Agenda – Precon

Day Egusquiza brings over 40 years experience in health care reimbursement, hospital business office operations (20 years in an Idaho hospital), contracting, auditing and compliance implementation. Additionally, her experience includes eight years as a Director of a Physician Medical Management billing service which included completing an integrated business office between a hospital and a large multi-specialty physician clinic. She has been an entrepreneur in hospital and physician practice accounts receivable management and a leader in redesigning numerous organizations. Her work includes providing guidance as a compliance & reimbursement educator while providing operational insight on the revenue cycle impacts of disruption, lost charges, coding validation and yes, why I love Traditional Medicare’s 2 MN rule. Day’s strength is her ability to ‘operationalize’ complex regulations into teachable components.

Ms Egusquiza is a nationally recognized speaker on continuous quality improvement (CQI), benchmarking, redesigning, reimbursement systems and implementing an operational focus of compliance- both in hospitals and practices. She has been on the AAHAM National Advisory Council, HFMA National Advisory Council, is a past President of the Idaho HFMA Chapter & recently received the Lifetime Achievement Award. She has been highlighted in JCAHO’s Six Hospitals in Search of Excellence, Zimmerman’s Receivable Report, HFMA’s HFM and Patient Account, AHIA Prospective, and numerous healthcare newsletters along with a contributing author to 2006 Health Law and Compliance Update. She received the Idaho Hospital Association “Distinguished Service Award” for her legislative work and training on new indigent law. Attendees at HFMA’s ANI rated her in the top 25% for each year she has presented, earning her the ‘Distinguished Speaker’ award.

Her greatest accomplishments are her four wonderful children and her eight fabulous grandchildren.

What makes her unique? She has been in the trenches with us!

Points of Interest:

• AICPA: Planning Committee member for healthcare, Chair 2004-2011
  Speaker at 14 annual conferences, board member 8 years
  
• AHIA: National conference key note speaker
  
• HFMA: National faculty member; presenter at ANI; national revenue cycle conference; two-day cluster; CFO Forums; regional conferences with continual evaluations in the top 25% -earning the Distinguished Speaker Award yearly.
  
• Instructor: College of Southern Idaho, continuing education program on “Understanding the Medicare Benefit.”
  
• Board of Directors: Special Olympics of Idaho,2003-2007. Secretary 2004
  
• Contributing Editor; AAHAM Technical Certification Study Guide, revised March 2004; CPAT & CCAT exams
  
• Co-Chair of national RAC Summit (2009-current)
  
• Co-Creator of the national Physician Advisor and UR Boot camp (2012-current)
  
• President and Founder of the Patient Financial Navigator Foundation, Inc, – a Idaho-based family foundation- transforming the hassle factor in healthcare thru education.

Dr. Timothy Brundage is medical director and chief executive officer of Brundage Group. He is a diplomate of the American Board of Internal Medicine. Dr. Brundage is a past board member of the Association of Clinical Documentation Improvement Specialists (ACDIS) and earned his CCDS certification through ACDIS. Dr. Brundage is the co-chair of the CDI committee for the American College of Physician Advisors (ACPA). Dr. Brundage educates physician groups nationwide on quality, utilization, denials management, clinical documentation improvement and physician advisor education. He is a frequent presenter at the ACDIS annual conference and has spoken nationally for AHIMA at its annual meeting and its CDI Summit. Dr. Brundage was selected by Tampa Bay Business Journal as a Health Care Heroes award winner in the health care educator category.

Diana Cokingtin, MD joined the team of physicians at Change Healthcare in 2017 with over 23 years of experience in medical management. She is trained in Internal Medicine and Pediatrics. She was formerly with Molina Health overseeing the development of evidenced based policies and managing the transplant program. She also worked closely with utilization management staff on prior authorization code list modifications. Streamlining the list into a more manageable cost-effective process which decreased the number of authorizations the providers had to submit allowing the insurance staff to be refocused on care management. Additionally, she implemented the genetic testing review process.

She previously worked with Aetna/Coventry initially as a CMO for the Kansas City, then moving to a corporate role writing evidence-based policy, running the transplant program and medical director education. Her administrative career began with Blue Cross Blue Shield Kansas City.

Dr. Maria Johar is Physician Advisor in Toledo Ohio and works for Ensemble Health partners which has clients in over 30 states.

She is a physician with a Masters in Business Administration, and was certified as a professional in healthcare quality. She comes with over twenty -five years of experience in the fields of Utilization Review, Quality, Denials and Appeals, Joint Commission, Clinical Documentation, Safety and Infection Control. She is trained in LEAN methodology for system improvements.

Prior to working for Ensemble Health Partners she worked as an Independent Physician Advisor for the UH Health system, ProMedica Health System, Mercy Health System, Lima Memorial Health System and Liberty Medical Center. She has worked with the Ohio State Medicaid board on several process improvement initiatives. She has worked as a private consultant to physician offices and Hospitals. She is a published author, writing a book called DRG Tools in 2011. She was awarded the Inventor of the year in 2016 for a web-based solution to prevent surgical denials, saving millions for the organizations that are currently using it.

She lives in Toledo with her family. She married her college sweetheart 32 years ago, has two boys and two dogs. She loves to travel and has cruised multiple times to find the sun during the winter months.

She sits on the Lucas county suicide prevention board, and is a member of the American College of Physician Advisors, National and State case management associations and the National Association of Healthcare Quality. She is a faculty member for a several national webcasts like Finally Friday, Empowering Physician Advisors and Top Gun Audit Academy.

Devonne Grizzle brings over 25 years of Nursing, Quality, and Case Management experience to her role as Vice President of Case Management at Quorum. Previously, DeVonne’s role was that of a Regional Case Management Director. DeVonne has served as the Executive Director of Quality, Research and Nursing Education at a large teaching hospital in Western Arkansas. In addition to Case Management, DeVonne also provides executive leadership to CarePledge Alliance (Quorum Health’s ACO), Post Acute Care, and Acute Behavioral Health.

As a Certified Case Manager, DeVonne provides knowledge that bridges the clinical aspects of healthcare to the ever-changing financial aspect of healthcare while remaining centered on high quality patient care. She is a Certified InterQual Instructor. DeVonne graduated Magna Cum Laude from ATU. DeVonne went on to earn her Master’s Degree in Nursing Administration from the University of South Alabama in 2007.

A of July of 2019, Jennifer Bartlett has served at Infirmary Health for 20 years. She has vast knowledge and expertise in patient access, revenue cycle, payer contracts, payer processes and denials management. Her many years of extensive research and study of payer practices and behaviors have been instrumental in holding payers to a greater level of accountability. She manages all prepay and postpay clinical audits including TPE, OIG, RAC, KePro 2MN, SMRC, CERT, MAC, Part C audits. In her organization, she is a current member of her System’s Information Governance/HIPAA Steering Committee, as well as a founding member of the Audit Steering Committee, which began in late 2018. In her state, she is an active member of the Alabama Hospital Association’s Revenue Integrity/Recovery Audit Steering Committee and the Palmetto GBA Provider Outreach and Education Advisory Board, (CMS JJ MAC region) and was a presenter in 2016, 2017 and 2019 at the AlaHA/HFMA Alabama Audit Summit. As well, she served on the faculty for the PA UR Boot Camp events since 2016.

Ed Norwood is President of ERN/The National Council of Reimbursement Advocacy. He has been recognized as a unique and distinctive authority in transitional leadership and administrative laws that govern the healthcare delivery process.

Few have blazed the trail of success in the same inimitable style as Ed. With an entrepreneurial story which is both entertaining and inspiring, Ed has a seasoned, realistic perspective that inspires people: “It’s never too late to become what they might have been” (Eliot).

Multi-faceted, with a creative ability to inspire his audience, Ed combines his healthcare influence and expertise with his passion to help providers advocate for medically appropriate healthcare pursuant to federal and state laws.