W. Glenn Ellerbe, MBA, CFE, CPA
Executive Vice President

Glenn Ellerbe, an Executive Vice President with Gorman Health Group, LLC, has extensive experience in problem identification and corrective actions in Medicare claims and encounters, enrollment, disenrollment, membership statuses, and reporting and compliance monitoring systems. He develops corrective actions for compliant operations including reengineering information systems, manual workflow design, and policy and procedure development. He is a leading HIPAA implementation expert and also performs enrollment reconciliations, claims and encounters data validation audits for certification and ACRP development, and special focus audits.

A 24-year veteran of Anthem Blue Cross & Blue Shield – Ohio, as Director of Medicare Managed Care Ohio Operations, Mr. Ellerbe was responsible for all aspects of planning, filing, implementing, operating, and expanding Anthem’s Ohio Medicare Advantage plan.

While at Anthem, Mr. Ellerbe served as Senior Manager of Medicare Claims Operations, Corporate Manager of Medicare Audit & Reimbursement, and Director, Medicare HMO. As a Medicare fiscal intermediary official, Mr. Ellerbe audited for fraud, abuse, waste, mismanagement, and non-compliance; both financial and operational. He has extensive experience working with HCFA and Office of Inspector General.

Mr. Ellerbe is a certified public accountant and a certified fraud examiner. He has an MBA, a BSBA, and an AAB from Youngstown State University, where he was also an Instructor in the School of Business Administration.

CMS Publishes Final 2009 MA Capitation Rates and Part D Payment Policies; CMS Will Conduct Plan Level Audits and Not Make Coding Intensity Adjustments for 2009, 04.10.08
Other SNP Sponsors Could Follow In QMed's Wake, Consultant Says; Medicare Advantage News, 11.15.07
The Medicare Outlook: Keys to Success in the New Senior Market, Munich Re America HealthCare Newsletter, 11.01.07
 
Protecting Beneficiaries: Improving & Monitoring Medicare Marketing Practices - AHIP, 05.07
Hard Sell Cited as Insurers Push Plans to Elderly, New York Times, 05.07.07
Advantage Plan's Risk- Wall Street Journal, 04.22.07
Power Shift in Congress Revives Health Debate - New York Times, 01.02.07
 

Home || Contact || Site Map || GHG Webmail || Copyright © 1996-2006 Gorman Health Group, LLC