org.

Guest Bio: Andra Popa is responsible for healthcare content at CITI Programs and was part of the first group to conduct Medicare Coverage Analyses. She owned a consulting firm that worked with over 40 healthcare entities to create, assess, audit, and monitor compliance programs, as well as to create educational programs. A graduate of Boston College with degrees in English and economics, she also has JD and LLM (healthcare law) degrees from Loyola University Chicago School of Law. She has published over 100 articles, written book chapters, and conducted workshops in design and compliance.