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Healthcare Management Consulting
Paul A. Letalien, CPA, Principal
- Directs Firm's Consulting Practice
- Member of Firm's Management Committee
- Over 25 years experience in health care financial management and consulting specializing in:
- Finance
- Reimbursement
- Strategic planning
- Capital planning
- Revenue cycle
- Experience with hospitals, long-term care facilities, home health agencies and physicians
- Previously served as CFO for multi-level health care facility
- Member Healthcare Financial Management Association
Roland P. Mercier, Principal
- Over 23 years experience in health care financial management and consulting specializing in:
- Third-party reimbursement and cost reports
- Operational reviews and cost reports
- Medicare and Medicaid appeals (PRRB)
- Assessing governmental health care initiatives
- Has served hospitals throughout northern New England
- Previously served as a Medicare Part A Senior Auditor
- Previously served as Reimbursement Manager of a 400 bed multi-disciplinary hospital
- Member Healthcare Financial Management Association
Vinal C. Doody, MBA, Principal
- Over 20 years experience in health care financial management specializing in:
- Medicare and Medicaid reimbursement
- Operational reviews
- Third-party cost reports
- Provider-based assessments
- Previously served as a Medicare Part A Senior Auditor
- Previously served as a Medicare Reimbursement Administrator
- Member Healthcare Financial Management Association - BOD
- Member of Health and Homecare Association of Massachusetts
- Member of Homecare Alliance of Maine - Finance Council
- Member of American College of Healthcare Executives
Janet S. Hodgdon, CPA, Senior Manager
- Over 25 years experience in health care specializing in:
- Reimbursement and regulatory appeals
- Wage index reviews and geographic reclassifications
- Occupational mix surveys
- Strategic and operational issues
- Finance
- Previously served as a Medicare Part A Senior Auditor
- Previously served as Director of Finance for large multi-disciplinary hospital
- Member of Northern New England Association of Healthcare Executives
- Member of AICPA
Healthcare Financial Management Association - Board member
Brett C. Seekins, Senior Manager
- Over 15 years experience specializing in:
- Medicare and Medicaid reimbursement
- Cost report filing, settlement appeal, operational review
- Long-term care strategic planning, revenue redesign
- Previously served as a Medicare Part A Auditor
- Previously served as a Long Term Care Reimbursement Administrator for Fiscal Intermediary
- Member Maine Health Care Association, Residential Care Steering Committee
- Member New Hampshire Health Care Association, Legislative Committee
- Member Northern New England Association of Housing and Services for the Aged, Legislative Committee
- Maine Homecare Alliance
- Member Healthcare Financial Management Association Ð Maine Chapter
- New Hampshire Long Term Care Foundation
Margaret E. Fortin, CPC, Senior
Manager
- Over 30 years Medicare contractor experience specializing in:
- Claims processing
- Provider education and training
- Customer service
- Medicare secondary payor
- Provider reimbursement and business systems
- Previously served as Director of Medicare Operations
- Member of the State of Maine UB-04 Committee
- Certified Professional Coder from the American Academy of Professional Coders
- Member Healthcare Financial Management Association
- Member AAHAM
Laurie A. Desjardins, CPC, CCS-P, Senior Manager
- Over 12 years experience in medical coding and compliance for professional medical services from both the private payor and physician office perspective specializing in:
- Medicare audit and compliance issues
- Claims processing
- Physician and staff education
- Appeals process
- Chart review and education
- Fee schedule analysis
- Former Director of the Coding Center, a joint venture of the Maine, New Hampshire and Vermont Medical Societies
- Previously employed at Blue Cross Blue Shield of Maine as an analyst in policy and payment
- Certified Professional Coder and approved instructor from the American Academy of Professional Coders
- Professional Coding Specialist-from the American College of Medical Coding Specialists
- Member American Academy of Professional Coders
- Member American Health Information Management Association
- Member Medical Group Management Association
- Regional Governor of the American College of Medical Coding Specialists (ACMCS)
Marc A. Levy, Senior Manager
- Over 15 years experience in health care financial management specializing in:
- Medicare and Medicaid reimbursement issues
- Medicare field audit assistance
- Sole community hospital/Medicare dependent hospital
volume decline adjustments
- Psychiatric hospital reimbursement
- Third-party cost reporting for all types of providers and payors
- Regulatory appeals
- Ambulatory payment classification analysis
- Data collection coordinator
- Member Healthcare Financial Management Association
Geraldine N. Provost, MBA, Senior Manager
- Over 29 years Medicare contractor experience specializing in:
- Medicare cost reports
- Medicare and Medicaid reimbursement issues
- Medicare and Medicaid payment systems
- Provider Reimbursement Review Board appeals
- Previously served as Director of Medicare Audit & Reimbursement for the New Hampshire/Vermont CMS Fiscal Intermediary
- Member Healthcare Financial Management Association
Shane Williams,
Senior Manager
- Over 10 years experience in Medicare specializing in:
- HIPAA compliant health care transactions
- Development, data mining and reporting
- Database management
C. Dayton Benway, Senior Manager
- Over 11 years experience in health care financial management specializing in:
- Medicare and Medicaid reimbursement issues
- Rural health clinic reimbursement
- Medicare field audit assistance
- Medicare exception requests
- Previously served as a Medicare Part A Auditor
- Member Healthcare Financial Management Association
- 2008-2009 HFMA Maine Chapter President
- Member National Association of Rural Health Clinics
- Member New England Rural Health Round Table
Denis A. Houle, Manager
- Over 10 years experience in health care financial management specializing in:
- Medicare and Medicaid reimbursement issues
- Medicare field audit assistance
- Critical Access Hospitals
- Previously served as a Medicare Part A Senior Auditor
- Member National Rural Health Association
- Member Healthcare Financial Management Association
- Member New England Rural Health Roundtable
Lawrence T. Lonegan, Manager
- Over 24 years experience in health care financial management specializing in:
- Medicare and Medicaid reimbursement
- Regulatory appeals
- Financial operations
- Previously served as a reimbursement manager in a large
health care system
- Previously served as a Medicare Part A Auditor
- Member Healthcare Financial Management Association
Michael P. Nobile, Senior
- Over 35 years experience in health care specializing in:
- Provider audit and reimbursement
- Long-Term Care Cost Reporting (Medicaid and Medicare)
- PS&R reporting requirements
- Customer service
- Previously served as a Medicare Supervisor, MSP Dept.
- Previously served as a Medicare Hospice Coordinator
- Former Medicare Administrator, Reimbursement Department
- Previous member of BCBSA National PS&R Workgroup
Hayat Freeman-Lutes, CPC, Senior
- Over 8 years experience in health care data management
- Assists with coding reviews:
- Hospitals
- Physician practices
- Home health agencies
- Assists with claims reimbursement:
- Hospitals
- Home health agencies
- Certified Professional Coder from the American Academy of Professional Coders
Pamela Cook, Senior
- Over 5 years health care experience specializing in:
- Provider-based attestations
- Provider audit and reimbursement
- CMS Form 855 preparation and review
- Previously served as a Medicare Reimbursement Administrator
- Member Healthcare Financial Management Association
Aimee E. Plowman, Senior
- Over 5 years health care experience specializing in:
- Medicare reimbursement issues
- Third-party cost reports
- Blue Cross Prospective Interim Payments
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