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Board of Directors
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Click Here for a list of NAMSAP Past Presidents.



Rita M. Wilson

CEO Tower MSA Partners, LLC

As CEO of Tower MSA Partners, LLC, Rita Wilson oversees all business development, sales, marketing and operational activities, IT systems development, and identifies new product offerings in support of Medicare Secondary Payer Compliance.

Wilson gained a wealth of expertise in information technology solutions, process driven workflow and metrics, and data analytics while holding leadership positions in pharmacy software development, pharmacy benefits management and workers’ compensation managed care companies for more than 20 years.

Prior to co-launching Tower MSA Partners in 2011, she founded and ran Select MRI, LLC, a diagnostic company, and Speedy Re-employment and Medicare Set Asides, an MSP compliance company. Previously, Wilson built out the operational and technology model for another startup, DirectCompRx, Inc., a subsidiary of Fiserv, Inc., ultimately becoming its CEO.

Before moving into the workers’ compensation industry, Wilson spent 15 years in software development for retail pharmacy and PBM serving as Director of Research and Development for QS/1 Data Systems. Wilson obtained a Bachelor of Science degree, summa cum laude, from Presbyterian College in Clinton, SC and completed graduate studies at Converse College in Spartanburg, SC. She has served in member and/or board of director capacities with the American Society for Automation in Pharmacy (ASAP), the National Council for Prescription Drug Programs (NCPDP), Health Level 7 (HL7), and the National Council of Self-Insurers (NCSI).

Wilson is a member of the National Association of Medicare Set Aside Professionals (NAMSAP) where she serves as a member of its Board of Directors, as chairman of its Communications Committee and as a member of the Data and Development and Evidence Based Medicine committees.


Vice President

Amy Bilton, JD, MSCC, CMSP

Nyhan, Bambrick, Kinzie, and Lowry

Amy E. Bilton, Esq. is a shareholder and workers’ compensation defense trial attorney at the Chicago law firm of Nyhan, Bambrick, Kinzie, and Lowry. She received her BA from the University of Michigan, JD from DePaul University College of Law and has her MSCC certification. Ms. Bilton is a frequent lecturer on workers’ compensation, Medicare Secondary Payer issues and Medicare Set-Asides. In addition to being a NAMSAP member and legal committee chair, she is a member of the Chicago Bar Association, Illinois State Bar Association and Illinois Workers’ Compensation Lawyers Association. She has specific interest in bringing evidence-based medicine to MSAs.


Christine Melancon, RN, CCM, MSCC, CNLCP, CMSP

Operations Strategist, Cobalt Compliance Partners, LLC.

Christine Melancon is the Operations Strategist for Cobalt Compliance Partners, LLC. Christine provides daily on hands management for areas of Medicare Secondary Compliance including Medicare Set-Aside (MSA) Allocations, CMS Submissions, and Conditional Payment Resolution. Christine has been involved with complex medical case management of claims for workers’ compensation, liability, and maritime cases since 1997. She began to focus primarily on MSA Allocations and MSP compliance in 2004. Prior to her involvement with claims, she served as a Registered Nurse in a number clinical areas including emergency medicine, neurological rehabilitation, obstetrics and pediatric/neonatal critical care. Christine earned her RN from Charity Hospital School of Nursing in New Orleans, LA. She has served on NAMSAP’s Annual Meeting Subcommittee since 2011, was a Co-Chair of the NAMSAP Education Committee in 2013, and has served as Secretary of NAMSAP’s Board of Directors since 2015.





Gary Patureau, CWCP, CMSP

Executive Director/COO, Louisiana Association of Self-Insured Employers (LASIE)

Gary Patureau, CWCP, CMSP is the 2016 President of the National Alliance of Medicare Set-Aside Professionals (NAMSAP) as well as Executive Director/COO of the Louisiana Association of Self Insured Employers (LASIE).  LASIE’s mission includes protecting and promoting the right of employers to self insure and spearheading workers’ compensation legislative and regulatory issues for the business community in Louisiana.  Patureau’s duties include developing strategic initiatives, educational programs, managing association activities and lobbying for self-insured employer interests.  Patureau holds the Certified Workers’ Compensation Professional and the Certified Medicare Secondary Professional designations.  Patureau has been in the governmental and community relations field since 1986.  He has served as a special assistant to Congressman and Governor Buddy Roemer.  Under Governor Roemer he became the first director of the newly created Louisiana Office of Literacy.  Prior to becoming the director of LASIE, Patureau served as the Executive Director of the Louisiana Literacy Foundation.  He is a past chair of the Louisiana Association of Business and Industry (LABI) Workers’ Comp Task Force and a member of the LABI Employee Relations and Education & Workforce Development Councils.  He serves on the Workers’ Compensation Research Institute (WCRI) Advisory Council for Louisiana, is on the State Association Board of Managers of the National Council of Self Insurers (NCSI) and is a Board member of the National Alliance of Medicare Set-Aside Professionals.  Patureau is a United States Navy veteran, graduate of Louisiana State University Shreveport and is active on numerous civic boards and organizations.


Greg Gitter, CMSP

President, Gitter & Associates, Inc.

Greg Gitter is the President of Gitter & Associates, Inc., a firm specializing in negotiating resolution of High-Exposure Workers’ Compensation claims for excess carriers, employers and insurance companies across the country. Greg has been involved in the Workers Compensation arena for 19 years in various capacities and in numerous jurisdictions, both at the State and Federal levels.  He has gained extensive knowledge and experience related to the interaction between Medicare and the Medicare Secondary Payer (MSP) Statute relative to Workers’ Compensation. Greg was recognized by LexisNexis as one of the Workers’ Compensation Notable People for 2008 and was a member of the inaugural CMSP class of 2010. Most recently, he was published in the Complete Guide to Medicare Secondary Payer Compliance and serves as both the Chairman of the Membership Committee as well as having been an active member of the NAMSAP Annual Conference Planning Committee for the past four years.


Immediate Past President

Shawn Deane, JD, MEd, MSCC, CMSP

Assistant Vice President, Product Development
ISO Claims Partners

Shawn Deane is Assistant Vice President of Product Development at ISO Claims Partners. Shawn concentrates on all  facets  of  Medicare  Secondary  Payer  (MSP)  compliance,  but  specializes  in  the enhancement and development  of  new  products  and  services. Prior to joining ISO Claims Partners, he practiced healthcare law and insurance defense. Shawn is  a  member  of  the  Defense  Research  Institute  (DRI),  has  attained  the  Medicare  Set  Aside Certified Consultant (MSCC) certification the Certified Medicare Secondary Payer Professional (CMSP) certification. He is also a member of the National Alliance of Medicare Set Aside Professionals (NAMSAP) and the chairperson for the NAMSAP webinar committee. Shawn is an accomplished musician, with a B.A. from the Berklee College of Music, has a Master’s Degree in Education and is a graduate of the Massachusetts School of Law. He is member of the Massachusetts Bar, and is licensed in both state and federal courts in Massachusetts.



Members of the Board

Rasa Fumagalli, JD, MSCC

Partner, Nyhan Bambrick Kinzie & Lowry  

Rasa Fumagalli holds a law degree from IIT’s Chicago Kent College of Law with an undergraduate business degree from the University of Illinois. She is admitted to practice law in the State of Illinois. Prior to joining Nyhan Bambrick Kinzie & Lowry she was at Protocols/NuQuest since 2010. She spent over twenty years specializing in workers’ compensation insurance defense work in the Chicago area. She has worked for private firms, as well as in an in-house counsel capacity for several insurance companies.

As  VP of MSP Compliance and Customer Relations, Rasa utilizes her extensive experience in handling workers’ compensation cases when it comes to consulting with clients about Medicare Secondary Payer (MSP) compliance issues.  She is a frequent author of the legal updates and often speaks to various insurance organizations and Bar Association groups on MSP compliance.

Rasa has been an active member of the National Alliance for Medicare Set-Aside Professionals (NAMSAP) organization since 2009. Over the years, she has served on the Communications Committee, and has frequently contributed to the NAMSAP Newsletter. She is an active member of the Evidence Based Medicine Committee and served as a co-chair with Josh Pettingill on the Liability Committee.  She was recently elected to the NAMSAP Board of Directors.


Beth Hostetler, RN, BSN

Director of Medicare Services, Corporate Risk Management, Albertsons Companies

Beth Hostetler is a nurse with over twenty five years experience in the field of disability management and cost containment services in Workers Compensation. She has a Bachelor of Science in Nursing from Case Western Reserve University. She has been a certified Life Care Planner and is currently a Certified Medicare Set- Aside Allocator, and Certified Medicare Secondary Payer Professional. Her experience includes nearly fifteen years as Branch Manager in the Healthcare Division of Crawford & Company as well as several years as owner of her own company which provided case management, life care planning and Medicare set-aside services. Presently, she is the Director of Medicare Services in the Corporate Risk Management Department of Albertson’s Companies which is one of the largest food and drug retailers in North America. She has developed Albertson’s internal MSP Compliance program for Workers Compensation which includes policy and procedure for MMSEA Section 111 reporting, Conditional payment identification and resolution and the MSA program. She routinely provides internal training on Medicare Secondary Payer compliance and all aspects of the MSA process.



Ciara F. Koba, Esq.

Associate, Gordon Rees Scully Mansuhkhani, LLP

Ciara F. Koba is an Associate at Gordon Rees Scully Mansuhkhani, LLP. An attorney and licensed registered nurse with significant general and surgical nursing experience, Ms. Koba brings a unique understanding of the health care industry to the resolution of Medicare issues that arise in workers’ compensation, general liability and Federal Employers Liability Act claims.

Before joining the firm, Ms. Koba worked as a Staff Attorney at a company specializing in high-exposure claims related to the Medicare Secondary Payer Act, where she drafted Medicare set-asides, as well as submitted and negotiated claims to the Centers for Medicare and Medicaid Services voluntary review program.

Ms. Koba graduated from Duquesne University School of Law, cum laude, in 2011. While there, she founded the university’s first Health Law Society and served as its president. Ms. Koba received a Bachelor of Science in Nursing from Duquesne University in 2006.

Admitted to practice law in Pennsylvania, Ms. Koba is a member of the Health Law Section of the Allegheny County Bar Association.

Areas of Law:
 •   Medicare Compliance
 •   Workers’ Compensation
 •   Litigation

 •  Duquesne University School of Law (J.D., cum laude, 2011)
 •  Duquesne University School of Nursing (B.S., 2006)

Bar Admissions
 •   Pennsylvania

 · Allegheny County Bar Association
        o  Health Law Section
 · National Alliance of Medicare Set-Aside Professionals (NAMSAP)
        o  Member, Board of Directors, Jan. 2015-present
        o  Member, Legislative Committee, 2014-present
        o     Board Liaison, Data Development Committee, Feb. 2015-present



Monica A. Williams, BSN, RN, CCM, CRRN, LNC, MSCC, CMSP

President, MWC Associates, LLC

Monica Williams is President of MWC Associates, LLC.  Formerly a national Catastrophic Program Manager for Intracorp with over 20 years in case management, she now provides Medicare/WC consulting, medical cost projections, complex case reviews and is a registered Catastrophic Case Manager for the State of Georgia. She consults on CMS submission, MSPRC compliance and assists with establishing needs for catastrophic cases.  She holds a BSN in Biology and Nursing from Jacksonville State University.

Kimberly Wiswell, CMSP

Vice President, Product Management/Development

Kimberly Wiswell has been engaged in the workers’ compensation managed care and occupational health services industries since the late 1970’s, with a focus on Medicare Secondary Payer compliance since 2005. She is currently Vice President, Product Management/Development at MEDVAL, having joined them as their Director of Operations in 2013. Prior to that, she co-founded and served as Managing Director over CompProjections Medicare Set-Asides, a division of CompPartners from 2008-2013, and served as Sr. Vice President, Operations over the Medicare Set-Aside division of Coventry HealthCare’s First Health Priority Services sub-division from 2005-2007.

Kim has extensive knowledge and experience in the area of workers’ compensation managed care including Medicare set-asides, medical bill review, systems analysis and development, medical coding and reimbursement, and occupational health administration and consulting. She has provided consulting services to the CMS and a number of state agencies and associations, and is a presenter at industry conferences, seminars and training sessions concerning Medicare Secondary Payer Compliance, medical cost management, and provider coding and reimbursement. Kim sits on the faculty for WorkCompCentral’s WorkCompSchool and serves as the Fee Schedule Committee Co-Chair for a California legislative advisory body composed of top risk managers and select attorneys who advocate for industry insurance defense and related workers’ compensation legislation.

Kim is a past President of the Board of Directors for the National Alliance of Medicare Set-Aside Professionals (NAMSAP); and serves on the Annual Meeting, REDBOOK and MSCC subcommittees, and the Legislative, Data Development and Communications committees. Kim resides in Oregon and can be reached directly at (805) 377-0614 or via email at

NAMSAP Past Presidents

2005-2006   Patricia "Patty" A. Meifert, RN, CRRN, CCM, CLCP, MSCC
  Robert T. Lewis, Esq.
2009-2012   Michael E. Westcott, CMSP 
2013-2014   Douglas L. Shaw, CPA, CMSP 
2014-2015   Leslie Schumacher, RN, CRRN, CCM, LNCC, CLCP, CNLCP, MSCC, CMSP 
2015-2016   Kimberly A. Wiswell, CMSP
2015-2016   Gary Patureau,  CWCP, CMSP 
2016-2017   Shawn Deane,  JD, MEd, MSCC, CMSP


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