Rybar Group
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The Rybar Group, Inc. is pleased to announce that Brandon Baugh has joined us as Manager, Provider Reimbursement Analytics

Brandon’s expertise covers a range of strategic initiatives centered around third-party payor payment and reimbursement. From his work in senior analytic leadership roles with Blue Cross and Blue Shield, as well as other various healthcare payor and state organizations, Brandon has an inside knowledge of third-party reimbursement, payment methodologies, utilization management, and healthcare economics.
Having learned the intricacies of Medicare, Medicare Advantage, Medicaid, and other third-party payors, Brandon works to identify revenue opportunities of our clients. The majority of his career focused in health data analytics and IT based solutions, working in various analyst related roles for leading payors and healthcare IT companies. His responsibilities ranged from designing financial models for Case Management, Disease Management/Intensive Case Management and other ancillary wellness programs, to developing Medical Advisory Committee reporting and strategies for improving HEDIS and Pay for Performance scores. To contact Brandon directly he can be reached at bbaugh@therybargroup.com or 810-853-8173.

Industry News and Updates

Medicare HMO Reimbursement Impact on CAHs

As Medicare patients are moving from traditional coverage to a HMO product, it is important to ensure your contracts and payment model are moving appropriately as well.

With Medicare allowed cost based reimbursement to Critical Access Hospitals (CAHs), your Medicare HMO reimbursement needs to be reviewed to ensure you are receiving rates that are based on your facility’s costs.

Are you confident you are receiving all the reimbursement you are entitled to?

As a rural healthcare provider, you are an extremely important asset in your community. Specializing in CAH reimbursement, The Rybar Group will work to ensure that you are receiving appropriate Medicare HMO payments and that you have implemented a sound cost reimbursed strategy.

To further discuss what the transition can mean to you and your facility’s revenue, contact The Rybar Group today.

Calendar

November 7-8, 2019 – Michigan Critical Access Hospital Conference – Caren Puvalowski to exhibit and attend

November 13, 2019 – BDO Healthcare Webinar “Believe It or Not: Revenue Recognition Has an Impact on Your Healthcare Clients – Rick Reid to present jointly with BDO

November 18-20, 2019 – BDO Leadership Conference – Claudine Hildreth and Rick Reid to attend

December 11, 2019 – BDO Healthcare Webinar “State of Healthcare Prognosis 2020 – Ron Rybar to present

April 8, 2020 – BDO Healthcare Webinar “Rural Health 101: – Rick Reid to present