Brian Boyce Email & Phone Number

Richmond, VA, US

Richmond, VA, US

✦ Technology-Enabled Healthcare Consulting ✦ Operations Efficiency ✦ Health Data Analytics ✦ Legal Audit ✦ Risk Adjustment Expertise

Orlando, Florida, US

• The 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.
• 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?

Executive 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).

Salt Lake City, Utah, US

AAPC 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.

Richmond, VA, US

Medical 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.

Brentwood, Tennessee, US

Operations 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.

Marriottsville, Maryland, US

Ensured 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.

Marriottsville, Maryland, US

Management 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.

Maintained 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.

Randolph AFB, TX, US

Honorably 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..

Mha, Business Administration, Management And Operations

Bachelor Of Science In Health Sciences, Health Services Administration, Management

Clinical Bioethics Certificate, Healthcare Ethics

Biology

Aeromedical Evacuation Specialist, Flight Nursing