The Revenue Cycle Doctor, LLC is a medical billing and practice management consulting firm dedicated to helping medical and dental practices become more efficient and save money by allowing them to outsource their insurance processing and medical billing to an expert billing and practice management service. We intend to have complete one-stop-solutions for all medical and dental office administrative functions. As an industry-leading expert in Managed Care Support contracting and physician network operations, we offer a concierge-type medical practice consulting service to our clients. Dr. Gardner is hands-on with each client ensuring the highest possible value in customer service and claims management as well as a host of other practice management services.

Responsible for the startup, organizing, and directing of a $120M complex scientific research program with over 100 clinicians, scientists, project professionals, and administrative staff. Provides program management, financial management, public health guidance, and oversight for over 50 highly complex scientific deliverables monthly covering health analysis, epidemiology data center, strategic communications, strategic planning, preventive medicine, population health, lab operations, environmental health, public health, and administration of this highly complex contract with oversight of the Quality Management Framework and Risk Management planning to optimize all elements of the Performance Work Statement.

Responsible for planning, organizing, and directing UCSF’s ancillary services departments (Laboratory, Pharmacy, Respiratory Therapy, Diagnostic Imaging, and Clinical Nutrition) and the associated functions therein. Responsible for full P&L and safety functions; development of improvement strategies by evaluating trends and established measurements; determining productivity; designing programs and procedures; resolving problems; implementing change; and serving in a mentorship capacity for members of the hospital and support services leadership team. Led EPIC EHR implementation and operational alignment for UCSF East Bay campus Ancillary Services. Key Achievements: Leader in contract negotiations, saved over $500K in first 3 months by skillful negotiation of 3 major ancillary services contracts Led Departments to highly successful completion of Fire and Safety inspections conducted by local agencies In first two months, developed highly structured employee engagement strategies based on previous surveys Led revenue/charge capture and reduced expense efforts for Value Improvements; identified $4M savings Skilled at Union negotiations and Collective Bargaining Agreement interpretations, led successful Leadership negotiations on several sensitive high-level Union issues.

ECRMC is a 161 bed Rural acute-care medical center, serving the health care needs of the Imperial Valley since 1956. Responsible for Ancillary Support Services including Pharmacy, Radiology, Lab, Facilities, Physical Therapy, Bio-Med, EVS, Security, and Hospital Construction over multiple clinic locations and 4 major service lines generating over 1/4th of the organizations net income and always in the top decile for patient satisfaction. Skilled in recruitment and retention of key clinical and administrative personnel, maintained over 97% fill on critical clinical positions in a difficult to fill Rural setting. Reporting to the CEO, shaped the Capital and Operational budget of over $32 million and led a dynamic team of 220 providers, clinic staff, and administrative personnel. Oversee regulatory compliance with federal, state and local regulations, The Joint Commission, and the College of American Pathologists (CAP), and all licensing and other accreditation regulations. Chair, Environments of Care Committee.Key Achievements:♦ Saved over $1.2 million by renegotiating seven major service contracts in first year, increased revenues and decreased expenses across all departments in first 2 years.♦ Led construction on $23 million medical office building and $90 million for Ancillary Services Building, ED expansion, Hospital Seismic retrofitting, and Lab renovation.♦ Leader in Patient Safety and Process Improvement, led the culture transformation with staff engagement that turned around Patient Safety scores from being in bottom 10% of the nation to the top 10% in the U.S.♦ Skilled in physician contracting, led negotiations of Radiologists contract saving the hospital 400K annually in professional fees due to innovative process and service line improvements.♦ Led efforts to increase Pharmacy revenues 11% in FY 18 to over $60 million while lowering expenses.♦ Formed Committee, Chaired, and led efforts to write Policy to make ECRMC Smoke and Tobacco Free

TRICARE is the health program of the United States Department of Defense Military Health System. TRICARE is a managed care system of civilian healthcare providers combined with the Military hospitals and clinics to provide comprehensive medical coverage to over 9.4 beneficiaries. As Chief of Staff and Chief of Program Operations, provided strategic oversight for $17B contract in the Western United States servicing 2.8 military beneficiaries. Provided leadership and strategic oversight for over 250,000 network providers, ensured network adequacy through effective capacity planning, and TRICARE health plans support. Led strategic planning efforts between the TRICARE, UnitedHealthcare, and the Military Health System (MHS) including Value-Based and Risk-Based initiatives throughout the United States.Key Achievements:♦ Initiated, launched, and maintained innovative IT strategic communications platform to enhance communications, meeting capabilities, and strategic planning coordination.♦ Executed strategic planning initiatives to support MHS quad aim of better health, better care, and increased readiness through aligning contract incentives with health outcomes, rewarding value creation/health plan cost savings.

Led development and execution of policy, strategy, and long-term planning processes for National Capital Region Medical Task Force. Drafted, advertised, awarded, and led $2.4M contract for project team of highly specialized policy analysts responsible for drafting and publishing over 250 clinical and administrative Policies to govern the two new Joint Military Treatment Facilities. Implemented medical Records Management program and Forms Management committee. Vetted and created over 2K clinical/administrative forms.Key Achievements:♦ Selected as Senior Civilian of the Quarter in 2011 and 2012; Selected Distinguished Civilian Service Award 2012♦ Responsible for policy analysis and developing/publishing over 250 medical policies from over 3,000 Service policies to govern the new National Capital Region Military Treatment Facilities.

Key member of the Project Management Office (PMO). Directed interagency planning, development and implementation of complex Integrated Master Schedule for the construction of two of the largest Military Treatment Facilities in the United States (over 9,500 staff, 565 total beds, 60 ICUs and 30 ORs with a total budget of $829 million). Key Achievements:♦ Saved over $114 million in new equipment purchases by identifying for re-use over 10,000 pieces of medical and administrative equipment for New Walter Reed National Military Medical Center.

Led the startup and creation of a multi-specialty technology development team of providers and IT professionals in support of the premier DoD Psychological Health and Traumatic Brain Injury TeleHealth and Technology Support Center. Developed and hired teams and established project management framework for $6 million per annum multi-year contract to support this effort.Key Achievements:♦ Managed 14 major web projects incorporating eight Defense Centers of Excellence Directorates and five major DoD Centers of Excellence.

• Served as the Senior Health Advisor to the Iraqi Surgeon General• Responsible for development and implementation of Organizational Structure for formation of a Health Affairs Directorate within Iraqi Minister of Defense;• Drafted and submitted Strategic Plan, Position Descriptions, and Organizational Structure to provide the framework for a Health Affairs Directorate for the Iraqi Armed Forces including personnel, equipment, supplies, vehicles, communications, and an Executive structure capable of providing Strategic oversight to a rapidly developing Medical system to support over 400K Iraqi Military and Police personnel;• Drafted, coordinated, and submitted Policies for Health Affairs including Special Pays for medical personnel resulting in a 20% increase in recruitment of medical personnel and an Identification Tag system to facilitate soldier identification in case of serious injury or death; responsible for coordination and implementation of the Policies within the Iraqi Ministry of Defense and the Health Ministry;• Program Manager for development of Mortuary Affairs Program for the Minister of Defense including drafting policy and complete Program implementation. Coordinated program requirements, personnel staffing, training, and oversaw construction efforts for 6 Mortuary Facilities and 60 new positions within the Iraqi Armed Forces to include facility planning and funding utilizing the Foreign Military Sales program;• Program Manager for development and implementation of a Medical Follow Up Program within the Iraqi Armed Forces. Coordinated all personnel, equipment, and facility requirements for 7 rehabilitation and administration units, establishment of positions and training for over 100 medical and administrative personnel.

Developed and Coordinated Naval medical support plan for over 40 US Navy ships and over 2000 medical and surgical beds for Operation Iraqi Freedom;· Coordinated and Administered medical evacuation plan with all services in support of over 3000 personnel at Kuwait Naval Base during OIF;· Directed all operations of medical clinic with a staff of 30 personnel and over 100K in equipment and supplies for Kuwait Naval Base during OIF; · Responsible for manning and budgeting for medical departments for West Coast Amphibious ships with 20 medical departments and over 100 medical personnel;· Responsible for Integrated Multi-national medical planning for Pacific Command Region including 5 countries and 3 Major Operational Plans;· Deployed to Thailand in support of Tsunami relief efforts providing Medical Support Planning; received Humanitarian Award for planning efforts;· Drafted and implemented Commander, Maritime Prepositioned Forces Policy for medical support;· Drafted, developed, and implemented Policy for support of the Shipboard Surgical System on west coast Amphibious ships of the Commander, Amphibious Squadron Three;· Responsible for policy formation, analysis, and implementation of all shipboard Policies affecting Medical Care in the Commander, Amphibious Squadron Three Area of Operation

Directed all administrative functions for multi-disciplinary medical facility; Responsible for $20 million annual budget, 3 ambulatory services clinics providing comprehensive medical care for over 18,000 beneficiaries.· Responsible for human resources, information technology, materials management, facilities management, staff education and training departments, security, emergency management and over 300 military, civilian, and contract personnel;· Coordinated and implemented $1.5 M energy savings project saving over 300K in annual energy costs and a 44% reduction in energy consumption;· Senior Member of the Hospital Board of Directors; Chairman, Environments of Care Committee and Personnel Management Board; Senior member and Goal Sponsor for Strategic Management Board; Led hospital wide preparations for 2 highly successful JCAHO inspections;• Authored and implemented Collective Bargaining Agreement; resulted in zero unfair labor practice complaints in 3 years;• Responsible for oversight, drafting, and compliance with Administrative Policies for the health care facility;