Our Team


Rita Isnar

RITA ISNAR, JD
Senior Vice President
New York Office


risnar@strategicm.com
Phone: (315) 252-4615


Corporate Headquarters:
5911 Kingstowne Village Parkway,
Suite 210
Alexandria, VA 22315


Phone: (703) 683-9600
Fax: (703) 836-5255

AREAS OF FOCUS

Compliance Program

  • Development
  • Implementation
  • Evaluation
  • Education/Training
  • Code/Policies

Anti-Kickback Statute/Stark Laws
Corporate Integrity Agreements
Independent Review Organization
Independent Evaluations/Review
HIPAA Privacy Services
Training
Due Diligence Review
Medical Part D

Sarbanes Oxley Act

INDUSTRY SPECIALITIES

Hospitals
Managed Care Organizations
Physician Practices

PROFESSIONAL EXPERIENCE

Ms. Isnar is responsible for client fulfillment activities including regulatory research analysis, compliance program development and implementation, and compliance program evaluations for health care organizations. She possesses special expertise in the following regulatory areas: Managed Care, Part D Compliance Program Development and Implementation, Sarbanes Oxley, HIPAA, government enforcement initiatives, quality of care issues, Stark Laws, False Claims, and Anti-Kickback regulations. Further, she assists clients develop internal controls and fulfill their obligations under Corporate Integrity Agreements with the OIG. She has worked with various institutions in assessing compliance program effectiveness, development and implementation, and overall compliance with a number of regulatory issues.

Ms. Isnar has extensive experience reviewing and analyzing contractual, statutory and regulatory requirements that MCOs are obligated to meet in marketing to and enrolling members in their health care plans, as well as in reviewing, evaluating, and assessing internal marketing and enrollment policies and procedures that have been implemented to meet these requirements. She has conducted retrospective and real-time reviews of Medicaid enrollment applications to determine their compliance with State requirements. These reviews were conducted to identify what would constitute an error based on internal, contractual, statutory and regulatory requirements and other criteria deemed important by the MCO.

Ms. Isnar has assisted organizations to interpret regulatory requirements of the Medicare Advantage and Prescription Drug Benefit including Part D and PACE organizations. In addition, she has provided guidance on how develop effective compliance initiatives given relationships with pharmaceutical benefit managers.


PREVIOUS WORK
Prior to joining SM, Ms. Isnar's regulatory and compliance experience in the health care industry included interning at the New York State Office of the Attorney General in Syracuse, New York and working with a regulatory compliance firm to perform research and analysis on HIPAA related issues.


EDUCATION/AFFILIATIONS/RECOGNITION

Bachelor of Arts, Political Science, York University, Toronto, Canada
Juris Doctor, cum laude, Syracuse University College of Law, Syracuse, New York
Master of Public Administration, Maxwell School of Syracuse University
American Health Lawyers Association
New York State Bar Association


PUBLICATIONS/PRESENTATIONS

49 Steps to Implement Sarbanes-Oxley Best Practices co-author, AIS, 2006 (ISBN 1-933801-05-0)


Author of a number of articles for industry and trade publications including the American Health Lawyers Association.


"Recovery Audit Contractor Workbook, " co-author


Frequent presenter on quality of care, compliance and fraud issues, and RACs at local, state, regional, and national forums as well as a number of Webinars


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