Anthony Baize
Anthony J. Baize is the Inspector General for the Wisconsin Department of Health Services. Baize took the position in early 2016 after eight years with Kentucky state government in the Kentucky Cabinet for Health and Family Services, serving as the Deputy Director of Audits and Investigations for the Office of Inspector General and the Director of Business Informatics with the Department of Behavioral Health, Developmental and Intellectual Disabilities.
Baize has served as the Region V representative for the National Association of Medicaid Program Integrity Directors and on the Advisory Board for the Centers for Medicare and Medicaid Services’ Medicaid Integrity Institute. He regularly speaks at national conferences on topics related to Medicaid Program Integrity.
Baize became a certified inspector general in 2022 after completing the Association of Inspectors General Institute. He is also a member of the Internation Association of Financial Crimes Investigators.
Baize was a civil rights consultant for nearly 20 years, serving on the Board of Directors for the National Fair Housing Alliance and the Lexington (KY) Fair Housing Council. Baize has given presentations on fair housing requirements across the United States, but especially in Kentucky, Indiana, Ohio and Tennessee. He has a master’s degree in public administration from Indiana State University, has been married for 29 years and has two daughters.
Ray Evans
Ray Evans is a dynamic business development executive with extensive experience working within, and servicing healthcare organizations. He holds the position of Vice President of Healthcare Sales at CoventBridge Group where he utilizes his experience to share with the industry CoventBridge’s unmatched FWA investigative solutions. His goal is to work with health plans in protecting their organization from FWA through an experienced, flexible, and sensitive approach to minimizing provider abrasion, while still achieving organizational objectives.
Amanda Brown
Amanda Brown is the Vice President of Revenue Integrity at CoventBridge Group where she provides expertise to her clients spanning Medicare Advantage, Medicare Part D, Medicaid, Marketplace, Commercial and FEHB products. She is a subject matter expert in the design and implementation of effective compliance, program integrity, risk, audit, vendor oversight, and ethics programs. Amanda has a keen ability to break down silos and bring organizational collaboration to facilitate compliance with policies, laws, regulations, and risk management.
CoventBridge
Website: https://coventbridge.com/healthcare-fwa-solutions/
CoventBridge Group has more than 25 years of experience in the identification, prevention and investigation of fraud, waste, and abuse for our customers across the healthcare, insurance, financial and government markets with a proven track record of implementing and managing the largest programs in the industry. CoventBridge is the partner of choice supporting:
- Centers for Medicare and Medicaid Services managing the Unified Program Integrity Contractor program investigating Healthcare FWA since 1997
- One of the largest government agencies providing a national network of undercover investigators
- 700 National licensed employee investigators, many of which are former OIG, DOJ, FBI investigators
Program Management
• Audits & Assessments
• Compliance Assessment
• Medicare & Medicaid FWA
• On-site Audits
• Vendor Management
Document Retrieval & Analysis
• Medical Record Retrieval
• Medical Record Review & Coding (RN)
• Investigative Medical Record Review
• Medical & Healthcare Canvassing
Investigative Services
• Healthcare FWA Investigations
• Investigative Reports
• Clinical Surveillance
• Law Enforcement Referrals
• Alive and Well Checks
Staff Augmentation
• Data Analysts
• Investigators
• Nurse Reviewers
• RN Consultants
