Sample of Engagements Performed

Oncology Group

Retained by leading medical Oncology Group to assess billing and collections and assist in developing policy and procedures for Billing Department. Also, hired to perform accounting and tax services and Annual Review.

Maternal Fetal Medicine Group

Hired to assist in group practice formation and assist in business planning and budgeting for start-up phase, retained to provide monthly accounting services and perform Annual Review and Tax services.

Major Teaching Hospital

Hired to provide Part-Time Financial consulting for physician departments, plan and monitor compensation arrangements and overhead allocations. Perform due-diligence for incoming physicians.

OB/GYN Department Within Academic Medical Center

Hired by the CFO of the Medical School to perform forensic accounting and review policy and procedures for finance and operations for a department with a 25-million-dollar budget.

Results

Completed project over a twelve-month period resulting in a complete restructuring of the accounting system with internal controls over finance, billing, and collection. Assisted in the negotiation with the hospital which increased cash flow. Reviewed compensation program for divisions and physicians, managed and supervised accounting and billing staff.

Primary Care Center

Hired by Executive Director and worked with Ernst & Young during audit. Provided Interim CFO Services for a primary care center with an 8 Million Dollar Budget.

Results

Increased cash flow by preparing and submitting numerous billing and grant reports. Corrected the general ledger which was six months in arrears. Provided monthly financial statements that was accepted and approved by the board of directors. Worked with Ernst & Young to close out the fiscal year end and complete the annual audit. Managed and reviewed the billing department, provided new guidance which increased revenue and efficiency in the billing and collection area.

Internal Medicine Group

Hired by the managing partner of a thirty-five physician primary care group. Performed numerous accounting and consulting functions.

Results

Revenues increased by 33% over the five years of performing these services.

Pathology Department and Clinical Lab

Hired by the Chief of Pathology to perform numerous accounting and consulting duties for over ten years. Played a key role in negotiations with the hospital.

Results

Revenues increased over 25% for pathology department. Perform Practice assessment for clinical laboratory which saved 50,000.

Radiology Department

Hired by the Chief Financial Officer of an Academic Medical Center to perform a physician compensation analysis and Stark Valuation for the radiology department.

Primary Care Medical Group

Hired by Medical Director to perform cost accounting by CPT Code using RVU based approach. Conducted provider productivity analysis and calculated Acuity factor for group using the data to review and analyze managed care contracts, physician compensation and coding.

Results

Re-focused the physicians and staff on correct coding, efficiency, policy and procedures, profitable services, use of ancillary providers and cost and overhead.

The report was used as a basis to re-format the group from both an operational and clinical perspective without comprising clinical guidelines. The group’s income increased by 20% over two years. Performed follow up monitoring services.

Medical Group Merger (Due-Diligence)

Conducted a comprehensive assessment and due-diligence of a thirty physician multi-specialty group in connection with a proposed merger with a similar medical group. The analysis included a review of practice billing and collection, procedure mix, Compensation and overhead, policies and procedures, accounting and tax issues, leases, financing and debt agreements, staffing issues, management and governance issues as well as information management systems and programs.

Diagnostic and Treatment Center (Article 28 Facility)

Hired by the Executive Director and the CFO to develop policies and procedures for billing department, accounting and finance department and front desk operations for a Primary Care Center with three sites and 250 employees.

Results

Prepared policies and procedures that was approved and accepted by senior management. Assisted in the implementation and training of staff.