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Irv Barnett, Senior Manager, Moss Adams LLP Beth Santizo, Manager, Moss Adams LLP

Helping Health Care Payers Improve Claim-Payment Accuracy


By Paul Adams, Director, Moss Adams LLP
By Deanna Hodges, Manager, Health Care Consulting Group, Moss Adams LLP

The American Medical Association’s fourth annual National Health Insurer Report Card found that commercial health insurers average a 19.3 percent error rate in processing claims, up 2 percent from the previous year. This increase means there were 3.6 million more erroneous payments and $1.5 billion worth of additional, unnecessary administrative costs in the health care system. The AMA estimates that eliminating all errors would save more than $17 billion overall.  Read management article
Man Being Immunized

The “No Flu for You” Campaign at Banner Health

By Marjorie Bessel, MD
Arizona East Regional Chief Medical Officer
Banner Health

Read management article
Alaska Healthcare News Feed
Business Plan typed on paper with classes and pen on top

Five Sure Signs of a
Great Business Plan

By Jeanne Chase Tiscareno
Principal
ChaseLane Consulting

Read management article
Hospital Administrator sitting with Employed Physician

As Hospitals Trend Toward Employee Physicians, What Are the Employment Law Consequences?

By Josephine VestalWilliams Kastner
By Sharon PetersWilliams Kastner
Read management article
Meet our Consultant Marketplace Participants!
  • Anthony R. Miles, Partner, Stoel Rives LLPTony provides corporate, transactional and regulatory advice to a broad range of healthcare clients and entities.

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  • Barbara Derry, RN, FACMPE, Principal, Derry Nolan & Associates, LLCBarbara is a Fellow in the American College of Medical Practice Executives with more than 30 years of experience in healthcare. Owner/principal of Derry, Nolan & Associates, she provides medical & physician practice consulting services to Pacific Northwest medical practices, integrated health systems, specialty clinics and ambulatory surgery centers (ASCs).

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  • Chris Kradjan, Partner, Moss Adams LLP and Practice Leader Information Technology Auditing and Consulting GroupChris Kradjan is a Partner with Moss Adams LLP and the Practice Leader for the Information Technology Auditing and Consulting Group.

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  • Chris Pritchard, Partner & Business Assurance Leader, Moss Adams LLPChris Pritchard is a Partner at Moss Adams and business assurance leader of the firm’s Healthcare Practice. He also leads the San Francisco office healthcare group.

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  • Dan Gaffney Partner, Wealth Services Group, Moss Adams LLPDan Gaffney is a Partner with Moss Adams LLP and a leader and steering committee member for the firm’s Wealth Services Group.

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  • Darryl Price, Healthcare Practice Leader, Slalom ConsultingDarryl Price is the Healthcare Practice Leader for Slalom Consulting. With twenty plus years of executive experience in healthcare, Darryl brings a keen understanding of the healthcare business and the technology solutions that drive success.

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  • George Deering, President, Deering and AssociatesGeorge is President of Deering and Associates, an Executive Search Firm established in 1986 that specializes in healthcare recruiting primarily on the West Coast.

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  • Greg Mennegar, Vice President, Spectrum Information Services NW, Inc.Greg Mennegar has over 25 years of experience in the microfilm and document imaging industry. His history includes management of the Imaging Program for the Washington State Archives, operations management of one of the largest Computer Output Microfilm (COM) service bureaus in the US and extensive sales and consulting experience recommending and implementing document imaging and scanning solutions.

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  • John Blakey, Partner, Moss Adams LLPJohn Blakey serves a wide variety of health care clients, including physician groups, hospitals, and long-term care organizations. He has more than 17 years of experience in public accounting.

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  • Kevin Villanueva, Senior Manager, Moss Adams LLPKevin Villanueva leads the firm’s information security and infrastructure practice. He has over 14 years of experience in information technology, with particular focus on disaster recovery planning and IT security.

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  • Paula Morgan, RN, Principal, Morgan Consulting ResourcesPaula has matched talented healthcare executives with leading healthcare companies for 20 years. She brings to her work a broad view of healthcare, extending well beyond the specifications and requirements of a single position. Under Paula's leadership, Morgan Consulting Resources has grown to a nationwide healthcare executive recruitment firm serving all of the United States and Puerto Rico.

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  • Paul O. Schaber, President, The Management TrustPaul has a diverse management background that spreads across many fields. He has held management positions with local and national companies and has had corporate or division responsibility for such activities as: corporate performance reporting systems; budgeting, finance and operations activity projections; internal audit, quality control, work measurement and productivity improvement programs and personnel management.

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  • Chris Rivard, Partner and Chair, Moss Adams Health Care GroupChris Rivard is a partner and chair of the Moss Adams Health Care Group.

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  • Ruth Hansten RN PhD FACHE, Principal ConsultantHansten Healthcare PLLC, has a track record of 22 years consulting assisting 170 healthcare organizations, and offers strategies for improving care delivery at the point of care, professional practice leadership focus, and features its nationally-acclaimed Relationship & Results Oriented Healthcare™ program.

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  • Stephen Rose, Health Care Attorney and Owner, Garvey Schubert Barer
    Stephen Rose has more than 25 years representing healthcare providers in matters relating to Medicare/Medicaid reimbursements, government audits, and corporate compliance plans.

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  • Timothy J. O'Connell, Partner, Stoel Rives LLPTim's practice includes representing healthcare providers in NLRB and PERC proceedings, labor arbitrations, equal employment and discrimination cases before administrative agencies and courts, wrongful discharge litigation and other issues.

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  • Jeanne Chase Tiscareno, Principal, ChaseLane ConsultingJeanne is a communications and business planning expert with broad experience in healthcare and technology sectors. Her firm provides full-service strategic planning and marketing support to help healthcare organizations adapt to healthcare reform and a changing market.

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