Brian Boyce Email and Phone Number
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MHA, BSHS, CRC original author, creator of TAMPER acronym, National Coding Instructor, Author, Educator, Veteran, EntrepreneurBrian holds many certifications including Clinical Bioethics from Georgetown University, Total Quality Management from the US Air Force, Medical Survival via the USAF School of Aerospace Medicine, a Medical Service Specialist from the US Air Force, Six-Sigma through the Juran Institute, & Model-Netics, a comprehensive management training & development program. He is a veteran of the US Air Force where he began his healthcare career in Aeromedical Evacuation (flight nursing). In this capacity he was trained to be the healthcare provider when there was no physician present. This included minor surgery, primary care, emergency treatment, biological & chemical warfare response, & even delivering babies. He has over 20 years of clinical nursing experience & trained corpsmen in clinical procedures when in the military. He has several awards & accolades from his military career & is a veteran of Desert Storm.Brian has over 30 years of experience in health administration, operations, & physician practice management & is very knowledgeable in JCAHO, HIPAA, CLIA, & OSHA. He has provided physician practice audits, start-ups, & divestitures nationally. He is a certified coding instructor, & ICD-10-CM Trainer, and is the original author of the CRC (Certified Risk Adjustment Coder) curriculum. Brian is recognized nationally for speaking engagements at many organizations conferences & has authored many articles for healthcare management, quality of care issues, & coding education. He is a past Richmond, VA AAPC chapter Vice President, President, & served on the National Advisory Board for the AAPC from 2015-2018. Brian has served as a representative on his Congressional District State Central Committee & was a founding member of the first LGBT Caucus for Virginia. He has worked with Senators and Congresspeople to change laws in the state for medical coding instructors and advocates for healthcare issues and other interests. He is a former board member of the Virginia Pride Coalition (modern day Virginia Pride) and a former community educator for the American Red Cross. He has a strong interest in clinical ethics, patient safety, & quality of care.
Refinica, A Health Administration Advisors Brand
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Ceo And PresidentRefinica, A Health Administration Advisors BrandRichmond, Va, Us
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Ceo & PresidentHealth Administration Advisors Mar 2022 - PresentRichmond, Va, Us✦ Technology-Enabled Healthcare Consulting ✦ Operations Efficiency ✦ Health Data Analytics ✦ Legal Audit ✦ Risk Adjustment Expertise -
Director, Risk Adjustment Integrity Group (Raig) And The Risk Adjustment Coding Council (Racc)Advize Mar 2022 - PresentOrlando, Florida, UsThe Risk Adjustment Integrity Group (RAIG) is a joint venture with Advize Health. We are here for everyone. We are not just another vendor in this space, but a trusted advisory for issuers, ACO’s and other healthcare providers as well as for risk adjustment vendors themselves. Our goal is consistency in risk adjustment coding and processes so that this newer prospective-approach methodology can improve population health nationally. • Need help setting up or restructuring your risk adjustment program? • Is there disagreement within your team or between the vendor and issuer/client? • Need a coding tiebreaker or best practices document for a diagnosis or process? • Worried about a DOJ or OIG audit and how your practices might be viewed? • Vendors in the space: How does your coding protocol stack up to RA goals? • Need a good platform to do coding audit or review? • Selected for a legal, DOJ, or OIG audit? ..............We can help and we have the industry experience to leverage best practices.Reach out for a free confidential consult: info@advizehealth.com -
President & CeoIonhealthcare Mar 2013 - Mar 2022Executive with National Risk Adjustment Expertise ionHealthcare® is a renowned national leader in the risk adjustment industry offering risk adjustment education for coders and physicians as well as consultations for predictive analytics, coding audit services, and RADV/ HRADV (IVA) support to include Medicare plans (CMS HCC), Commercial plans (HHS HCC), Medicaid plans (CDPS), and hybrid models. Service Lines:1. Consulting Services (Leadership, Management, Policy & Procedure, Change Management)2. Medical Coding Services (Risk Adjustment, E/M, Auditing, RADV, HRADV)3. Record Retrieval & Storage Services4. Quality Measure Services (HEDIS, MACRA/MIPS, CAT II)5. Analytics & Reporting Services6. Software Solutions (licensing)7. Educational Services8. Legal Services (Attorney- client auditing, review, witness)9. Claims Auditing10. ComplianceOur CEO is the author of the official CRC© (Certified Risk Adjustment Coder) curriculum and credential offered through the AAPC and is also provided by ionHealthcare® through boot camps and our online LMS.Our coders are all on-shore and highly trained in risk adjustment. ionHealthcare® also provides affordable online courses (many carry CEU value) and in-person training for coders on many subjects to include:CRC© exam prep, CPC© prep, HIPAA/HITECH, Fraud, Waste and Abuse, Ethics, ICD-10-CM training, Anatomy & Physiology, and more. While we specialize in value based payment models and risk adjustment, we also serve clients for a variety of medical coding, compliance, and operational best practices and audits. ionHealthcare® is a recognized LGBTE through the NGLCC and is also a recognized Veteran-owned small business. Contact us at www.ionHealthcare.com for more information or to inquire about customized solutions.
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Aapc Approved Pmcc Instructor & Ahima Approved Icd-10-Cm TrainerAapc Jun 2008 - Feb 2014Salt Lake City, Utah, UsAAPC approved PMCC Coding Instructor. Ongoing training of new medical coders through a PMCC approved program. Also present educational topics, physician practice consulting, and training on behalf of Practice Integrity as needed. -
Vice President, Clinical Coding ServicesHealth Risk Partners, The Revenue Integrity Division Of Verisk Health Aug 2008 - Feb 2013Richmond, Va, UsMedical Record Audit/Review and RADV services for Medicare Risk Adjustment clients. Developed proprietary HCC coding education program for coders and providers. Developed Home Assessment forms and protocols for HCC, HEDIS and Disease Management follow up. Created company policies and training to include: HIPAA; Fraud, Waste, and Abuse; and Ethics. Key participant in proprietary suspect logic analytics to include Part C and Part D risk adjustment values. Key participant in the creation and user experience of proprietary Chart Navigator, ICD documentation system. Developed HEDIS review training materials to include cascade training of staff. Hiring and building of on-site coding staff members (growth of over 100 plus coding staff in a four year period) and oversight of processes to include training and quality assurance through team concepts and development of leadership within departmental staff. Company Privacy Officer. Instructor for Coding department and other modules as needed. Off site training and speaking engagements as needed. -
Director Of Management Services (Operations)Hca Physician Services Nov 2004 - Jun 2008Brentwood, Tennessee, UsOperations Management of all HCA employed physician practices within a 7 state territory (over 100 physicians). Practice Management resource for issues surrounding daily operations, management, staffing, billing, coding, collections, clinical issues, quality improvement, risk management, JCAHO, OSHA, CLIA, planning, set-up and development of new business, and staff training and development. Local procedure development as needed. Certified Professional Coder. Ethics and Compliance Officer. Marketing of HCA physician services ancillary service lines where applicable. Interview, hiring and counseling of staff as needed. Development of tools and personnel. Analysis of fee schedule as compared with Medicare allowable. Evaluation of denials and rejections in billing. New practice start-ups (full turn key service). This position grew to encompass the business development and marketing for all of the employed physician practices as well. Audit of physician practices with recommendations to increase revenue and decrease expenses while operating within regulatory guidance. -
Coordinating Director, Quality Performance Improvement, Virginia HealthsourceBon Secours Health System Jan 2002 - Aug 2004Marriottsville, Maryland, UsEnsured compliance with quality standards and initiatives in area physician practices. Includes education of staff and physicians, policy development, tool development, attendance at hospital meetings and audits. Ensured successful accreditation from JCAHO, CLIA, COLA, and other regulators or agencies. Standardized eighteen primary care practices in areas such as medical records forms, prescription pads with security features, and documentation forms for daily operations. Designed and dispersed manuals for: VDH disease reporting guidelines, Point of Care Testing, Vaccine Resource Manual, and a Quality Communication board for all facilities. Performed mystery caller duties to ensure proper etiquette and availability of appointments. Responsible for bi-annual peer review process for over seventy physicians. Chair of VHS Quality Council, comprised of Home Health, Home Care, Nursing Home, Outpatient Diagnostic Centers, and Home Infusion Pharmacy. Reported to the Board of Directors regarding initiatives and processes for quality developed by the council. Liaison for physician services and many facility departments to include hospital executive leadership, Nursing Council, Education Council, Patient Safety Council, Quality, Risk Management, Infection Control, and Interdisciplinary Councils. Found many areas for improvement in quality while decreasing costs, saving the health system resources. Member of Bon Secours Ethics Committee, Diversity Council and Internal Review Board. -
Practice Manager, West End Internal MedicineBon Secours Health System Jul 2000 - Jan 2002Marriottsville, Maryland, UsManagement of daily operations of a five-physician practice. Follow revenue and expense reports and prepared an end of month report for Director of Operations. This was an aquisition practice. Interview, hiring and counseling of staff as needed. Completed reports to include chart auditing, provider encounter numbers, managed care membership reports, and patient waiting time report. Marketing of the practice. Made recommendations for revenue generation, and expense cutting. Ensured all staffing needs were addressed and that all patient and employee needs and suggestions were evaluated.
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Nurse ManagerPrivate Physician Practice Jun 1998 - Jun 2000Maintained office flow, overseeing reception and referral staff. Ensured CLIA/OSHA guidelines and compliance oversight. Performed patient education in all areas, especially diabetic counseling. Performed fee analysis for fee scheduling updates for billing purposes, and worked with billing office to ensure collection of accounts overdue. Worked with suppliers to maximize dollars spent for supplies received for daily operations and made suggestions for revenue enhancement. Handled all patient concerns and complaints and scheduled all home health and DME needs as well as authorizations. Handled all office operational issues from equipment failure to housekeeping. Created entire nursing policy and procedure manual and set up services for indigent care patients with information to receive medications through assistance programs. Created an externship program utilizing a local Technical School for Medical Assistants.
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Aeromedical Evacuation 459Th Squadron, Andrews AfbUsaf Apr 1990 - Aug 1998Randolph Afb, Tx, UsHonorably discharged. In-flight nursing care from one destination to another. Promoted to flight supervisor, overseeing the military careers of approximately 25 other airmen. Responsible for troops whereabouts and duties performed at all times. This included promoting their ranks and preparing paperwork for ribbons achieved, and disciplining when needed. Performed clinical training for nursing staff in the unit and at several military hospital settings. Set up in-services and on the job training for each person to complete as required for competencies that were assigned. Key educator in the Total Quality Management Cascade Training Program. Trained in Bioterrorism, Chemical Warfare, and medical response. Organized tours of duty. Exposed to a great deal of medical problems and treatments. Trained to be a first responder and treat all forms of illnesses in absence of a physician. Enriched through experience of different cultures around the world.
Brian Boyce Skills
Brian Boyce Education Details
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The George Washington University- Milken Institute School Of Public HealthManagement And Operations -
Old Dominion UniversityManagement
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Georgetown UniversityHealthcare Ethics
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Virginia Commonwealth UniversityBiology
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Community College Of The Air ForceFlight Nursing
Frequently Asked Questions about Brian Boyce
What company does Brian Boyce work for?
Brian Boyce works for Refinica, A Health Administration Advisors Brand
What is Brian Boyce's role at the current company?
Brian Boyce's current role is CEO and President.
What is Brian Boyce's email address?
Brian Boyce's email address is bb****@****are.com
What is Brian Boyce's direct phone number?
Brian Boyce's direct phone number is (844) 466*****
What schools did Brian Boyce attend?
Brian Boyce attended The George Washington University- Milken Institute School Of Public Health, Old Dominion University, Georgetown University, Virginia Commonwealth University, Community College Of The Air Force.
What are some of Brian Boyce's interests?
Brian Boyce has interest in Clinical Bioethics, Health, Children, Predictive Analytics, Environment, Education, Science And Technology, Biking, Human Rights, Civil Rights And Social Action.
What skills is Brian Boyce known for?
Brian Boyce has skills like Medicare, Hipaa, Healthcare, Medical Coding, Medical Billing, Icd 9, Clinical Research, Medicine, Strategic Planning, Customer Service, Patient Safety, Team Building.
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