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Expert brings over 20 years of healthcare industry experience encompassing acute care hospitals, ambulatory centers, health plans, and physician groups in the clinical, operational, financial, and technological realms of the continuum of care. Inasmuch, She has demonstrated the importance of the convergence of technology and the clinical and business perspectives of medicine.

As a senior healthcare professional with a unique blend of expertise, including acute care facilities, ambulatory centers, health plans, and physician groups encompassing the clinical, operational, financial, and technological perspectives of the healthcare industry, clinical practice protocols have been developed. Physician profiling report cards and revenue streams with national contract negotiations in managed care and group purchasing organizations have been created.

Expert aligned development in Healthcare REITs and Ambulatory Surgical Center in medical real estate, mastered due diligence with factoring receivables, created a start-up whose premise was revenue cycle management and clinical information systems. Expert aligned the clinical and business perspectives by developing clinical practice protocols at a 2000 physician IPA, negotiating contracts for a national PPM in the hospital-based physician arena; ER, Hospitalist, Anesthesiology, etc., developing a 500 Physician IPA with a national hospital system, which included conducting all managed care negotiations and revenue cycle management functions, and directing materials management in the acute care arena. Additionally, Expert created facilities' supply chain management/GPO relationships and implemented various software technologies in the acute, ambulatory, physician, and health plan arenas.

Notable Achievements:
- Managed the development of physician practices associated with a physician foundation/hospital system that provides primary and specialty medical care, research, and education. The Physician Foundation and medical groups comprise over 120 employed physicians and 175 providers.
- Negotiated hospital and physician contracts for an 11-physician Hematology/Oncology Group Practice with eight clinics and eight hospitals.
- Audited external billing and collection services.
- Advised management team at corporation providing nursing, hospital staffing, and temporary staffing services to hospitals. This corporation offers a unique insight into developing automated staffing solutions for per diem and traveling staff.
- Automated staffing solutions, saved time, increased productivity, and decreased costs associated with procuring and scheduling temporary healthcare staff. All the staffing processes were designed to meet or exceed JCAHO.
- Advisor for a global health care provider network, intended to foster cooperation and collaboration with providers worldwide. As a preferred provider organization (PPO), insurers and employers can access inspected and reviewed healthcare facilities and caring professionals worldwide. The PPO network allows medical tourists accessibility to the same rates, discounts, and fully-inclusive case rates negotiated by more extensive health plans.
- Advisor for ASP model start-up, whose business included a HIPAA/HL7 and PCI-compliant processing tool which verifies a patient’s insurance coverage, accurately calculates out-of-pocket costs and processes payments in one system and at the time of service. This model improves revenue cycle management.
- For 50 primary physician practices with ten sites, audited visit coding and reimbursement, including recommendations for strengthening visit revenue, coding, and collections, reviewed vendor applications for real-time adjudication of insurance benefits and allowances, and recommended the most comprehensive and comprehensive, and scalable solution.

Consultant with a firm whose specialty includes the following areas: compliance with federal and state laws and regulations, Accreditation ( URAC, NCQA, JCAHO), Quality Improvement, Patient Safety, Consumer privacy, and security (including HIPAA), employee training and development, liability insurance, Litigation, Integrating traditional medicine with complementary and alternative medicine.

Advisor and Consultant to financial banking investment firms on all areas of expertise in the healthcare industry with revenue cycle management. Advisor to a consulting firm specializing in EMR, EHR, e-prescribing, coding, billing, and patient portals. Assessments of physician practices were completed with recommendations implemented.

Expert was most recently the Chief Healthcare Informatics Officer at Hewlett Packard, bridging medicine's clinical and business perspectives in creating an analytics platform. Before HP, Expert’s career encompassed working for acute and ambulatory hospitals, Health Plans, and IPAs. Some entities she gained valuable experience at were Tenet, Humana, Emory Clinic, Blue Shield of California, Blue Cross Blue Shield of Georgia, Independent Health, and Cirrus Health. Expert’s knowledge of the healthcare ecosystem and expertise in healthcare data provides an innate ability to discern where problems exist. Exemplifies Expert’s expertise in performing Healthcare Analytics at the retrospective, real-time, predictive, and prescriptive realms. She has been responsible for creating clinical practice protocols and physician profiling report cards, negotiating national managed care contracts from all perspectives; both fee for service and shared risk methodologies, and presenting the holistic view of a patient incorporating data from Electronic Medical Records, Claims, Ancillary services, etc. to create a longitudinal analysis.

Expert has created a startup in the Revenue Cycle and Clinical Informatics space, incorporating Patient Scheduling, Eligibility Check, Transcription/Dictation, Billing, Coding & Claim Processing with 2 million edits determining payment, denial, or pending status by health plans nationally. She has extensive expertise with operational and financial perspectives encompassing negotiation, implementation, and analysis of national managed care contracts and supply chain GPO contracts from the payer, physician, and hospital perspectives. She has created Joint Venture projects encompassing Ambulatory Surgical Centers, Surgical Hospitals, and Medical Office Buildings. Additionally, Expert is well versed in the Hospital Based Physician arena encompassing Hospitalists, Emergency rooms, Anesthesiologists, Pathologists, etc., by creating physician networks and managed care divisions for these entities.