I am a healthcare executive and data scientist with over 40 years of consulting and audit experience. My client base spans a broad range of healthcare stakeholders, including healthcare organizations, payers, physician practices, pharmacies, drug manufacturers, pharmacy benefit managers (PBMs), durable medical equipment suppliers (DMEs), and various health benefit plans.
My career began as an adult intensive care nurse. I subsequently transitioned into auditing for risk and compliance, which led to work in the identification and analysis of healthcare waste, fraud, and abuse. In 1991, I founded MBA, a certified WBE/MBE firm, to provide clients with services focused on revenue integrity, cost management, and risk mitigation through fraud detection, prevention, audit consulting, and training.
MBA brings together clinical professionals with backgrounds in finance, fraud, and auditing. Our solutions are designed to support quality outcomes for those who provide, pay for, receive, and support healthcare services.
My professional work has resulted in the development of several patents and proprietary tools related to healthcare waste, fraud, and abuse. I am committed to patient advocacy and to the integrity of the healthcare system as a whole. My industry experience has led to publishing, teaching, and the development of innovative audit and review methodologies.
For inquiries or strategic consultation, I can be reached at mbaaudit.com. Speaking topics are available at rebeccabusch.com.
Specialties: Healthcare reimbursement, data science, health care informatics, medical and financial operations, procedural and billing error analysis, revenue cycle management, electronic health record review, healthcare fraud and abuse investigation, forensic auditing, employer benefit plan optimization, fraud risk assessment, and audit and investigation training.