Michelle Bergholz Frazier serves as Senior Vice President, Chief Compliance Officer for Aurora Health Care, Inc.
Relevant Experience:- Advises health care entities on Medicare and Medicaid compliance, which includes survey and certification; coverage and billing/payment issues; design and implementation of compliance programs; compliance reviews and disclosure obligations; and, government investigation and inquiries.- Counsels on state licensing requirements, The Joint Commission Accreditation Standards, and Fraud & Abuse/Stark regulations.- Assists with a wide range of medical staff issues, including the review and creation of medical staff bylaws and governing documents, HCQIA/Peer Review laws, professional practice regulation, and licensure and scope of practice issues.- Advises on patient care issues and risk management including medical staff issues and corrective action plans; caregiver background checks and reporting obligations; informed consent issues; and, medical records and privacy.
She is a member of the American Health Lawyers Association, Health Care Compliance Association, State Bar of Wisconsin, State Bar of Minnesota and American Bar Association.
Selected Presentations and Publications:- Stark: Beyond the Basic Health Care Compliance Association, January 2012- What To Do If..., Minnesota Hospital Association Annual Trustee Conference, January 2012- In the Cross-Hairs: Health Care Officers, Trustees and Executives, Minnesota Hospital Association Annual Trustee Conference, January 2012- The Three Cs of Medical Staff Document Review; MedStaff News, a publication of the American Health Lawyers Association Medical Staff, Credentialing, and Peer Review Practice Group; September 2009- Health Care Access: Defining Access in the Context of Health Care Reform, The Convergence of Elder and Disability Policy, Marquette University Law School, Elder's Advisor Conference, April 2, 2009- Disruptive Physicians; Milwaukee Bar Association Health Law Section; February 2008 Physician Recruitment; Stark II Phase III Conference, von Briesen & Roper, December 2007 - DNR Orders, On-Site Nursing Services and Public Schools; Wisconsin School Nurses Association; April 2007- Critical Access Hospital All-Inclusive Payment Method: All or Nothing Means Nothing for Most; AHLA's The RAP Sheet; August 2002
Education:University of Minnesota, J.D., 1998, Minnesota Law Review | University of Wisconsin, B.S., 1994, Phi Beta Kappa