Credential: - Certified Prosthetist since 1986Business Experience: - Providing a broad perspective to O&P manufacturing companies when considering new technology for commercialization - Successfully ran a consulting firm providing leadership in all aspects of the Orthotic/Prosthetic industry specializing in Medicare policy, coding, documentation, and compliance issues - Part of an executive management team that engaged private equity groups to fund the growth of a patient care facilities - 30 years of practical clinical experience as a Certified Prosthetist -18 years of experience running a small medically related business in Prosthetics and Orthotics -Turn-around of failing company with revenues of $450K and grew to 5 locations with revenues of $4M when sold in 2006.Professional:-Member of the American Orthotic and Prosthetic Associations (AOPA) "Coding and Reimbursement" committee - 12 years.-Part of a 3 person team doing seminar work related to Coding and Reimbursement for four years -Past President of American Orthotic and Prosthetic Association - 2009.-Developed extensive skills in documentation consulting as well as coding and reimbursement nuances-Consult with DOJ and OIG on fraud and abuse investigations -Consult with various insurance companies relative to prosthetic - orthotic claims review-Consulted with global manufacturer's relative to potential coding for new products and have advised their customers accordingly.-Authored three Medicare Code ApplicationsHonors & Awards:2010 Inaugural recipient of the AOPA Sam E. Hamontree Business Education Award for the best business education paper, idea and/or proposal submitted for presentation at the AOPA National AssemblyGoals:To take these experiences and use them to help other companies achieve a level of efficiency and compliance in the complex matrix of a changing healthcare market as part of a collaborative team effort.Specialties: DocumentationCodingMedicare PolicyConsultant - legal as well as industrialProject Management
Listed skills include Healthcare, Medicare, Medical Coding, Managed Care, and 29 others.