The Rybar Group, Inc. is pleased to announce that Michael J. Felczak, Jr., MSA has joined us as the Manager of our Financial Consulting Services Department.
Michael comes to The Rybar Group with extensive expertise in a variety of healthcare provider payment and reimbursement service areas. Having worked in senior financial leadership roles with numerous large health systems and at a National Cancer Institute, Michael has an extensive knowledge of the accounting, budgeting, reimbursement and revenue cycle functions. He has an in-depth knowledge of Medicare and Medicaid cost reporting and the significant impacts of these documents on the financial success of the organization. This knowledge includes the areas of Audit Validation, Balance Sheet Third Party Reviews, Contractual Modeling, Disproportionate Share (DSH), Medical Education, Bad Debt reimbursement, 340B Eligibility and Practice Valuations. In addition, his public accounting experience gives him a strong knowledge of accounting related issues which face the Healthcare industry today.
Over the years, Michael had recognized a number of significant accomplishments while working for various providers. This includes the identification of a rate opportunity for a National Cancer Institute on a high volume payor, resulting in successful contract negotiations and in increased reimbursement of $2.5M annually; the successful identification and resolution of a reimbursement issue for an Acute-Care hospital that lead to the avoidance of $2.4M aggregate payment recoveries for prior year settlements; and the discovery of a contract underpayment issue for a group of behavioral health clinics that resulted in annual payment increases of $65k and increased payments to the therapists.
Michael’s expertise covers a wide range of strategic initiatives centered around the complexities of payment for all provider types and cost report preparation to optimize the varied uses of the cost report. A particular emphasis in recent projects has focused on Medicaid expansion and the payment changes related to DSH capacity audits and limits. This includes Acute Care Hospital, Psychiatric Hospitals, Federally Qualified Health Centers, Rural Health Centers and Long Term Care facilities, and Skilled Nursing Facilities.
Please join us in welcoming Michael to our team.
To learn more about how Michael may be able to assist your facility contact him directly at 810.853.6165.
Industry News and Updates
Cash and Point-of-Service Collection Risks:
Although more Americans have health insurance coverage, 25% do not have money or liquid assets to cover their deductible, according to an article in U.S. Money on March 3, 2015. Even if your state has expanded Medicaid, individual policies have out-of-pocket maximums as high as $6,450 and family policies as high as $12,900! RGI offers a wide range of point-of-service engagements, whether you need an overhaul, a tune-up or simply a high-level support for management. RGI can create training, education, monitoring or a comprehensive program to help you.
Incident to vs. Split/Shared
There tends to be a lot of confusion surrounding services performed by mid-level providers, such as nurse practitioners and physician assistants….Read More
IRS Finalized Requirements for
Tax-Exempt Hospitals – 501(r)(3)
What Does It Mean For You? Are you sending patients bills with full charges? Do you send accounts to collections before 120 days? Many hospitals are not in compliance…
Ronald Rybar, President – BDO Webinar – Date: February 16, 2016 – Healthcare Reimbursement and Payment 101
Contributions by Laura Lovett CPC, CPMA, CEMC. Laura can be reached directly at email@example.com or 810-853-6173