Michael Snyder, MHA (msnyder@tprsolutions.com

Michael Snyder, MHA (msnyder@tprsolutions.com

Director, Finance & Regulatory at Third Party Reimbursement Solutions, LLC

Location
Charlotte, North Carolina (Charlotte, North Carolina Area)
Industry
Hospital & Health Care

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Michael Snyder, MHA (msnyder@tprsolutions.com's Overview

Current
Past
  • Owner at Anchor Provider Solutions LLC
  • Project Consultant at Self-employed
  • Associate Director at Navigant
Education
Connections

500+ connections

Websites

Michael Snyder, MHA (msnyder@tprsolutions.com's Summary

Compliance, litigation support, regulatory and revenue cycle consulting professional with significant Big 4 Consulting experience related to client relationships, product/ staff development and project management. Substantial history of providing value to both internal and external customers re-design and implementation activities through innovation and creativity by working collaboratively with management, physicians and clinicians at all levels of an organization. Experienced working with systems from large integrated networks to small rural facilities. Expertise working with Corporate Complance, General Counsel, Chargemaster, Patient Accounting, Information Systems and other areas of the Revenue Cycle. Recently earned Masters in Healthcare Administration. I understand how governmental, managed care and commercial payors reimburse for services rendered and can compliantly increase those payments.

Please send individualized requests to connect to mgs101@bellsouth.net. I'll never IDK a personalized request.

Specialties

• MHA
• Client management
• Engagement/Project management/delivery
• Compliance
• Reimbursement/Regulatory
• Litigation support
• Process re-design/change/implementation
• Employee development
• Revenue cycle
• Cross-functional team leadership
• Due diligence
• Pro-formas and projections
• Litigation support

Michael Snyder, MHA (msnyder@tprsolutions.com's Experience

Director, Finance & Regulatory

Third Party Reimbursement Solutions, LLC

Privately Held; 1-10 employees; Information Technology and Services industry

May 2014Present (5 months) Charlotte, North Carolina Area

Third Party Reimbursement (TPR) Solutions, LLC provides advisory services to hospitals and health systems on a local and national level. Specifically, our company offers advisory services that focus on Hospital Medicare and Medicaid reimbursement and regulatory issues.I will prrovide Medicare and Medicaid Reimbursement and Regulatory assistance to hospital clients nationwide. Supervise managers and associates. Review and create final deliverables. I am also responsible for ensuring client's needs are met and for developing new business.

Owner

Anchor Provider Solutions LLC

August 2012May 2014 (1 year 10 months) Charlotte, North Carolina Area

Anchor Provider Solutions, LLC (“APS”) provides Medicare regulatory, reimbursement, compliance and revenue cycle advisory services to Hospitals, Health Systems, attorneys and selected vendors on a local and national level. Specifically, APS offers individualized advisory services focusing on Hospital Medicare and Medicaid payment and regulatory issues. Anchor Provider Solutions LLC also provides subcontractor support.

The overall mission is to help providers thrive in the very turbulent third party regulatory waters.

Services include:
• Preparation of third party cost reports
• Appeals and Re-openings
• Organ Acquisition/IME/GME
• Medicare Bad Debts
• Physician Practice Acquisition (Provider-based analysis)
• NPI/CMS-855 Preparation & strategy
• Impact of new regulations
• Reimbursement Department interim management
• Net revenue, contractual allowances, settlement entries
• State DSH plans
• Final impact of re-negotiation
• Ensure managed care payments are correct
• Quantify damages as part of investigation
• Assist legal counsel with reimbursement issues


APS will accomplish this mission by providing individualized service so you can successfully navigate the continually evolving and changing Medicare and Medicaid Hospital reimbursement seas.

Project Consultant

Self-employed

Public Company; 1001-5000 employees; HURN; Management Consulting industry

May 2012July 2012 (3 months) Charlotte, North Carolina Area

Areas of expertise:ICD-10 assessment and implementation

Responsible for:

Assisting with compilation of implementation budget
Reviewing billing and denial management process, front end patient access and ancillary areas
Creation of deliverable for areas of responsibility

Other areas of expertise:

Reimbursement and Regulatory services
Litigation support
Net revenue projections
Hospital-based analyses

Associate Director

Navigant

Public Company; 1001-5000 employees; NCI; Management Consulting industry

July 2011April 2012 (10 months) Charlotte, North Carolina Area

• Project Management: Project Manager on ICD-10 Assessment for hospital system on west coast. Acted as payor subject matter expert for firm by reviewing and preparing all managed care and other payor implications associated with the transition from ICD-9 to ICD-10, providing guidance on net revenue implications and renewal strategies.

Identified over $10 million in reimbursement enhancement as project manager for large Midwest teaching hospital by calculating reimbursement impact of moving free-standing practices to provider-based status.

• Litigation support: Assisted attorneys to calculate damages based on lost Medicare payment related to Critical Access Hospital.

• Charge capture: Performed charge capture/revenue integrity engagements for large clients to ensure proper amounts were billed for services performed.

Treasurer - Mecklenburg County (volunteer position)

Autism Society of North Carolina

Nonprofit; 501-1000 employees; Individual & Family Services industry

2006October 2011 (5 years) Charlotte, North Carolina Area

Oversee financial operations of Autism Society of North Carolina Mecklenburg County Chapter.

Consultant

Independent Regulatory and Revenue Cycle Consultant

January 2011July 2011 (7 months)

Independent Healthcare Consultant specializing in continuous process improvement related to regulatory, compliance and revenue cycle issues.

Performed hospital-based analysis for large integrated system in Midwest.

Volunteer

ProNet Charlotte

Nonprofit; 1-10 employees; Nonprofit Organization Management industry

January 2011June 2011 (6 months)

Performs client orientation presentations for non-profit.

Nonprofit; 10,001+ employees; Hospital & Health Care industry

January 2002January 2011 (9 years 1 month)

Served as AVP Finance responsible for enrollment, regulatory, due diligence, financial analysis, projections, compliance and estimations.

Corporate Compliance: Successfully defended hospital during HHS OIG audit with minimal reductions in reimbursement. . Successfully defended hospital in Qui tam investigation related to hospital-based status of several Sleep Clinics.

• Continuous Process Improvement/Design: Identified and implemented $60 million in net revenue improvements by assessing current practices, designing and implementing new processes, procedures and approaches such as changes to Medicaid-eligible days, medical education and cost report reporting revisions.

Designed and implemented Bad Debt return policy in collaboration with Patient Accounting Department and outside collection agencies. Initiated and monitored Medicare Managed care shadow billing process resulting in $1 million in additional net revenue. Implemented procedures to ensure rates negotiated by Managed care department for Medicare Managed Care plans were accurate and payments agreed to negotiated amount.

• Designed and implemented policy and procedure to audit rates paid by governmental payors.

• Identified non-covered charges as a statewide issue. This issue was presented to statewide workgroup that ultimately negotiated a settlement with state Medicaid program worth $16 million over four years to system. Established team including Pharmacy, Patient Accounting and Chargemaster that implemented changes to increase cash by over $2 million in first year by changing coding related to non-covered charges.

• Physician Integration: Improved net revenue associated with subsidiary physician practice by $5 - $6 million annually by reviewing net revenue associated with various reporting alternatives.

• Leadership: Provided thought leadership to system by monitoring and reviewing changes to regulations, laws and state plan amendments, calculated impact, create strategies.

Senior Manager

Ernst & Young LLP

Privately Held; 10,001+ employees; Accounting industry

19962002 (6 years)

Responsible for selling, managing and performing various regulatory and financial engagements. I was responsible for ensuring client's needs were met and for developing new business.

Senior Manager:

• Development: Expanded practice hospital regulatory market by developing and implementing models to evaluate compliance with hospital-based requirements and calculate the financial impact. Prepared proposals, participated in pursuits and sold engagements in excess of $1 million per year.

• Project management and delivery: Managed realization, utilization, billing and payment for multiple engagements.


• Litigation support: Lead engagements acting as Independent Review Organization as a result of federal litigation or in preparation of impending litigation. Supported SNF during litigation.

• Participated in team that calculated impact of new regulations for national chain by preparing analysis and deliverable.

• Provided quarterly assistance to clients by evaluating allowances for bad debts, settlements and contractual adjustments for hospitals, home health agencies and skilled nursing facilities.

• Cross-functional team building: Established and maintained relationships with audit, compliance and other consulting senior management.

• Revenue Cycle: Performed analyses of physician group revenue cycle being purchased, ensuring billing agreed to codes from medical records and services provided.

• Transaction experience: Performed due diligence related to mergers and acquisitions by evaluating the financial and reimbursement positions, reducing the risk to the client. Performed several pro-forma analyses, valuations and projections for hospitals related to buy or sell decisions.

• Recruitment/Retention: Actively recruited, coached and managed multiple direct reports.

• Presentation skills: Presented educational and developmental sessions for professional associations, physicians and management.

Director of Reimbursement

First Hospital Corporation

Public Company; 10,001+ employees; HCA; Hospital & Health Care industry

19941996 (2 years)

Responsible for all reimbursement and third party activities of four hospitals in a for-profit Psychiatric hospital system.

Reimbursement Manager

Sentara Healthcare

Nonprofit; 10,001+ employees; Hospital & Health Care industry

January 1988May 1994 (6 years 5 months)

Responsible for all reimbursement and third party activities of four hospitals in a large integrated not-for-profit hospital system. Supervised staff of six. My duties included:

• Prepared and reviewed month-end third party entries;
• Provided regulatory advice as needed;
• Monitored activity associated with managed care plans.

Reimbursement Coordinator

HCA

Public Company; 10,001+ employees; HCA; Hospital & Health Care industry

19861989 (3 years)

Michael Snyder, MHA (msnyder@tprsolutions.com's Projects

  • HITECH reimbursement summary

    • June 2013 to Present

    An in-depth review of the reimbursement related to implementation of Electronic Health Records by Hospitals.

Michael Snyder, MHA (msnyder@tprsolutions.com's Certifications

  • Passed CPA exam June 1992

Michael Snyder, MHA (msnyder@tprsolutions.com's Skills & Expertise

  1. Microsoft Office
  2. Project Planning
  3. Project Implementation
  4. Team Management
  5. Staff Supervision
  6. Financial Analysis
  7. Financial Modeling
  8. Non-profits
  9. Hospitals
  10. Reimbursement
  11. Healthcare
  12. Healthcare Reimbursement
  13. Healthcare Consulting
  14. Healthcare Analytics
  15. US Healthcare
  16. Revenue Cycle
  17. Revenue Enhancement
  18. Revenue Modeling
  19. Compliance
  20. Dispute Resolution
  21. Government investigations
  22. Voluntary Disclosure
  23. Litigation Support
  24. Nonprofits
  25. Medicare
  26. Auditing
  27. Analysis
  28. Due Diligence
  29. Access
  30. Medical Coding
  31. Management
  32. Government
  33. Mergers & Acquisitions
  34. Managed Care
  35. Finance
  36. Strategy

View All (36) Skills View Fewer Skills

Michael Snyder, MHA (msnyder@tprsolutions.com's Education

University of North Carolina at Chapel Hill

MHA, Healthcare

20032006

State University of New York at Albany

B.S., Accounting

19751978

Contact Michael for:

  • career opportunities
  • job inquiries
  • expertise requests
  • reference requests
  • getting back in touch

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