Tony Betts Email and Phone Number

Supervise and directs the activities of the Financial Analysts. Develop and interprets complex financial and accounting concepts for financial planning and control. Performs analytical work of a high degree of difficulty and variability. Requires a high level of independent judgment and initiative in performing detailed financial calculation and analysis. • Collaborate with the physician compensation team on administration, reporting, accounting, and budgeting of physician compensation. Maintain summaries of all professional/physician contracts, terms and rates. Responsible for physician compensation and third-party value reviews. Responsible for the statistical data of the hospital and clinic areas. Collaborates with the revenue cycle management on revenue cycle analysis. Responsible for 990 Schedule H, oversees the NHA Community Benefits Report and AHA surveys, responsible for the revenue preparation of the Medicare Cost Report, assists in the preparation and the monitoring of BTNRH operating and capital budgets., reviews month end entries related to patient service revenues, reserves and physician compensation and assists outside auditors, FFBH accountants and auditors as necessary.

Directed implementation of the business intelligence decision support system. Developed system to achieve maximum capacity to meeting organizational strategic goals and objectives. Implemented StrataJazz business intelligence decision support and cost accounting system to develop accurate and efficient reports, analytics and dashboards for end users. Established operational department-level policies and standards ensure optimum service performance delivery. Led three member team of senior business intelligence analysts in identifying development opportunities and delivering high quality solutions. Developed effective service line dashboards to provide accurate data to increase efficiency and manage growth. Evaluated need for separate hospital databases to track patients, care quality, and treatment outcomes. Identified key hospital performance objectives with executive leadership to monitor and track cost and analyze trends to improve quality of care and reduce healthcare cost. Served as liaison with children’s and local hospitals, and professional organizations to gather and exchange health care information and changes. Maintained knowledge of current trends and developments through literature review and seminars to develop business intelligence for support of strategic operationsAchievements:• Implemented StrataJazz Financial Analytics and Performance Platform to provide healthcare operations decision support and cost accounting business intelligence modules. • Prepared supply variance reports to identify supply cost issues and key performance indicators to monitor and track healthcare cost to improve patient care. • Developed risk management for adverse medical outcomes to evaluate and differentiate healthcare delivery costs across providers.• Ensured accurate reimbursement by developing template for third party payer payments. • Delivered StrataJazz Home Health / StrataJazz presentation at a national Business Intelligence conference.

Managed effective business operations and financial functions for the Perioperative Services department. Supported interdisciplinary nursing, surgery, anesthesiology, and perfusion teams to develop systems, processes, and plans to improve service profitability and operational efficiency. Developed relationships with associated departments including finance, reimbursement, information services, patient access and materials management. Served as a department resource performing analysis and review of internal and external environment. Achievements:• Developed Surgeon Scorecards to monitor key performance indicators to provide operational, strategic, and financial planning data to improve operational efficiency and profitability.

Provided financial advice and counsel to improve operations and accountability. Support management team, practice leadership, College of Medicine, administrations, and UNMC Physician staff with financial services and administration. Performed analysis of financial, operational, cash flow, pro-forma financial, and transactions. Forecasted financial needs for pro forma financial statements, break-even analysis, cash flow projections, ratio analysis, cash planning, capital planning, resource utilization, and financing alternatives. Supported development of KPI dash board for statistics, ratios, and data for use by Senior and Executive Leadership. Achievements:• Identified and resolved revenue cycle issues in collaboration with department administration leadership and staff utilizing financial and operational analysis and healthcare business knowledge.• Implemented EPIC software conversion project for UNMC to prepare reports. Implemented system to revise and create over 135 EPIC, Crystal and Business objects reports. Developed organizational dashboards for end users. • Earned EPIC Certification for the Resolute Professional Billing module. • Setup Precision.BI and Business Objects business intelligence tools creating user structure, security and access. Created and scheduled reports, dashboards, key practice indicators, and trained database staff. Developed instrument panel of key statistics, ratios, and data for use by Senior and Executive Leadership teams.

Led coding and billing for 12 Internal Medicine specialties to ensure compliance with third party payer billing requirements. Prepared specialized reports to develop policies and processes to maximize Department of Medicine billing reimbursement. Implemented divisional financial decision models for analysis by Divisional Chiefs and Administrator. Analyzed new programs, Medicare, and contact reimbursement by division. Reviewed registration, coding and financial counseling processes for compliance with CMA policies and procedures. Resolved third-party payer’s denials to achieve maximum reimbursement for services. Directed Audit Processes to support Internal Compliance Auditor for quarterly audits, compliance committee meetings, internal compliance plan updates, internal policy review, and national Evaluation and Management. Achievements:• Supported Flowcast implementation including development, set up, trouble shooting and staff training to launch revenue cycle management system. • Trained staff to achieve coding certification. Upgraded tools and applications to improve coding staff knowledge, productivity, and accuracy.

Supported reimbursement department for a seven facility health system. Managed five member staff in completing Medicare and Medicaid cost reports, internal and external audits, and billing appeals to optimize revenues. Developed system-wide charge master to provide consistent processes, maximize reimbursement, and streamline operations. Prepared monthly and annual department and revenue deduction budgets estimating payer contractual write-offs. Provided analysis of third party payer reimbursement reporting for prior year DSH reviews and reopenings yielding to develop additional reimbursement for organization. Achievements:• Reviewed wage index in collaboration with the Iowa Hospital Association increasing Omaha MSA average hourly wage by $1,700,000 for the annual DRG reimbursement. • Analyzed new rehabilitation payment system requesting reimbursements at 100% of the federal rate rather than the assigned interim rate, increasing reimbursements by $800,000 annually.

Led southeastern region’s Audit and Reimbursement department. Coordinated internal and external audits defining requirements, reimbursement and interim rate setting to the providers. Ensured compliance with rules and regulations and provided training and leadership to providers, team members, and staff. Achievements:• Developed Audit and Reimbursement tracking template meet and standardize requirements for 12 member staff. • Established goals and timelines to complete audits for 450 providers.

Evaluated financial ramifications of final and proposed third-party regulations and contracts, safeguarding against loss of funds. Coordinated and completed third-party report preparation and analysis. Directed and coordinated the Medicare audit, worked with the intermediary and financial auditors, supplied information and answered questions as needed. Served as a liaison between the Intermediary and the hospital. Successfully submitted the Medicare cost reports which generated $3.4 million in additional revenue.Restructured the revenue deduction templates increasing efficiency and accuracy.

Supervised all reimbursement functions for the 162-bed facility. Evaluated financial ramifications of final and proposed third-party regulations and contracts safeguarding against loss of funds. Reported findings to management. Coordinated and completed third-party report preparation, contractuals and analysis. Directed and coordinated the Medicare audit. Collaborated with the intermediary and financial auditors, supplied information and answered questions as needed.Successfully submitted 3 Medicare cost reports which generated $900,000 in additional revenue.Coordinated and directed an Outpatient Coding Audit with Healthcare Management Advisors, which adjusted the outpatient coding and charging structure, to enable maximum third party payer reimbursement.

Performed field audits of Medicare Cost Reports for Medicare facilities by reviewing data, determining proper recording procedures and by providing work papers which support findings and adjustments. Reviewed and finalized audited reports after on-site audit, by assisting facilities and accountants in resolving difficult and questionable issues.Responsible for set-up and scope of the audit and financial review. Performed other miscellaneous duties such as assisting providers with Medicare questions and cost report preparation. Kept current on Medicare regulations by attending seminars and classes on regulations and cost reporting. Participated in projects assigned by management such as wage index reviews, capital base year audits, Medicare appeals and malpractice reopening’s. Coordinated and completed third-party report preparation, contractuals and analysis. Responsible for coordinating, delegating duties and reviewing work as an in-charge auditor.Developed Desk Review Program, which provided instruction and guidance in performing desk reviews which increased efficiency and accuracy.