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Consultants and Business Associates

Jacqueline (Jackie ) Francis, President
Naples, FL

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Jackie has more than 30 years experience as a hospital executive in the areas of Revenue Cycle Management, Patient Access, Admission and Registration Departments as well as Managed Care Contracting.

As founder of Select Health Management Inc., Ms. Francis has been instrumental in leading the centralization of finance departments due to merger, and implementing applications related to productivity and quality in Revenue Cycle settings. She has served a national client base of hospitals with services specializing in revenue cycle consulting support spanning over forty hospitals and revenue cycle turnaround companies.

Facilities such as University Hospital, Pennsylvania State University, Milton S. Hershey Medical Center, the Hospital University of Pennsylvania (HUP) and St. Vincent’s Catholic Medical Centers, NY have relied on her expertise. She has performed extensive revenue cycle assessments of large university hospital systems and multi-hospital systems, as well as community-based hospitals and developed subsequent recommendations, supportive implementation action plans, and key performance indicators.

Certifications
Fellow Health Care Administration (FHFMA)

Certified Health Care Professional (CHFP)

Fellow American College of Health Care Administrators (FACHE)

Education
Bachelors of Science, BS, Pennsylvania State University,
University Park, PA

Masters in Health care Administration, MPA, Pennsylvania State University

MT, ASCP, Medical Technologist, American Society of Clinical Pathologists


     

     

Gary Prala, Senior Consultant
Coppell, TX

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Mr. Prala is a revenue cycle specialist who has held positions ranging from Vice President, Patient Accounting Services, System Director, Revenue Cycle Management, and Senior VP, Revenue Cycle solutions. He has been responsible for developing and implementing corporate-wide revenue cycle strategies and programs.
 
Gary Prala was responsible for daily operations and strategic development of all Revenue Cycle Solutions and as a Director of AR for a twenty (20) hospital system, located in a four state area. 
 
His revenue cycle experience includes having reduced bad debt by 1.1% of gross revenue at one facility, while increasing upfront cash collections by $10 million in a 12- month period at another. He has established and implemented Revenue Cycle Franchise Rules and was the system leader of two Six- Sigma Revenue Cycle Process Improvement Projects.  

Education
Bachelors of Science, BS, University of Toledo,
Toledo, OH

Experience
Senior Vice President, Revenue Cycle Integrity, Cymetrix

System Director of Revenue Cycle
Management, Christus Health

Catholic Health Partners

 

     

Judy Prala, Senior Consultant
Coppell, TX

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Ms. Prala is a technically strong, knowledgeable health information management (HIM) professional who demonstrates skills in HIM project management, interim management, accounts receivable, optical imaging, physician relations, and change management. She has experience in a wide variety of environments, including teaching hospitals, university medical centers, medical practice management, consulting, and information services.

Ms. Prala has key Health Information Management operational experience and has…

• Reduced DNFB by more than $10 million
• Partnered with the Chair of Patient Services to transition the HIM Section of 150 employees to an electronic record environment including the development of a five-year strategic plan.
• Assisted the HIM Section preparations for the JCAHO and Tumor Registry surveys.
• Served as a member of a system-wide software conversion team representing a HIM Department.
• Managed a departmental HBOC Healthquest conversion.
• Chaired a multidisciplinary task force, including physicians, administrators and departmental representatives, to select computerized patient records.
• Developed and implemented interdepartmental and intradepartmental procedures which reduced account receivable days by 19 and discharge not final billed by 8 pm.
• Initiated late charge reports for administrative groups.
• Re-engineered medical record functions and implemented a physician complaint tracking mechanism resulting in a 70% reduction in physician complaints.
• Developed and implemented departmental productivity policies and standards.
• Reduced the number of incomplete records by 70% in a 10-month period through the implementation of new software parameters, changes in procedures, use of cross training and rotation, and the development of a residents' incentive program.

Education
MA, Business Management, Central Michigan University, Detroit, MI

Certificate, Health Record Administration Program, Baltimore, MD

BA, Wayne State University, Detroit, MI

Experience
Director and/or Manager of HIM positions at: Centinela Freeman Hospital System, Los Angeles, CA; Parkland Health and Hospital System, Dallas, TX; Mercy Health Partners, Toledo, OH; Medical College Hospitals, Toledo, OH

Pat Wagner, Senior Consultant
Reading, PA

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Ms. Wagner has over twenty-six years of direct Healthcare Industry experience. She has successfully assisted both hospital and physician groups develop a proactive risk based Compliance Plan.  As a medical auditor, Ms. Wagner has been effective in uncovering lost revenue and as a result has helped many organizations improve their bottom line. She has capitalized on her clinical experience and has been accepted as a credible resource.

An Internal Review Officer (IRO) for organizations under Corporate Integrity Agreements (CIAs), Ms. Wagner has successfully reduced financial penalties resulting from Medicare audits.

Pat Wagner has conducted charge master reviews for hospitals of all sizes across the country that resulted in improved coding, charge capture and documentation in support of billed services. She is a skilled educator and has presented coding and documentation classes to thousands of physicians across the country. Her focused areas of expertise include:

  • Compliance Plan Development: Hospital and Physician Groups
  • Teaching Physician Rule Compliance Review
  • Outpatient Hospital Coding
  • Physician coding and documentation audit and education
  • Revenue Cycle Management
  • Charge Description Master Review and/or development
  • Coding and billing Process Improvement
  • Medicare and Medicare Regulatory Consultant.
Certifications
Registered Nurse (RN)
Certified Professional Coder (CPC)
Certified Healthcare Compliance Consultant (CHCC)

Education
Diploma Graduate St. Luke’s Hospital School of Nursing, Bethlehem, PA
BS currently enrolled in Healthcare Administration

Experience
Medical auditor, and coding expert

 

     

Kathleen D. Kelly, Senior Consultant
Glendale, AZ

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Kathleen Kelly is a senior level healthcare executive with more than 18 years’ diversified experience in patient access services and revenue cycle leadership. Her areas of expertise include program/service development, quality assurance, reimbursement requirements, customer service, personnel administration, and training in the emergency, inpatient and outpatient arenas of hospital registration. Her strengths include change management as it relates to design and implementation of patient access policies and procedures, with focus on maximizing reimbursement while maintaining the highest level of customer service.

Ms. Kelly has experience on various engagements that have included work process and patient flow assessments, recommendations and implementation, as well as interim management. She is an expert in the areas of:
  • Business Process Analysis of Hospital Patient Access Areas
  • Work and Patient Flow Assessments with Process   Improvement Recommendations
  • Process Redesign Implementation
  • POS Cash Collections Enhancement
  • Staff Development and Training
  • Interim Management
Certifications
Affiliation with Healthcare Financial Management Association, HFMA
Affiliation with National Association of Healthcare Management, NAHAM

Education
Business Management Program, University of Minnesota, Minneapolis, MN
Languages: Spanish

Experience
Senior level healthcare executive positions at: Catholic Healthcare West, Phoenix, AZ; Swedish Covenant Hospital, Chicago, IL; Marianjoy Rehabilitation Hospital and Clinics, Wheaton, IL; Loyola University Medical Center, Maywood, IL

Barbara A. Bedard, Senior Consultant
Salisbury, MD

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Barbara Bedard is a accomplished consultant with over 22 years experience in hospital and medical practice patient accounting management including over 12 years of extensive consulting in areas related to accounts receivables, billing and collections, admission and registration processes, telecommunications, and pre-admission testing processes. Ms. Bedard has facilitated accounts receivable outsourcing and has experience with medical practice professional billing, home medical care, infusion services and home medical equipment services, and emergency services. She has also successfully delivered training programs in the area of Patient Accounting and Access.  

An active member of the American Association of Healthcare Administrative Management (AAHAM) and the National Association of Healthcare access Management (NAHAM), Ms. Bedard has been affiliated with Select Health Management for approximately twelve years. She has successfully completed a number of consulting engagements in the area of Patient Accounting including extensive consulting engagements with Hershey Medical Center, Graduate Health System, and Susquehanna Health System.
Certifications
Affiliation with Healthcare Financial Management Association, HFMA

Education
MBA, Regis University, Denver, CO
BS, Health Education/Community Health Education, Russell Sage College, Troy , NY
NY State Teaching Certificate
System Experience: Soarian/Siemens, Meditech, and McKesson

Experience
Patient accounting management positions at: Albany Medical Center, Albany, NY; FF Thompson Hospital, Canandaigua, NY. Positions at Home Nursing/Easter Seals; Mercy Health Services

Mark Sammartano, Senior Consultant and Business Associate

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Seasoned healthcare and revenue cycle executive with more than 20 years of healthcare Revenue Cycle Management experience.  Proficiencies include, critical thinking, process engineering, project management; metrics based management, change management, compliance, team building, A/R stratification, data analytics, and strategic planning.  Designed and implemented HIS systems. Revenue cycle computer systems savvy.  Successfully managed pre and post conversions including failed conversions.  Experienced at hospital, physician CBO revenue cycle management.  Exceptional communication and analytic skills that facilitate system design, team development, and successful execution of projects and initiatives.  Revenue Cycle speaker and author.

Mark has held multiple successful Revenue Cycle Interim and Consulting roles.  In addition, he has extensive experience and knowledge in the AR Consulting and Medical Collection Agency business. 



Education
BS-Management DeVry University
Associate of Science-Mercer Community College


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