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Day Egusquiza has more than 30 years experience in healthcare reimbursement, hospital business office operations, contracting, and compliance implementation. She is currently the president of AR Systems, Inc.
Day has been an entrepreneur in hospital and physician practice accounts receivable management and a leader in redesigning numerous organizations. Her experience includes eight years as a director of a physician medical management billing service. She recently completed integrating the business office between a hospital and a large physician clinic.
Her areas of expertise include:
- Compliance and reimbursement for hospitals and physician practices
- Revenue cycle impacts of RACs
- Critical access hospital
- ICD-10 and other coding issues
- Continuous quality improvement and redesign
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Christine Fontaine, CHFP, CPAM, is vice president of revenue cycle solutions for OptumInsight, an Eden Prairie, Minn.-based company that specializes in technology services, information, analytics, and consulting.
She has more than 20 years of experience in healthcare finance—in physician and hospital business offices. Prior to joining OptumInsight, Christine was director of revenue cycle operations for Shore Health System, a member of the University of Maryland Medical System. She has also held management positions at Memorial Sloan-Kettering Cancer Center and Montefiore Medical Center.
Christine is a frequent presenter at industry conferences on topics related to revenue cycle operations and best practices. Her areas of expertise include:
- Patient-centric access processes
- Denials management and prevention strategies
- Key performance indicators
- Staff training
- Implementation of technology solutions
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David Hammer, FHFMA, CHFP, is senior vice president of revenue cycle advisory solutions at MedAssets, Alpharetta, Ga. Prior to joining MedAssets, David was a senior executive in Accenture’s Health and Public Services Group and was formerly vice president of enterprise revenue management at McKesson. In his more than 29 years of industry experience, David has held a variety of positions with leading health systems, Big Four consulting firms, IT vendors, and revenue cycle outsourcing companies. He is also a frequent speaker at industry events and is widely recognized for his many articles in national publications.
David holds an MBA in management and an MHS in health administration from the University of Florida. He also received a BBA in accounting from the University of North Florida. His areas of expertise include:
- Key performance indicators and metrics
- Enterprise scheduling and patient access
- Health information management
- Revenue cycle management
- Denials management
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Bob Hoover, FACHE, is currently director, revenue cycle, for Meadville Medical Center Health System, Meadville, Pa. He has cash flow responsibilities for both the medical center and physician practices. Recently, Bob was recognized with AmeriNet Healthcare’s award for financial and operational improvements.
While beginning his professional career in healthcare administration, he grew his professional career on the financial side of health care, and for the last 30 years, has held corporate revenue cycle and reimbursement positions with both not-for-profit and for-profit healthcare organizations, including seven years with Ernst & Young’s Healthcare Advisory Services Practice.
He holds a master’s degree in healthcare financial management from the University of Pittsburgh and a bachelor’s of science degree in hospital administration from Pennsylvania State University. His areas of expertise include:
- Revenue cycle management
- People skills coaching
- Medicare reimbursement
- Financing and administration
- Turnaround cash flow
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Ruth Landé is the executive director of patient revenues at Memorial Sloan-Kettering Cancer Center, the world's oldest and largest private cancer center. She has more than 20 years experience and is responsible for all aspects of the revenue cycle, both on the professional and technical sides.
She is happy to answer questions related to revenue cycle operations including:
- Charity care
- Regulatory compliance
- Patient satisfaction
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Suzanne Lestina, FHFMA, CPC, is AvadyneHealth’s Vice President of Client Innovation. In this role, Suzanne will execute strategies that will lead the industry in next-generation revenue cycle concepts. In addition, leveraging innovative tools and technology Suzanne will help customers implement change that will transform their revenue cycles and help them achieve positive outcomes.
Prior to joining AvadyneHealth, Suzanne was HFMA’s director of revenue cycle MAP where she served as the technical expert and consultant for HFMA’s MAP product line(s). In addition, Suzanne served in an advisory capacity regarding the technical aspects of revenue cycle performance improvement by aligning key topics, strategies, and industry best practices. Suzanne has extensive revenue cycle experience, including 10 years of revenue cycle consulting. Prior to her consulting work, Ms. Lestina held hospital revenue cycle leadership roles in the Chicago area.
Suzanne holds a bachelor’s degree in organizational management from Concordia College. She is a past president of the 1st Illinois Chapter of HFMA and speaks frequently to HFMA chapters, healthcare providers, state hospital associations, and other professional organizations.
Her areas of expertise include:
- HFMA MAP/MAP App
- Key performance indicators and benchmarks
- Revenue cycle best practices
- Self-pay process
- Up front financial communications
- Technical claims submission questions
- 5010 (X12 electronic data standards)
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Brenda Loper is regional director of access services for four of the 10 Sentara Healthcare hospitals. She has more than 40 years of management experience within the revenue cycle, including central business office and health information systems.
Brenda was awarded a Six Sigma Green Belt by the Juran Institute in 2005, and she received an HFMA Founders Medal of Honor in 2006. Her areas of expertise include:
- Access management (centralized and decentralized)
- Developing and sustaining working relationships with clinical areas where staff who handle registration/access functions do not report to the central department
- Access staff education
- Access staff productivity issues in an emergency department
- Patient accounting
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Richard D. Madison
Richard D. Madison is currently vice president, corporate revenue cycle, Crozer Keystone Health Systems, a five-hospital system located in Delaware County, Pa. He has also been a partner with Accenture and a senior manager with Ernst & Young.
Richard has more than 27 years of combined industry and consulting experience and has helped large health systems and academic medical centers with process improvement and revenue cycle transformation.
Richard has a bachelor’s degree from the University of Missouri and an MHA from St. Joseph’s University. He is a member of HFMA’s large health system Revenue Cycle Leadership Council. His areas of expertise include:
- Revenue cycle transformation
- Consolidating revenue cycle services
- Patient access and patient accounting
- Revenue cycle integrity and compliance
- Organizational structure and leadership
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Steve Marshall, FHFMA, is director of patient financial services for Margaret R. Pardee Memorial Hospital, a not-for-profit community hospital based in Hendersonville, N.C.
Steve has more than 20 years of experience in the healthcare industry. Prior to joining Pardee, Steve was director of patient financial services/physician billing at Methodist Medical Center of Illinois, Peoria, Ill. Other past positions include corporate director of patient financial services for Central DuPage Health System, Winfield, Ill., and director of patient financial services at Central DuPage Hospital.
Steve holds an MBA from Northern Arizona University. His areas of expertise include:
- Denials management
- Revenue cycle process flowcharting
- Centralized scheduling
- Bad debt analysis
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Kelly McGinnis, FHFMA
Kelly McGinnis is director of revenue cycle for HealthAlliance of the Hudson Valley, a three-hospital system based in Kingston, N.Y. Kelly has almost 30 years of experience in various healthcare settings. She most recently helped implement a systemwide revenue cycle system, focusing on best practices for streamlining and integrating all aspects of the revenue stream—from registration through collections.
Kelly holds a bachelor’s degree in business administration from the University of Buffalo. She is also trained in Six Sigma principles. Her areas of expertise include:
- Managed care
- Billing and follow-up
- Credit and collections
- Revenue cycle performance improvement
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Caswell Samms, III
Caswell Samms, III, is vice president of revenue cycle at St. Barnabas Hospital, a not-for-profit acute care community hospital and Level I trauma center based in Bronx, N.Y.
Prior to joining St. Barnabas, Caswell was part of the executive team at East Orange General Hospital in East Orange, N.J., where he served as the assistant vice president of planning and business development, as well as the vice president of finance and planning.
Caswell holds a bachelor’s degree in accounting from Virginia State University and an MBA in finance and accounting from Regis University. He is also an expert for HFMA’s Payment & Reimbursement Forum. His areas of expertise include:
- Patient accounts
- Patient access
- Business development
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Christoph Stauder, CPA, FHFMA, is president of Stauder Consulting LLC, a Beaverton, Ore.-based revenue cycle consulting firm that specializes in improving revenue cycle operations for hospitals and physician groups.
Christoph began his career as an auditor and business consultant with Arthur Andersen in 1985. He is past president of HFMA’s Oregon Chapter and has taught certification coaching courses for his chapter for many years. He wrote the first edition of HFMA’s PFS Study Guide in 1996 and is the author of HFMA’s new Certification Candidate Practicum, an all-day seminar offered nationally by HFMA.
Christoph holds a bachelor’s degree in religion from Gettysburg College and a master’s degree in religious studies from the University of Chicago. He is also an expert for HFMA’s CFO Forum. His areas of expertise include:
- All aspects of revenue cycle management for hospitals and physician groups
- Hospital and physician group price setting
- Clinical documentation improvement
- ROI analysis
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Sandra Wolfskill, FHFMA, is HFMA’s director, healthcare finance policy, revenue cycle MAP. Previously, she was President of Wolfskill and Associates, Inc., a revenue cycle consulting firm serving the healthcare industry across the country.
Sandra has extensive real-world experience as a patient financial services director, CFO, IT Director, and for the past 18 years, as a revenue cycle consultant. She is the author of Patient Access Director’s Handbook and other titles, and holds an undergraduate degree cum laude from Wittenberg University and a master’s degree from the University of Delaware.
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