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Qualifications:Beginning in the early seventies, Manie has worked with the Medicare/ Medicaid programs in various capacities. Since the late seventies, Manie has limited his consulting practice to health care issues and has consulted with thousands of hospitals, nursing homes, home health agencies, HMOs, physician group practices, medical staff, and related clients throughout the country. His service to these clients has included appearances before administrative appeal boards, such as the Provider Reimbursement Review Board, generation of TEFRA appeals, Medicaid appeals, design and implementation of productivity systems, feasibility studies and strategic planning. Manie consults with clients in the areas of third-party reimbursement compliance and generational efficiencies.
Successfully represented two state hospitals before the PRRB culminating in a multiple million-dollar victory
Qualifications:Mr. Smith has over 38 years of progressive experience in the healthcare industry, including prior experience with an Academic Medical Center and a Big Six accounting firm, a national home infusion therapy provider and a large hospital system. He has done extensive work in engagements in the areas of Medicare and Medicaid reimbursement and financial analysis of healthcare providers.
Managed Patient Accounting Revenue Cycle Improvement project for a large hospital system
Javier has over twenty (20) years of Medicare/Medicaid reimbursement experience in healthcare as an auditor with fiscal intermediaries/Medicare Administrative Contractors (MACs) and most recently as a Director of Reimbursement for 22-bed long-term care hospitals. Javier has overseen the preparation and audits of multiple Medicare/Medicaid cost reports for hospitals, long-term care, and nursing homes and other healthcare facilities. His experience and in-depth understanding of Medicare’s rules, regulations and compliance requirements offer an invaluable skill-set to our clients. He has also worked extensively with hospital groups and individual hospitals in reviewing DSH and Wage Index reporting and initiating corrections to Wage Index with the fiscal intermediary.
Prepared cost reports for specialty providers including LTAC, children’s, cancer, Psych, Rehab, SNF, CORF, and HHA providers.
Jennifer is a Manager in CampbellWilson’s healthcare consulting practice with over 20 years of public accounting and healthcare experience, specializing in Medicare and Medicaid reimbursement. As a reimbursement consultant, she has overseen the preparation of Medicare/Medicaid cost reports for a variety of facility types, including acute hospitals, critical access hospitals, long-term care hospitals, rehab, and psychiatric units, hospice and home health facilities, and home offices. She has a strong background in wage index analysis and Medicare and Medicaid DSH review. She also works in Appeals and Reopenings assisting providers in resolving unsatisfactory reimbursement settlements.
Assisted hospital business office staff in the preparation and analysis of Medicare allowable bad debts to ensure proper compliance with appropriate regulations.
Decision Support Manager
Mr. Kinnear has twelve years of professional experience, nine in data analysis with the last six focused in healthcare. He oversees and implements time studies for nineteen clients over 210 facilities, as well as onsite training and personalized trouble shooting. In his role as decision support manager, he developed a process for completion of uncompensated care filing which greatly reduced the administrative burden on reporting clients. Mr. Kinnear has also made presentations at HFMA regarding proper execution and implementation of provider time studies on multiple occasions.
Oversees and implements time studies for nineteen clients over 210 facilities
Heather is a Manager in CampbellWilson’s healthcare consulting Reimbursement Practice. With over 15 years of experience as a reimbursement manager, consultant, and financial analyst, Heather has a combination of both financial and reimbursement experience. She has extensive experience with the Texas Medicaid disproportionate share and uncompensated care reimbursement programs and has been a resource to many Texas providers in all phases of these programs. She also has strong experience in Medicare disproportionate share reimbursement. Heather has expertise in wage index reporting, including occupational mix reporting. She has overseen the preparation of Medicare and Medicaid cost reports for a variety of facility types in many states, including acute care hospitals, long-term care hospitals, critical access hospitals, sole community hospitals, rehabilitation, and psychiatric units, skilled nursing units, and home health facilities.
Designed a process for review and analysis of facility wage index data, as well as impact analysis. Prepared Medicare Geographic Reclassification requests for both group and individual reclassifications.
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Our Multi-disciplinary Team Can Handle Any Problem.
Medicare Bad Debts94%