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Education: Masters Health Care Management, University of Maryland, 1996Bachelors, WV State University, Accounting, Finance 1978Continuing Education: ISO 9000 Lead Auditor Certification. 2004. Completed,'CMMI For Development Version 1.3',(Carnegie Mellon-CMMI Institute) Audit Course with Acuity Inc. Virginia. A seasoned professional in the Healthcare management. Expertise in Medicare/Medicaid Program, International Business Outsourcing, 20 plus years of hands on experience in TQM, Leadership, Team Building, Auditing, Financial Reporting, Compliance, Third Party Reimbursement, and Employee Benefit Management. Capitated Hospital and Provider contracts, Managed Claims Processing, HMO Utilization Review and Clinical Decision Support Programs. Goals: To provide consultancy services to individual professionals and business entities in the following areas:International markets. Consultation in feasibility studies BPO, Health Care provider Training facility setups with the American Universities as possible partners, provide start up venture supports including the financial and logistics planning. Setting up of shore Long Term Care Facility and Acute care Hospitals includes planning, logistics and licensing or quality certifications. USA Markets. Insurance Company audits for Insurance commissioners, Litigation Expert Supports for Attorneys in the Healthcare Client/payer disputes.Employee Benefits evaluations and management consulting. ISO 9000 Certification. TQM review of Hospitals and Skilled Nursing Facilities, Setting up and certification of Urgent Care and Diagnostic Complexes. Re-Engineering unprofitable healthcare facilities.( Group Practices to Hospitals).We provide expertise for the Re Engineering of Medical Practice to build a “Patient Centered Medical Home”.Specialties: CMS: Compliance, Cost Report Reimbursements for Hospitals/ SNF. Exec.Leadeship:Managing Corporate Cultural Changes via TQM (Juran and Deming methods), Productivity improvements, Solid experience in conducting feasibility studies and managing start ups in Healthcare industry including setting up of Managedcare Organizations (TPA), Urgentcare clinics, Labs and Radiology Diagnostics units.
Universal Placement And Management Consultants, Llc-Dba: Up&Mc
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OwnerUniversal Placement And Management Consultants, Llc-Dba: Up&Mc Apr 2009 - PresentPennsylvania & Maryland (Usa)In the USA: Universal Placement and Management Consultant has admitted two Veterans of the US Military Medical Corps and Infantry in the LLC. Ms. Altamese Fleming and Mr. Frank Shulz now have the majority share of the company. It is now registered on the Federal System for Award Management (SAM) and listed as a Veteran Owned and Operated, Minority owned HUB Zone enterprise. We are now available to participate in any mutually beneficial federal/state project as subcontractors where our capabilities and resources could be exploited for the mutual benefits.. • We will undertake projects associated with Health Care Reforms. Provide turnkey services to plan and establish Medical Service Organization (MSO) to support ACO activities. Provide J-1 waver placement assistance to medical practices and Value Added Resale and management of Health Care practices with EMR/EHR/Practice management Software acquisitions and support. • Provide litigation support to Law Firms defending Physicians in Recovery Audit Findings (Chart Audits) and advise Physician Practices in minimizing risks of audits and medical liability litigations.• Long Term Care facility Reengineering and setting up Assisted Living facilities for medical communities and investors.• Provide domain knowledge to IT companies seeking federal contracts in health care business.In the Off Shore Markets:• Provide full service support for International enterprises in establishing Hospitals, Self -Funded Health Plans and Medical Tourism in Ghana. Medical Management and Technology transfers and consulting for emerging markets.
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CeoUp&Mc Jul 2007Uniontown PaI have relocated from Maryland./Washington DC region to Pittsburgh PA Region.I am keenly pursuing IT clients who are bidding on federal and state contracts to provide services to Health Insurance Exchanges or investors interested in getting licensed for Assisted Living Facilities and setting up Consumer cooperative plans for providing health care to associations. I am also a holder of VAR for ABEL “s EMR/HER/Practice Management Software for Physician Practices.
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Ceo/ Executive Director Of OperationsMedserv Management Inc. Mar 2005Western Pennsylvania And Washington Dc Metropolitan Region.Profile of Arun K. PotdarPast Activities: CEO of Medical management Company (MSO) managing 120 Bed Skilled Nursing Facility, Physicians' Practices, Urgent Care Clinic, Chem.Lab and Diagnostic Radiology Complex.Other Capabilities:: Consultation in feasibility studies BPO, Health Care Providers. Continuing Education Program Development setups.Setting up of Long Term Care Facility and Acute care Hospitals for off shore clients and establisment of Urgent Care Clinics.USA Markets:Insurance Company audits for Insurance commissioners, Litigation Expert Supports for Attorneys with Health Care Providers as Clients. Marketing for ISO 9000 Certification institution. Employee Benefits Management and Consulting. Providing TQM review of Hospitals and Skilled Nursing Facilities, Setting up and certification of Urgent Care and Diagnostic Complexes. Adjunct Faculty for Quality management courses. Pennsylvania State University Eberly Campus
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Reimbursement Manager, Medicare/Medicaid ProgramsSan Juan Regional Medical Center Aug 2004 - Mar 2006Farmington, New MexicoOverall responsibility included maintaining optimum levels of reimbursements from Medicare/Medicaid programs. Ensure compliance with the Regulations, keep track of accuracy of DRG payments, and resolve billing related problems with coordination of business office management. Maintaining accuracy and up keeping of CDM dictionaries, Proration accuracy and resolved issues with MediSoft in accounting DRG calculation and Medical Records, Worked with 3 M Grouper program service providers to resolve inaccuracies in DRG calculations affecting reimbursements. Improved communication systems with physicians to get timely resolution of Medical Records completions. Prepare Hospital Medicare Cost Reports for SJMC and it’s In Patient Rehab Hospital. Assisted Pharmacy for proper accounting of Inventories and IV preparation Charges, conducted inventory counts for blood bank and improved QA efforts by listing lapses in NCQA items. Assist Admissions management to maintain proper accounting of Patient Days and Observation days. Managed Bad Debt and other Cost Report related record keeping and work with Medicare FI in settlement of rate setting issues. Resolve reimbursement losses and assisted Level 3 Trauma and ED to achieve higher reimbursements by organizing proper documentation and coding of Ambulance and Air Craft evacuations. -
Project Manager/Sr. Budget And Financial AnalystHumana Group Health Plan (Former Gha) Of Washington Dc. Nov 1988 - May 1996Washington D.C. Metro AreaHeld various positions. Accounts Payable and Claims Payment Supervisor. Managed Provider Contracts including Capitated payments. Paid Medical Claims, prepared Medicare Cost Report for Heath Care Prepaid Plan. Increased Reimbursements by 300 percent.Project Manager for Medical Director: Maintained Cost and Utilzation Data and provoded Decision Support Reports including costing of Medical Centers. Interfaced with Hospital Admission and Discharge office and served on various commitees including UE and Billing Software Selection committee. Worked closely with Regional Medical Directors and improved UR data distribution and improved Medical Necessity supports. Provided pertinent clinical data for HEDIS reporting agencies. Participated in Clinical research project with University of Michigan's Nursing Program for Phd candidate's project.
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Medicare Fi AuditorCms/Health & Human Services May 1985 - Dec 1987Charleston W.V., Baltimore, MdAudited Hospital, Skilled Nursing Facility and HHA Cost Reports for CMS (former HCFA).
Arun Potdar Skills
Arun Potdar Education Details
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Healthcare Organizations And Management -
Business Administration (Accounting/Finance)
Frequently Asked Questions about Arun Potdar
What company does Arun Potdar work for?
Arun Potdar works for Universal Placement And Management Consultants, Llc-Dba: Up&mc
What is Arun Potdar's role at the current company?
Arun Potdar's current role is Owner.
What is Arun Potdar's email address?
Arun Potdar's email address is iy****@****aol.com
What is Arun Potdar's direct phone number?
Arun Potdar's direct phone number is +172491*****
What schools did Arun Potdar attend?
Arun Potdar attended University Of Maryland College Park, West Virginia State University.
What are some of Arun Potdar's interests?
Arun Potdar has interest in Children, Health Care Law, Civil Rights And Social Action, Education, Poverty Alleviation, Science And Technology, Human Rights, Animal Welfare, Arts And Culture, Health.
What skills is Arun Potdar known for?
Arun Potdar has skills like Healthcare Management, Hospitals, Healthcare, Medicare, Strategic Planning, Program Management, Team Building, Physicians, Medical Billing, Healthcare Information Technology, Management Consulting, Management.
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