Deb has extensive experience with hospital and health systems and senior living providers, including skilled nursing facilities, assisted living and independent living facilities, specializing in reimbursement and assurance services.

Her experience includes cost report auditing, cost report preparation, Disproportionate Share Hospital audits and consulting, reimbursement methodology consulting, upper payment limit calculations, claim reviews, and expert witness testimony. In addition to focusing on providers, Deb has also worked with state agencies in Michigan, Mississippi, South Carolina, Ohio, Delaware, Indiana, Illinois, Nebraska, and Alabama.

Deb's background also includes auditing and consulting for the Office of Inspector General of the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services. Deb is a member of the American Institute of Certified Public Accountants, American Health Lawyers Association, Healthcare Financial Management Association, Association of Government Accountants, American Hospital Association, Indiana Healthcare Association, LeadingAge Indiana, and the Indiana CPA Society.