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.

Annette Lee founder of Provider Insights, Inc.

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 - C 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.

  • Maribeth R. Freland

    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.

  • Ketti Dawson

    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.

  • Janice Jensen

    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.

Schedule your complimentary consultation today.