Meet the team
translating Medicare-ese into language you can actually understand.
Medicare compliance may have kept you up at night more times than you’d like to admit. But it doesn’t have to. The Provider Insights team has nearly a century of combined experience, and we bring it all to you when we assist your home health or hospice agency.
Annette Lee
RN, MS, HCS-D, COS-C
Founder and President
Founder Annette Lee built Provider Insights to give home health and hospice providers peace of mind. She’s had decades of experience at CMS and provided many years of consultancy services—including contracting as a Medicare Administrator with MAC.
She speaks Medicare-ese fluently and knows how to make the most complicated rules make sense for patient-centered providers who don’t have the time to dissect every rule. Agencies that work with Provider Insights can rest assured they’re fully compliant with the regulations that are in place today. And they’ll stay compliant when those regulations change tomorrow.
Licenses and Certifications
Registered Nurse
Master’s in Healthcare Administration
AHIMA ICD-10 Certified Trainer
Home Care Specialist in ICD-10 Coding (HCS-D)
OASIS Certified - (COS-C)
Notable Accomplishments
Contracted by CMS fiscal intermediary and Medicare Administrative Contractors, Cahaba GBA, and CGS to provide education to their home health and hospice agencies, as well as internally to the Medical Review department.
Authored "Medicare Audits in Home Health,” published by HC Pro.
Authored numerous articles, chapters — such as "Reimbursement" in "Home Health Administrator's Guide" — and performed review for HC Pro.
Assisted numerous agencies found to be in "immediate jeopardy" by survey to become compliant and deficiency free upon re-survey. We achieved success through a holistic approach — mentoring of leadership, education, and follow up with staff to improve quality and documentation.
Educated over 100 agencies that were on Medicare targeted review on implementing processes to support compliance and aided their successful graduation from the audit.
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Maribeth R. Freland RN
Certified CMS Health Facility Surveyor
Maribeth brings 21 years of expertise as a home health and hospice surveyor for the state of Iowa Department of Inspection and Appeals, as well as CMS State OASIS Education Coordinator.
After retiring from the State in 2022, she is opening a new chapter, using this expertise and her love for education in working side by side with agencies in Iowa, and beyond! Maribeth provides mock surveys, documentation audits and education with Provider Insights.
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Melissa Bowers, , MA, MPS
Hospice Chaplain/Spiritual Counseling
Melissa has been a spiritual care provider for over 25 years, serving healthcare agencies both large and small. She brings hospice experience in both non-profit and for-profit sectors, and can help your agency navigate spiritual care and compliance needs in multiple settings.Effective spiritual care supports the team as well as patients and their families, and she focuses on helping hospice agencies to maximize the talents and skills of their spiritual care staff while prioritizing compliance, patient/family care, and care team support. She has served the Missouri Hospice and Palliative Care Organization as a founding team member of their Prison Hospice program, and as Chair of the Veterans Committee helping hospices better serve the needs of our veterans at end of life.
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Ketti Dawson, MSW
Consultant
Ketti brings 25 years of progressive business experience in the evolving health care industry. She is a self-motivated hospice administrator with proven leadership, organizational and customer relations skills.
A seasoned health care leader, she focuses on business efficiencies and operational improvements to enhance hospice programs and their successes with ADRs, RAC, UPIC, and TPE. Ketti has been an asset on the Missouri Hospice and Palliative Care Organization for the last five years and has consulted with Provider Insights since 2018.
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Dr. Robert Schreiman
Hospice Medical Director
For over 25 years, Dr. Robert Schreiman has been in the realm of geriatric medicine, advocating for the dignity and proper care of patients and their families as they navigate life's final chapters. Dr. Schreiman's commitment to excellence propelled him to establish a private practice, where he became renowned for his expertise and compassionate approach to geriatric care. This love for caring for patients at end of life led to his current focus in hospice and palliative care.
In his role as Hospice Medical Director, and expert consultant to Medical Directors, Dr. Schreiman provides guidance and expertise, driving innovation and excellence within his team and the broader healthcare community. His approach to education has empowered colleagues and IDTs in hospice to think creatively and compassionately, challenging them to transcend conventional practices and embrace innovative solutions.
An advocate for hospice regulatory compliance and documentation integrity, Dr. Schreiman has cultivated a culture of accountability and excellence within his organizations. Through his leadership, he instills commitment to adherence to regulatory standards, while ensuring that every patient receives the highest quality of care with attention to detail.
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Julie McGowan
Hospice Consultant
Julie is a seasoned hospice consultant with 29 years of nursing experience, including 12 years dedicated to hospice care. Her extensive background in hospice leadership roles such as QAPI Contractor, Director of Nursing, and Administrator has equipped her with a deep understanding of hospice operations and regulatory compliance.
Julie is passionate about driving quality improvement and has a proven track record of implementing data-driven strategies to enhance patient care and organizational performance. Her advanced education, including a Master of Science in Nursing and CHPN certification, further solidifies her expertise in the field. Beyond her professional accomplishments, Julie's empathetic approach, rooted in her personal values and love for nature, creates a compassionate and supportive environment for both colleagues and clients. Her beloved senior dog, Bella, adds a touch of warmth and joy to her work, reflecting the nurturing atmosphere she fosters.
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Janice Jensen
Documentation Consultant
Janice has over 36 years’ experience in public health/home health as an RN and Director of Nursing. She has provided consultation on documentation since 1993 to agencies seeking to decrease their payment and survey risk.
An educator by nature, Janice has an eye for detail in her reviews, yet delivers the findings and recommendations with a warmth and “real life” application. Her expertise is invaluable to Provider Insights’ audits of all kinds—from pro-active quarterly assessments, to TPE and fraud audits.
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Escher Pickel
Executive Assistant
Escher was born and raised in Eastern North Carolina. But since their father served in the Air Force, they had the opportunity to live in places such Las Vegas, England, and even Saudi Arabia during high school.
Escher graduated with a BS in Business Management from the University of Mount Olive in 2020, and has been working in both administration and marketing since then. They have a passion for organization and logistics, and loves to keep projects rolling like a well-oiled machine.
When they're not making spreadsheets and scheduling newsletters, Escher enjoys singing, spending time with their cats, and working on their small business selling resin art.