Our Team


Cornelia M. Dorfschmid, PH.D.

CORNELIA M. DORFSCHMID, PH.D.
Executive Vice President

5911 Kingstowne Village Parkway, Suite 210
Alexandria, VA 22315


cdorfschmid@strategicm.com


Corporate Headquarters:

Phone (703) 683-9600 ext. 419
Fax (703) 836-5255

AREAS OF FOCUS

COMPLIANCE PROGRAM

  • Development & Implementation
  • Effectiveness Reviews
  • Surveys and Evaluations
  • Education/Training
  • Code/Policies/Procedures

Project & Program Office Management
IRO Preparation
Exclusion Screening
RISK ASSESSMENTS/ERM/COSO
INTERIM/DESIGNATED COMPLIANCE OFFICER
HIPAA PRIVACY/SECURITY SERVICES
LITIGATION/SDP SUPPORT
REVENUE CYCLE COMPLIANCE

  • Claims Audits & Overpayment
  • Revenue Cycle Oversight Reviews
  • Internal Control Reviews
  • COB/MSP
  • Data Mining/RAC
M&A DUE DILIGENCE REVIEWS
RAT-STATS SAMPLING & ESTIMATION
FAIR MARKET VALUE DETERMINATION
COMPLIANCE SOFTWARE TOOLS

INDUSTRY SPECIALITIES

HOSPITALS & ACADEMIC MEDICAL CENTERS
PHYSICIANS & GROUP PRACTICES
PRACTICE MANAGEMENT
MANAGED CARE
THIRD PARTY ADMINISTRATORS
DISEASE MANAGEMENT
DMEPOS
PHARMACY/PHARMACEUTICAL
HEALTH IT
VHA/TMA PROGRAMS

PROFESSIONAL EXPERIENCE

Dr. Dorfschmid has over 16 years of private and government sector experience in compliance consulting, the majority of which was in management and executive capacities. She is a recognized expert in the areas of corporate compliance, HIPAA and compliance risk assessments, enterprise risk management (ERM), RAT-STATS sampling and overpayment estimation, and litigation consulting.  She specializes in providing senior advisory services in “turn around” situations to health care organizations ranging from hospital systems, group practice networks to managed care disease management, and DME organizations. She has operational experience with organizations under CCA/CIA and settlement agreements with the HHS OIG. She works with various law firms and their clients in arriving at satisfactory solutions to payment error issues, overpayment settlements, fair market value issues, and self-disclosure. 


Her advisory services cover such areas as corporate compliance program (CP) development and implementation, CP effectiveness assessments, including enterprise risk management (ERM/COSO), litigation and self-disclosure support (SDP) and resolution, RAT-STATS sampling and estimation of overpayments related to Medicare, Medicaid and private payers. As VP for Surveys & Evaluations for the firm she developed survey instruments and health care compliance indices (HCCI™, Compliance Benchmark Survey™, Compliance Monitor™) and various compliance assessment and risk assessment protocols.  As Senior VP & CIO for the firm, she was instrumental to the development of training software tools (HIPAABASICS.net, ComplianceSAVER™, CPBasics™, CPEssentials™. In her past capacity as CIO of the firm, she oversaw the firm's technology efforts to advance compliance through technical tools and offerings, and designed and managed FACIS® (www.facis.com), a web-based data search service on disciplinary actions that continues to operate as an independent company, as well as the Compliance Interactive Tutorial System™ (CITS™ for the AMA). She has served as Interim or Designated Compliance Officer for health care organizations. She is particularly experienced in compliance risk management, including internal control reviews and revenue cycle risk analysis and oversight.


PREVIOUS WORK
Prior to joining Strategic Management Systems, Inc. and Strategic Management Services LLC, Dr. Dorfschmid was a full time research and teaching staff member and involved in competition policy and antitrust/cartel law issues at the Institute for Economic Research – Policy Division at Albert-Ludwigs-Universität in Freiburg, Germany (Institut für Allgemeine Wirtschaftsforschung - Abteilung Politik), where she taught economics courses and labs at the graduate level and oversaw student master’s thesis work. Subsequently, as an adjunct professor in the Economics Department of New York University (NYU), she developed class curriculum and taught macroeconomics, statistics, and econometrics for the Department of Economics at New York University. She later worked as a statistical consultant to investment firm Morgan Grenfell, Finance where she used her expertise in applied economics and econometric models of financial instruments and participated in bond option portfolio pricing projects by estimating bond option portfolio volatilities using time series analysis with the statistical software package RATS (Regression Analysis of Time Series).


EDUCATION/AFFILIATIONS/RECOGNITION

Ph.D. Economics, New York University/ New York City, NY
M.A. Economics, Albert-Ludwigs-Universität/Freiburg, Germany
B.A. in Law (Vordiplom) Albert-Ludwigs-Universität/Freiburg, Germany
M.S. Information Systems, George Washington University/ Washington, DC
CIO Certificate in Federal Executive Competencies from the Chief Information Officers University and GWU
Member of the Project Management Institute (PMI) and a certified Project Management Professional® (PMP)
Member of Health Care Compliance Association (HCCA)


PUBLICATIONS/PRESENTATIONS

Why RAT-STATS and Sampling Are Hot [HTML] [PDF]

Why RAT-STATS and Sampling Are Hot


Medicaid Integrity Contractor reform: MAC, MIC, ZPIC,RAC [HTML] [PDF]

Compliance Today, Volume 12, Jan 2010


Managing risks when implementing the new EHR disclosure accounting requirements of ARRA [HTML] [PDF]

Compliance Today, Vol. 11, Nov 2009 (co-author)


The Importance of the Conditions of Participation for Hospitals [HTML] [PDF]

Healthcare organizations, which include but are not limited to hospitals, hospices, critical access hospitals, skilled nursing facilities and home health agencies, are required to comply with the CoPs if the organization participates in Medicare and MedicaidThe CoPs are the minimum health and safety standards that providers and suppliers must meet in order to be Medicare and Medicaid certified.


New Charging Guidelines Underscore the Importance of Cooperation and Evidencing Program Effectiveness [HTML] [PDF]

This article was published in the November-December 2008 issue of the Journal of Healthcare Compliance.


Coordinating External Requests for Information in the Compliance Office Compliance Today, Vol. 10, Oct 2008


Ten Tips For Leveraging Your Compliance Committee Compliance Today, Vol. 10, May 2008


2003 Compliance Strategies for Medical Groups and Physician Practices Group Practice Journal, Vol. 52, Jan 2003


A Guide to Auditing and Monitoring HIPAA Privacy Compliance AIS 2003 (co-author)


Completing a Risk Assessment HIPAA Patient Privacy Compliance Guide, AIS 2002


Presentations: She presented at various associations and professional organizations and events on such issues as Risk Management and Methodologies, Compliance Risk Areas, Benchmarking Compliance Program Effectiveness and HIPAA Privacy and Security.


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