Rebecca S. Busch, CFE, CBM
CEO and President, Medical Business Associates, Inc.
Westmont, IL

Rebecca formed Medical Business Associates, Inc. with the vision of delivering a multi-disciplined approach to conducting comprehensive audits for employers, hospitals, insurance companies, patients and government agencies.

A pioneer in conducting technology and process enabled audits of healthcare claims and processing, Rebecca has developed patent-pending proprietary data analysis tools, including a data anomaly system that profiles and tracks medical and financial errors. Her proprietary methodology employs statistical analysis of claims and procedural data - specifically targeted to identify the most probable areas of operational breakdowns, medical and financial errors, exposure to fraud, waste and abuse, and cost savings.

Rebecca's ability to quickly identify anomalies from vast amounts of data has distinguished her and Medical Business Associates as an invaluable source of valuable cost-savings for clients. Rebecca entered the healthcare industry as a nurse and became a hospital medical auditor setting up internal controls for documentation and reimbursement issues. She also set up audit programs for insurance carriers. Throughout her career she has been an advocate for individual patients who have found themselves "stuck" in the system. This eventually led to the creation of Health$hield and a Personal Health Record (PHR) that helps patients and their employers manager their medical expenses and healthcare information - and prevents and detects medical and financial errors, medical identity theft and fraud, waste and abuse.

Today, Rebecca executes her vision by helping clients manage their healthcare costs and training clinical professionals on audit and finance. In addition, she investigates fraud and testifies as an expert witness in disputes in the areas of healthcare reimbursement, internal controls, life care expense analysis, patient care documentation and respective damages.

An accomplished educator, Rebecca has published more than 100 articles and presentations and authored three books: Health Care Fraud and Detection Guide -- a comprehensive guide for auditing and detecting healthcare fraud, and Healthcare Portfolio - a "how-to" book that teaches American families how to detect fraud in reviewing their own medical bills. She has contributed the case study "I Do" regarding identity theft to Case Studies in Computer Fraud by Joseph T. Wells, CFE, CPA and Chapter 59 "Bodies for Rent" for Fraud Casebook: Lessons from the Bad Side of Business by Joseph T. Wells, CFE, CPA. Her most recent book is Electronic Health Records: An Audit & Internal Control Guide.