Reimbursement Services
Provides quality information, training and guidance to the Hospitals and Health Centers.
Key Functions / Oversight Areas:
- Accounting for third party revenue (monthly contractual analysis, payer-specific budget assumptions, annual prior years settlement analysis).
- Reimbursement modeling
- Medicare/Medicaid/Blue Cross Cost Reports (preparation and audit support, appeals and re-openings)
- Regulatory analysis and implementation including UMHHC enrollment in the Medicare & Medicaid Meaningful Use incentive programs.
- Managing and updating the reimbursement model in the decision support/cost accounting system
- Comparison of expected vs. actual payments for various payers
- Maintain database logging payments for various payers
- Medical Education FTE reporting to Medicare
Team Members:
- Tom Marks, Senior Director
- Mike Klett, Director
- Casey Crimmins, Manager
- Gary Pampuch, Manager
- Lisa Bednarz, Senior Financial Analyst
- David Diem, Financial Analyst
- Missy Hess, Financial Analyst
- Beverly Manko, Financial Analyst
- Farrukh Mohammed, Applications Programmer Lead
- Traci Solarski, Financial Analyst
- Linda Stem, Senior Business Consultant
