Revenue Cycle Management

Our experts can help solve problems facing healthcare providers today.

Revenue cycle is complex and includes a multitude of components that are all subject to ever-changing requirements. We understand that Revenue Cycle is more than just billing and collections. Through decades of experience solving some of the most complex issues within Revenue Cycle, Health Care Program Advisors has the institutional knowledge and knows how to help your organization navigate this ever-present challenge.

Health Care Program Advisors is one of the few firms on a national level that can fully address the complete Revenue Cycle. Our extensive knowledge and expertise drives value by helping your organization design and implement a comprehensive improvement agenda that maximizes the strengths of all who can and should be involved, including your staff.

While every client has unique aspects regarding the Revenue Cycle, we focus primarily on the following services.

Cost and Performance Assessment & Implementation

We can set up benchmarks for current levels of performance, assess your current levels of labor and expenses within the Revenue Cycle, as well as evaluate your current use of legacy and bolt-on systems. This allows us to identify any major gaps or issues that need to be fixed. We’ll create an implementation plan that is easy to follow and leads to positive results.

Revenue Cycle Advisory

Health Care Program Advisors provides executive-level insights in your Revenue Cycle challenges. We’ll monitor your current metrics to identify areas of lagging or declining performance, and provide insights into which systems or methods you’re currently employing that need to be updated.

Access/Call Center Improvement

Through our expertise, Health Care Program Advisors provides improvement perspectives for your pre-service Revenue Cycle functions, and we can design centralized processes that can support both the hospital and ambulatory aspects of scheduling and pre-registration. We provide assistance with first-call resolution and one-call encounters, in addition to identifying needed enhancements to system-wide scheduling, organizational processes, technology, and staff training.

Analytics & Measurement

We’re a data-driven firm that has the knowledge and ability to dive deep into the numbers to analyze and distill them into actionable items to improve your Revenue Cycle. Whether you need to know the impact of price increases, managed care rate charges, shifting payor mix and acuity charges, we know which numbers matter and what numbers are more akin to white noise.

Go-Live/Post-Live Support

Do you need assistance in monitoring complete revenue capture during a system conversion or an initial go-live endeavor? We can provide expert insights into what went right, what you need to improve, and what you should do moving forward. We’ll analyze any shortfalls in revenues immediately after the go-live and provide analyses of critical issues and propose corrective actions related to post-live financial and performance decline.

Contract Negotiation & Renegotiation

Negotiating and renegotiating contracts is laborious and challenging, yet vitally important. Health Care Program Advisors can help in addressing the critical business and operational issues in contracts for Revenue Cycle services, whether for specific “point solutions” of full outsourcing.  We’ll evaluate your standing compared to normal market levels and assist in pricing and terms concessions.

For more information about Revenue Cycle assistance, please contact us today to learn more about The Firm and what we can bring to your organization.

Scott Leavell

Scott Leavell

Managing Partner

B.S. Industrial Engineering, Georgia Institute of Technology

 

 

Scott founded Health Care Program Advisors in 2002 to focus on delivering advisory services to health and hospital systems. Since HCPA’s founding, Scott has been directly involved in delivering systems and analytics consulting services as the Information Systems lead for HCPA; in addition to sharing management responsibility of the firm with Pat. 

His 30 years of systems leadership includes:

  • Strategic and Tactical Systems Planning
  • Vendor Selection and Contract Negotiation
  • Implementation Management for Technology Enabled Re-engineering Projects
  • Implementation of Business Intelligence and Analytics Solutions
  • Information Technology Effectiveness and Cost of Ownership Optimization
  • IT/IS Transition Management
  • Expert Analysis and Witness for Systems Contract Arbitration and Litigation

He has worked with:

  • Major Academic Institutions
  • Not-for-profit Healthcare Delivery Systems
  • Community Providers
  • Large Physician Practices
  • Managed Care Organizations
  • Medical Equipment and Supply Providers

He started his career in a hospital management engineering department, then joined Coopers & Lybrand to perform operations re-engineering and systems implementation consulting. He worked with Hamilton/KSA and Ernst & Young and served as a Vice President in the Health Information Technology practice of Cap Gemini Ernst & Young.

Scott holds a Bachelor of Science in Industrial and Systems Engineering from the Georgia Institute of Technology with a certificate in Health Systems Engineering.

Scott is a Certified Professional in Healthcare Information Management Systems (CPHIMS) and is active in both the Health Information Management and Systems Society (HIMSS) and the Healthcare Financial Management Association (HFMA), serving in official capacities, including speaker for both organizations.

Pat Wulf

Pat Wulf

Managing Partner

B.S. Health Systems Engineering, Georgia Institute of Technology

MBA Finance, University of Louisville

Pat is a co-founder of Program Advisors and leader of the Revenue Cycle and Analytics practices. In his downtime, Pat is pursuing completion of all five of the World Association of Cycle Event bicycle rides (2 of 5 completed thus far).

Jeff Booth

Jeff Booth

Partner

B.S. Business Administration, Emory University

MBA Finance, Emory University

Jeff is a partner at Program Advisors and the Strategic, Tactical, & Financial Planning practice lead. Jeff played competitive tennis for more than 20 years and was a part of different teams that won two Georgia High School State Championships and four City of Atlanta ALTA team championships.

Steve Roth

Steve Roth

Partner

B.S. Business Administration, Information Processing, The George Washington University

MBA Finance and Investments, City University of New York-Baruch College

Steve is a Partner at Program Advisors and a Certified Healthcare Chief Information Officer (CHCIO) with extensive systems leadership experience at hospitals, integrated health systems, and academic health systems including merger/de-merger planning, strategic, and tactical systems planning. Steve also possesses a commitment to maximizing the performance and longevity of “all things internal combustion” ranging from leaf blowers, lawn tractors, and motorcycles to a near-fleet of aging automobiles.

Judy Barefield

Judy Barefield

Senior Director

Business Administration, University of Illinois

Judy focuses on advisory and project management services around a variety of client systems, processes, and financial improvement imperatives with a focus on Revenue Cycle services. She lived in England for three years and met Prince Charles and Lady Diana at a polo match.

Shannon Hill

Shannon Hill

Senior Director

B.S. Business Management, University of Florida

MBA, Information Systems Management, University of South Florida

Shannon focuses on advisory and project management services around a variety of client systems, process, and financial improvement imperatives with a focus on business intelligence and analytics services. She spends her free time traveling to see her daughter play volleyball and son play baseball.

Darrell Lee

Darrell Lee

Senior Director

B.S. Business Administration, Miles College

M.S. Business Management, Faulkner University

Darrell serves as a subject matter expert for revenue cycle operations, including patient access, pre-service operations, HIM, revenue integrity, coding, billing, insurance follow-up, payment posting, and self-pay. Additionally, Darrell serves as a trusted advisor and partner for health system leadership to assist with making key operation decisions around revenue cycle operations and revenue related decisions. Darrell loves to read and write speeches in his free time.

Leah Milano

Leah Milano

Senior Director

Business Management, Salem State College

Leah’s focus is on revenue cycle with extensive AR management, project, and change management experience along with revenue cycle systems implementation, IT, analytics, and advisory services. Leah loves outdoor adventures and is pursing completion of hiking all 48 of New Hampshire's 4,000-foot mountains.

John Stigaard

John Stigaard

Senior Director

B.S. Industrial Engineering, Georgia Institute of Technology

MBA, Georgia State University

John focuses on healthcare information systems, analytics, and operations improvement. John met his wife of 20+ years at the Health Information and Management Systems Society annual conference.

Scott Werkstell

Scott Werkstell

Senior Director

B.S. Avionics Technology, Embry-Riddle Aeronautical University

Scott is a senior director consultant with HC Program Advisors, focusing on advisory services and program management IT and operations. Scott previously worked for NASA on the International Space Station project.

Brittany Leggett

Brittany Leggett

Business Manager

B.S. Accounting & Finance, Kennesaw State University

Brittany serves as the Program Advisors Office Manager, responsible for all financial and daily operations. Brittany is a classically trained singer and has performed in shows all around the Southeast.

Brittany Wulf

Brittany Wulf

Director of People Operations

B.S. Business, Georgia Institute of Technology

M.A. Organizational Psychology, Columbia University

Brittany builds and leads all people operations for the company, including recruiting, training and development, compensation analysis, employee engagement, performance management, organizational planning, and team development and effectiveness. She has lived and taught English in Ecuador!

Drew Fithian

Drew Fithian

Manager

B.S. Operations Management, University of Alabama

Drew has more than six years of healthcare experience, primarily involving revenue cycle management and operations. He also brings consulting experience in healthcare data analytics, revenue cycle operations, and systems selection to the company. You can usually find Drew grilling something on his Green Egg with his Golden Retriever, Marlow (and his wife, of course).

Lauren Gess

Lauren Gess

Manager

B.S. Health Information Management, Temple University

As a Manager at Program Advisors, Lauren assists Pat in leading the Business Intelligence and Analytics practice in addition to her role as a subject matter expert in Revenue Cycle, specifically Health Information Management. She has been featured on television twice (Travel Channel and a local commercial…for bacon).

Kelsie Evans

Kelsie Evans

Management Consultant

B.S. Business Administration, Georgia Institute of Technology

Kelsie is a management consultant with a focus on performance improvement assessments and benchmarking. In her free time, Kelsie is a cheerleader for the Atlanta Hawks basketball team.

Patrick Leavell

Patrick Leavell

Management Consultant

B.S. Industrial & Systems Engineering, Auburn University

Patrick’s focus is working on healthcare revenue cycle dashboards to improve high-level access to key performance indicators. He’s also a project manager in our infrastructure in transition effort. Patrick has two dogs named Bo and Modi, who are advocates for bully breed adoption.

Hannah Maiberger

Hannah Maiberger

Management Consultant

B.S. Health Services Administration, Clemson University

Hannah focuses mainly on the Revenue Cycle and Business Intelligence practices, working on performance improvement projects and data analytics. Hannah considers herself somewhat of a food expert, particularly Mexican food.

Conor Tanzman

Conor Tanzman

Management Consultant

B.S. Industrial Engineering, Georgia Institute of Technology

Conor predominantly works on business intelligence and analytics efforts for Program Advisors clients, also focusing on the Revenue Cycle practice. When he’s not working on revenue cycle and data analytics, Conor spends much of his free time sailing.

Kendall Welkley

Associate

B.S. Business Administration, Strategy and Innovation, Georgia Institute of Technology

Kendall works on a variety of projects, including project management system go-lives, contract review, and benchmarking.

Throughout Kendall's time at Georgia Tech, she worked in the GT Football Office assisting with recruiting operations, which included assisting with high school recruits, official visit weekends, and even practice for top recruits in the nation. Go Jackets!

Apoorv Singh

Analytics Consultant

B.B.A. Management Information Systems, University of Georgia

As an Analytics Consultant, Apoorv works on various projects to support our Business Intelligence and Analytics practice by streamlining processes and providing key data to our clients. 

In his free time, Apoorv likes to edit movies in a nonlinear fashion, cook (mostly pasta really), and has tried to learn the unicycle almost every weekend to no avail.