Kristi Morris Kristi has over 17 years of healthcare in roles ranging from Front Desk Receptionist, Registrar, Patient Access Supervisor/Manager, Corporate Manager of Outpatient Rehab/Physician Scheduling, Facility Director of Revenue Integrity, and her current role as the Director of Revenue Integrity Services with BESLER. Kristi s experience spans across registration, financial counseling, scheduling, billing, chargemaster compliance, charge entry, nurse auditing, denials management, compliance, trauma billing, and ICD-10 implementation readiness. She has been influential in leading projects such as: centralization of emergency room coding/billing for her previous hospital s three emergency room locations, implementing processes to decrease denials, and implementing trauma charge capture processes. She also served as the facility ICD-10 readiness coordinator, NCD/LCD coordinator, and RAC coordinator in her previous Director of Revenue Integrity role. Kristi has held various leadership positions for two large healthcare systems in North Texas. Kristi holds a BBA with a concentration in Management Information Systems from Cameron University and a MA in Management and Leadership from Webster University.
Vickie McElarney Vickie has over 30 years of healthcare experience that encompasses bedside nursing, AVP in hospital operations, Director of Coding, Charge Capture and CDM product line in consulting, and the Director of Revenue Integrity and Improvement in the Finance Department of a large University Hospital system. In each of these areas in healthcare Vickie has been a results oriented leader managing her teams for success. In her position prior to joining Craneware she was able to create a Revenue Integrity Department from the ground up. In this position she implemented new solutions oriented software to streamline the Chargemaster request process, implemented a predictive analytics tool to assist with identifying and capturing charges that resulted in several million dollars in net revenue over a two year period and lead a pricing transparency project for the system that resulted in aligning prices with the competition. Vickie also co-founded the Revenue Integrity Forum for the NJ Chapter of the HFMA and served as both Chair and Co-Chair of the committee. Vickie is a registered nurse, received her BSN from the University of Rhode Island and an MBA from the Fox Business School of Temple University. She is a Fellow of the American College of Healthcare Executives and a Certified Outpatient Coder.
Charlotte Kohler Charlotte Kohler is the President of Kohler HealthCare Consulting and has over 40 years of healthcare experience. As a revenue cycle professional (CRCE-I) Charlotte has experience working within hospitals improving revenue cycle process, charging and compliance, while reducing receivables and increasing collections. This hands-on experience and educational background forms the basis of her strength as a consultant. She has worked in nursing, as a consultant with a major national firm, CCO/CFO of a hospital, and a compliance officer of fivehospital IDS in Maryland with specific responsibilities in improving CBO operations. She has been responsible for the regulatory and reimbursement support to many Maryland and non- Maryland hospitals, handling the operational issues incumbent to improved revenue cycle management. Further, she continues to be involved with many MHA-HSCRC task forces with regard to billing and compliance.
JaneAnn Sheehan Ms. Sheehan has extensive experience in the revenue cycle process and possesses a working knowledge of all clinical areas and the financial intricacies for optimum reimbursement. These services include the areas of revenue cycle management relating to Charge Description Masters, Information Systems data interface, billing and Compliance. She possesses extensive knowledge of the charge-coding-billing-reimbursement cycle of Medicare and Medicaid and also the unique requirements of Managed Care payers. She has over twenty five years experience in the healthcare field. During this time, she has integrated her nursing background with the operational, financial and planning aspects of the healthcare arena. Ms. Sheehan possesses a BSN from Villanova University College of Nursing and MBA- Finance from Drexel University.
Dr. Ronald Hirsch Dr. Ronald Hirsch is a Vice President of the Regulations and Education Group at R1 Physician Advisory Services. He completed his internal medicine residency at Kaiser Permanente Medical Center in Hollywood, CA. He was Medical Director of Case Management at Sherman Hospital in Elgin, IL from 2006 to 2012 and served on the Medical Executive Committee. He was Chairman of the Board of Health for the City of Elgin, IL from 1997 to 2012. Dr. Hirsch is certified in Health Care Quality and Management by the American Board of Quality Assurance and Utilization Review Physicians, on the Advisory Board of the American College of Physician Advisors, and a Fellow of the American College of Physicians. He is the co-author of The Hospital Guide to Contemporary Utilization Review, which was published in 2015. In 1996 he was a guest on the Jerry Springer Show.
Dr. Edward Niewiadomski An accomplished physician with over three decades of experience in direct patient care and healthcare administration, Dr. Niewiadomski brings a wealth of knowledge to Physician Advisor On-Call, LLC. Dr. Niewiadomski is Founder and President of Physician Advisor On-Call, LLC, a healthcare consulting company that provides state-of-the-art seamless, remote Physician Advisor services to Hospital/Healthcare Systems. Combining the clinical expertise of experienced Physician Advisors with an advanced Information Technology platform, PAOC delivers a full array of Physician Advisor services to complement current PA staffing models. Dr. Niewiadomski has twenty years in Hospital Leadership in the capacity of Senior Vice President and Chief Medical Officer. He earned his medical degree from the University of Medicine and Dentistry of New Jersey Rutgers Medical School and completed a residency in Internal Medicine at Robert Wood Johnson University Hospital in New Brunswick, NJ. After a distinguished career in Internal Medicine, in 1994 he was appointed Corporate Vice President for Medical Affairs/CMO and served as interim Vice President for Operations at Robert Wood Johnson University Hospital at Hamilton. In 1996, he took on the additional role of President and CEO at Robert Wood Johnson Medical Associates at Hamilton, P.A., and followed that with an opportunity to serve as Vice President of Medical Affairs and Chief Medical Officer at Cape Regional Medical Center and President of Cape Shore Medical Associates, P.A. in Cape May Court House. Dr. Niewiadomski has recently completed a five-year association with Southern Ocean Medical Center as SVP, Chief Medical Officer. In addition to his healthcare administrative responsibilities, Dr. Niewiadomski has been a champion for access to healthcare for the undeserved population. He was appointed by Governor Corzine to serve on the "New Jersey Healthcare Access Study Commission". He assisted in the development and implementation of the Cape Volunteers in Medicine Clinic of Cape May, which he served as a Volunteer Physician and Medical Director. He has recently implemented the Coastal Volunteers in Medicine Clinic of Ocean County, were he serves as Medical Director and Vice-Chairman of the Board of Directors. Dr. Niewiadomski has been voted NJ Monthly Magazine's Award "Top Doctor 2011." Dr. Niewiadomski lives in Brick, NJ with his wife, Michaela. They have two children.
Karen Haesloop Karen is a registered nurse and family nurse practitioner with over 36 years of management experience in healthcare including serving as a director of utilization and care management for various hospitals, manager of contract management and network development for payers, and having direct responsibility for care management/utilization management, denials management, and revenue cycle process improvement consulting engagements. Karen has spent the past seven years traveling and working directly with hundreds of hospitals nationwide to improve their utilization and care management processes. She is a national member of HFMA and ACMA, and has recently spoken at national care management conferences on readmission reduction and prevention strategies; care management in redesigned reimbursement methodologies; and strategies for success in patient status determinations.
Todd Manion Todd has 12+ years of experience in healthcare process analysis and performance improvement related to clinical documentation excellence and physician education. Todd has worked with 200+ medical institutions regarding their middle revenue cycle practices primarily focusing on Clinical Documentation Excellence, HIM process flows, physician education and inpatient/outpatient coding. Todd has extensive experience in clinical process redesign, successful practices in assessing, implementing and sustaining clinical systems, and achieving clinician adoption. He has led the development of hospital and ambulatory-based process workflows for clinical, resource management, and revenue cycle processes. Todd has also developed standardized methodology and tools pertinent to ICD-10, such as process questionnaires, observation tools, and process workflows, for capturing complete and accurate documentation.
Nita Mangat Nita is a Senior Manager and one of the leaders in Deloitte s Clinical Documentation Integrity (CDI) solution. She has over 15 years of consulting experience in the healthcare industry in the areas of clinical documentation improvement, case management, denials management, revenue management, Recovery Audit Contractor (RAC) readiness, Medicare compliance, endto-end revenue cycle, HIM, coding and charge capture. Nita has participated in the implementation and refresh of over 75 Clinical Documentation Integrity programs in integrated health systems, academic medical centers, large multi-state health systems and community hospitals. Nita s recent emphasis around Clinical Documentation Integrity includes assisting clients with the optimization of EMRs for CDI and on assisting clients to expand CDI to additional sites of service and for additional departmental impacts beyond finance.
MeShawn Foster MeShawn has over ten years of significant health information management experience focusing on finance, operations and risk transformation in both the provider and payer environments. MeShawn possesses robust and diverse experience across the revenue cycle including provider and payer auditing, clinical documentation improvement, data management, data analysis, compliance, data governance, and clinical coding. MeShawn currently sits on AHIMA s Information Governance Practice Council and is a member of HIMSS Revenue Cycle Improvement Task Force. In addition, MeShawn has written and contributed to a number of healthcare articles and practice briefs.