Jacqueline Francis, President Naples, FL

Jackie has more than 26 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

Vincent Ciotti, Principal, HIS Professionals, Information Systems  Santa Fe, NM

Vincent Ciotti, Principal, HIS Professionals, has over 35 years of experience in the Health Information Systems (HIS Pros) industry, including holding senior management positions with both leading vendor and consulting firms and has successfully completed over 200 consulting engagements at hospitals from 50 to 1,000 beds. The author of numerous articles in industry journals and frequent speaker at national seminars, Mr. Ciotti is an expert in IT assessments.  He has consulted for over 18 years for both hospitals and HIS vendors, including IT assessments, strategic planning, vendor selection, contract negotiations, and system installation.

Education Bachelor of Arts, Temple University, Philadelphia, PA Experience Co-Founder & Principal, HIS Professionals, LLC Vice President, Micro HealthSystems Vice President, Dornfest & Associates Director of Marketing, H.I.S., Inc. Manager of Marketing Services, MCAuto Installation Director, Education Manager, National Accounts Manager, Shared Medical Systems

Gary Prala, Senior Consultant Coppell, TX

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

Vickie L. Rogers, Senior Consultant Powell, OH

Vickie Rogers specializes in health information management consulting with a concentration in health data management. She brings the expertise of not only the accumulative knowledge and experience from 19 years of coding audits, but also capitalizes on the experience from compliance engagements involving the Department of Justice and Office of Inspector General. Having conducted audits and charge description master reviews for both Medicare and Medi-Cal coding and billing requirements, Ms. Rogers applies the guidelines put forth by the Cooperating Parties for ICD-9-CM coding and the American Medical Association guidelines for CPT-4 coding. Author of several books and chapters dealing with coding and regulatory issues for health information management departments, she has also written articles on coding and related subjects and is a frequent speaker on healthcare coding issues. Her text, Applying Inpatient Coding Skills Under Prospective Payment, serves as a coding and reimbursement text for Colleges and Universities throughout the United States.

Certifications Registered Health Information Administrator (RHIS) American Health Information Management Association, member Education Master of Science, Ohio State University Bachelor of Science, Health Information Administration, Indiana University, Bloomington, IN Awards Edna K. Huffman Literary Award Fellow, American Health Information Management Association

Judy Aten, Senior Consultant Coppell, TX

Ms. Aten 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. Aten 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

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

Jack R. Speer, Senior Consultant Las Vegas, NV

Jack Speer is an expert in healthcare system turnarounds. He is especially skillful in reducing AR days and increasing collections. He has held senior level revenue cycle positions and multiple regional/corporate positions in hospital patient accounts management, including responsibility for five central business offices. He has been responsible for all aspects of a practice management company, providing billing, coding and collections services to 105 physicians in three states and successfully converted three disparate billing applications into a unified enterprise software platform.      As Vice President of Alta Healthcare System, he was charged with achieving the turn-around of this financially troubled company. Some of his more notable accomplishments achieved during his tenure there included reducing AR days from 147 to 55, increasing collections from 81% to 104% of net revenue, and reducing utilization review denial rate from 38% to 3%.

Certifications Affiliation with Healthcare Financial Management Association, HFMA Education Course work towards BS, Bachelor of Science, Texas Tech University, Lubbock, TX Languages: Spanish Experience Senior level revenue cycle positions at: Lexon Medical Resources, NV; Alta Healthcare Systems, Los Angeles, CA; Washoe Medical Center, Reno, NV: Landmark Medical Corporation, Las Vegas, NV; Community Psychiatric Centers, Las Vegas, NV

Kathleen D. Kelly, Senior Consultant Glendale, AZ

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

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

Susan T. Keller, Senior Consultant Allentown, PA

Susan Keller is a seasoned healthcare consultant with over 26 years experience with specific skills in the areas of hospital patient accounting. She excels in both written and oral communications. Her extensive work in the areas of inpatient and outpatient billing, team building, automated billing systems, accounts receivables assessments and alternative receivables management such as long-term care and sub-acute care billing makes her an indispensable member of the Select Health Management team, especially in interim management roles. Ms. Keller is a member of the Keystone Chapter of the American Association of Healthcare Administrative Management (AAHAM), a member of the Society of Patient Accounts Management and a Notary Public in Pennsylvania.

Certifications Affiliation with Healthcare Financial Management Association, HFMA Education Associates Degree in Business Administration, Lehigh Carbon Community College, Schnecksville, PA Secondary Education Major in mathematics, West Chester University, West Chester, PA System Experience: Meditech and Siemens Experience Director of Patient Financial Service positions at: Delaware Valley Medical Center, Langhorne, PA; Muhlenberg Rehabilitation Center, Bethlehem, PA; Easton Hospital, Easton, PA; Pottstown Memorial Medical Center, Pottstown, PA

Mary Arent, Senior Consultant Ft. Myers, FL

Ms. Arent has a broad-based knowledge of the revenue cycle. Her operational experience in patient access, patient accounting, health information maintenance services, HIPAA customer service/patient information compliance, and CMS billing/ reimbursement regulations have given her the expertise to lead many interim projects. A focused communicator, Ms. Arent is skilled at designing and teaching staff education programs. She has great ability to manage and direct as evidenced in the establishment of Medical Necessity Compliance, Denial Management, and Centralized Scheduling Programs. Mary Arent has participated in the selection of a clinical/financial host information service replacement and has managed insurance receivable collection projects and developed policies and procedures for obtaining accurate intake information. In addition, Ms. Arent managed and directed a $4 million emergency department and outpatient clinics collection project. Ms. Arent has provided Interim Director/Manager Services for Patient Financial Departments and Revenue Cycle for not-for-profit and community health facilities, including all Business Office functions, Medical Records, Patient Access, Emergency Department Registration, and Medical Service Organizations.  She has established Medical Necessity Compliance, Denial Management, and Centralized Scheduling Programs.

Certifications Post Graduate Continuing Education Courses in Accounting and Business Law, Pace University,  Pleasantville, NY Education Courses for Teaching Certification, University of South Florida, Sarasota, FL Education B.A., Political Science/Comparative European Politics, Manhattanville College, Purchase, NY M.A., Political Science/International Relations, Boston College, Boston, MA   Experience Chairman, Revenue Cycle Committee Member of Medical Center Operational/Senior Management Team Member Computer Technology Governance Committee Member Performance Evaluation Team