speakers

Jennifer Artabane

Practical CRM in a Post Pandemic World

 Jennifer Artabane, VP of Product with PlayMaker Health, is a seasoned software product management professional with experience in both healthcare and cutting-edge software solutions. Her software development career spans multiple products and industries focusing on marketing strategies that maximize business value, accelerate growth, and deliver exceptional customer experiences.

Cara Bachenheimer

Inside the Beltway: What to Expect from Capitol Hill and CMS

Life in the Post-COVID-19 World: The New Normal for DME Suppliers

COVID-19 Ask The Experts Panel

Cara C. Bachenheimer is an attorney with Brown & Fortunato where she heads up the firm’s Government Affairs Practice. Cara’s practice focuses on federal lobbying activities with Congress, the Administration and the federal regulatory agencies, such as the Centers for Medicare and Medicaid Services (CMS), the Food and Drug Administration (FDA), the Internal Revenue Service (IRS), and the Federal Aviation Administration (FAA). Ms. Bachenheimer has been closely involved with the home medical equipment industry for 30 years, working in Washington, D.C. as well as on a grassroots basis across the country. In 2014, Cara was named Homecare Champion by the American Association for Homecare.

Jeffrey Baird

Life in the Post-COVID-19 World: The New Normal for DME Suppliers

 

Jeffrey S. Baird, Esq., is Chairman of the Health Care Group at Brown & Fortunato, P.C., a law firm based in Amarillo, Texas. Mr. Baird represents pharmacies, HME companies and other health care providers throughout the United States. He works closely with governmental agencies. Mr. Baird has authored numerous articles and is a frequent lecturer throughout the country. He serves on the Medtrade Education Advisory Board and the AAHomecare Regulatory Council. Mr. Baird earned a B.B.A. from the University of Iowa and received his law degree from the University of Tulsa College of Law. Mr. Baird is Board Certified in Health Law by the Texas Board of Legal Specialization.

Ty Bello

Strategic Sales Planning for 2021
How to Build a Unique Selling Proposition (USP) and Clinical Sales to Maximize Referrals

Practical CRM in a Post Pandemic World

Ty Bello is the President and Founder of Team@Work and a Registered Corporate Coach with the Worldwide Association of Business Coaches. Ty is a highly sought-after speaker and provides relevant and best in class information during his presentations and during his one on one coaching. Ty has over 25 years of HME Business Optimization Experience as a sales professional, leader, and coach. Ty coaches HME and CRT Owners, Leaders and Team Members and raises the bar in their performance and business metrics. Ty also continues to carry the bag and logs in over 400 Sales Calls per year Coaching Sales Professionals. Team@Work is a Coaching and Business Services Organization that exists to serve businesses as they maneuver through the everyday ebb and flow of running a highly – focused organization and team. Our roots are based in business coaching and we believe that businesses and team members are not broken, but are occasionally misguided and slightly off course. Our goal is to motivate and coach them to the correct path toward even greater success and team dynamics. We provide Coaching and Execution Strategies in Sales, Organizational Health, Leadership and Team Development, and Strategic Planning.

Sharon Bock

Creating Successful CSR Teams for a Remote Work Environment

Sharon Bock joined Allegiance Group as the director of marketing in 2016. In her current role, she develops and executes marketing strategy, brand management, social media and communication plans for clients and prospects. Prior to joining Allegiance Group, Sharon managed collection and customer service teams for the BP credit card center (formerly Amoco Oil) for 5 years and the marketing / public relations strategy for three of the largest regional banks in the Midwest for 15 years. Sharon earned her masters and undergraduate degree in Business Administration from Drake University.

Beth Bowen

How to Navigate State Advocacy with Medicaid and Managed Care

Beth created her association management company, TayCar, Inc., in 1991 when she was selected as an independent contractor to be the Executive Director of NCAMES. Her company organizes education, advocacy, communication, networking advancement; member services; and provides day to day operational management services to groups and organizations at a local, state and nationwide level. Beth has led NCAMES (now ACMESA) since 1991, VADMEC (now part of ACMESA) since 2005, FAHCS since 2013, ATHOMES since 2016 and NEMEP in 2017. Her company also manages associations, trade shows and expos for clients in the vending and food services industry.

Beth has served many years on philanthropic boards and has held several board positions for the Association Executives of North Carolina (AENC) including their executive committee. AENC awarded her its “Outstanding CEO Award” for 2008-2009, and the VGM Group recognized her as the CEO of the Year for 2009. She serves on several industry tasks forces and the AAHomecare State Leaders Council.

Beth received her Bachelor of Science degree from the University of North Carolina in Chapel Hill. She has two sons and a daughter in law all living and working in Wilmington. Beth enjoys sports, all things UNC and in her free time, she works out, plays tennis, enjoys live music and beach trips.

 

Jay Bracken

Cybersecurity and the HME Supplier: What you need to know now

Jay Bracken, CISSP, is the Information Security Officer for the VGM Group, the nation’s largest Member Service Organization for post-acute care, where he continues to evolve a comprehensive Information Security Program. With over 10 years of Cybersecurity experience, Jay has leveraged his extensive technical and business operation experience to apply sound IT Security practices while supporting the complex, highly-regulated business requirements of the healthcare industry. He is also responsible for the development and coordination of VGM’s strategic IT security planning and business continuity initiatives to reduce risks, respond to incidents, and limit exposure to liability that may result in financial and image loss to the organization.

 

Dexter Braff

HME Mergers and Acquisitions: Why It Stands Out in a Post-Covid Environment

Dexter W. Braff is President of The Braff Group, one of the nation’s leading health care merger and acquisition advisory firms (source: Thomson Reuters). Since its founding in 1998, the firm has completed more than 335 health care deals.
With 30 years of experience representing health care service companies, Dexter is recognized as the industry expert in health care M&A. He has written and contributed to feature articles that have appeared in numerous health care industry publications and has written a chapter in the Handbook of Business Valuation published by John Wiley & Sons. He is frequently interviewed on various topics regarding health care mergers and acquisitions by news outlets including Bloomberg News, CNBC, USA Today, The Huffington Post, The Palm Beach Times, and numerous health care sector journals. Additionally, the firm is the publisher of marketWATCH, a quarterly review of mergers and acquisitions activity in six industry segments: Behavioral Health Care, Digital Health, Home Health and Hospice, Pharmacy Services, Urgent Care, and Home Medical Equipment.
Dexter has presented seminars, webinars, moderated discussion panels, and has been the keynote speaker on various issues regarding health care mergers and acquisitions and finance at conferences across the country including Healthcare Innovation & Investment Conference, Autism Investor Summit, Art of the Deal, the Remington Think Tank, Health Care Capital Investors Conference, HME News Business Summit, HHFMA Financial Managers Conference, Treatment Center Investment and Valuation, Foundations: Moments of Change, Behavioral Health Care: Buying, Selling and Valuing, National Association for Home Care, National Home Infusion Association Conference, Homecare 100, Long Term Care 100, Medtrade, Urgent Care Association of America, and many more. He was recently inducted into The Home Care and Hospice Financial Managers Association Hall of Fame as “deal-maker extraordinaire.”
Dexter holds an MBA from the University of Pittsburgh, a Master of Science from the University of Oregon, a Bachelors of Arts from Cornell University, and received the Vincent W. Lanfear Award for academic achievement.

Kim Brummett

COVID-19 Ask The Experts Panel

Kim is currently employed with the American Association for Homecare (AAH) as the Vice President of Regulatory Affairs. As the Vice President of Regulatory Affairs, Kim is responsible for interfacing with regulatory bodies; such as CMS and other government oversight agencies; the GAO and OIG on issues that affect membership. In addition, Kim has consulted as an expert witness and lobbies on interests of the industry. Previously, Kim was employed with Advanced Home Care (AHC), a leading company providing Home Medical Equipment (HME), Infusion Therapy, Rehabilitation Equipment, and Home Health. In her seventeen year tenure she served as the Vice President of Regulatory and Contracting.  Currently the Past Chairperson of the Jurisdiction C Advisory Council for CGS, she also serves as a Past President and board member of the North Carolina State Association for HME Providers now ACMESA; a member of the National Supplier Clearinghouse (NSC) Advisory Committee, the Medtrade Educational Advisory Board; member of the Jurisdictional Councils for A, B, C, and D, member of the POE groups for Jurisdictions A, B, and D and the Past Chair of the Regulatory Council for AAHomecare.

Ronda Buhrmester

Billing, Reimbursement and the Operational Impact of COVID-19
Update/Comments on Round 2021 & Proposed Rule CMS-1738-P

As a VGM associate since 2012, Ronda specializes in the billing, reimbursement, and audit area as the Director of Reimbursement. She managed a hospital-based DME in Illinois for 12 years, and handled sales and marketing. Ronda is a respiratory therapist as well as a certified mastectomy fitter. Over 20 years’ experience in the healthcare industry, she assists VGM members with review of claims and all types of audits, and educates members on medical policies in the respiratory and all other general DME products. She serves on the Jurisdictions B and D respiratory team, is a member of the Provider Outreach and Education teams with the Jurisdictions, and attends the council meetings with all four Jurisdictions. She is also on the Great Lakes Home Medical Services Association Board of Directors and a member the National Supplier Clearinghouse Advisory Council. Ronda has presented at the VGM Heartland Conference as well as the Medtrade and state association meetings, and has conducted webinars and on-site education with VGM Members.

Laura Cabe

Payor Contracting: How to navigate Narrow & Closed Networks

Laura has worked in the healthcare industry for over a decade. She began her career in the pharmaceutical industry, was a top sales representative and corporate sales training leader in the DME industry (Lincare), and served as a director of managed care for over 20 states in the clinical lab industry (PCLS and HealthTrackRX). Her strong background in driving growth for healthcare organizations has provided her with the foundation and perspective to identify growth opportunities for Healthcents clients and set them up for long-term success. Laura lives in Franklin, Tennessee, with her husband, and two boys.

Effie Carlson

Payor Contracting: How to Navigate Narrow & Closed Networks

For more than a decade, Effie Carlson has advised and led healthcare teams across growth, operations, network/contracting, sales and business development, and government/policy. Most recently, she served as Executive Vice President and Chief Growth Officer for LogistiCare/Circulation, the largest national non-emergency medical transportation benefit management company who manages 22+ million members and ~$1.4 billion revenue. She led the national growth team and was accountable for the sales, business development, marketing, state government relations, account management, and proposals teams. Prior to her appointment to LogistiCare|Circulation, she served as general manager and vice president of payer and government relations for Team Select Home Care, a national home health care agency focused on the needs of Medicare and Medicaid members. In this role, she worked closely with individual states and the federal government to develop innovative home health programming, while overseeing day-to-day clinical, administrative, and sales operations. Prior to Team Select, she was head of provider network at CareCentrix (a post-acute care specialty benefit manager and portfolio company of Summit Partners) accountable for the national provider network and market analytics teams in aggregate representing: 26+ million members, 8000+ providers, and $1.2+ billion of Commercial, Medicare, and Medicaid revenue. Prior to CareCentrix, she was Founder/CEO of Best Practice Management, LLC (BPM), a healthcare business management and consulting firm focused on the growth and development of healthcare practices in the outpatient setting. She sold this practice in 2014 to pursue her interest in politics where she ran for the Arizona State House of Representatives.

Patricio Casillas

Where to play and How to win: Strategic frameworks for driving growth

 

David Chandler

How to Navigate State Advocacy with Medicaid and Managed Care

David Chandler is the Director of Payer Relations for American Association for Homecare. David has worked to build relationships with payers across the country and assist HME providers in ensuring their patients have access to quality equipment and care. He continues to work with state and regional associations throughout the nation to find solutions and fight for regulatory and legislative change.

David has worked in the HME industry since 2003, most recently with Liberty Medical Specialties as Director of Reimbursement and Government Affairs. He has considerable experience in sales, operations, reimbursement, payer, and government relations.

Chandler’s service to the HME community also includes a term as President of the Atlantic Coast Medical Equipment Services Association. He served as Chairman of the Medicare Jurisdiction C Advisory Council and was a member of AAHomecare’s Regulatory Council and State Leaders Council. Chandler was elected to the North Carolina Board of Pharmacy/ DME Subcommittee in 2016.

Allen Clark

Lessons Learned for the Long Haul — A Panel Discussion


Allen Clark is the Co-Founder, President and Chief Executive Officer of (PMI) Performance Modalities, Inc./Performance Home Medical, currently providing Sleep and Respiratory Services and Equipment and operating 1
6 locations with 160 employees; serving multiple areas of the Northwest.   Allen has an outstanding 40 year record founding, developing, growing and administering home medical equipment businesses. He founded the original parent company Medi-Rent, Inc. in 1983 and in 1984 developed it as a joint venture with a local hospital establishing the first joint venture with a hospital in Washington State. Following a sale to Lincare in 1996, the physical medicine and modalities equipment business segment of Medi-Rent was retained and Performance Modalities, Inc. was born. From 1988-2007 he managed an exclusive Washington State Department of Labor and Industries multi-million dollar provider contract for electro-therapy products state wide for Medi-Rent, Inc..(to become Performance Modalities, Inc in 1996). In 2001 PMI added Home Medical Equipment and Respiratory services under the dba of Performance Home Medical. In  2007 the physical medicine division was sold to EMPI, a national provider; ending 19 years serving the Northwestern States.  In 2011 the balance owned by Mr. Clark was sold to a large hospital system in the Seattle market. Since 1996 until recently he has been a board member and Past President of the Highline Medical Center Foundation and a past board member and President twice of PAMES (Pacific Association of Medical Equipment Suppliers). In the past 40+ years in the industry he has been invited to be a board industry advisor to Respironics, Resmed, Brightree, McKesson, Invacare, and DeVilbiss. 

 

Pat Clifford

HME Mergers and Acquisitions: Why It Stands Out in a Post-Covid Environment

Pat Clifford has more than 25 years of experience in the health care industry, M&A, and private equity transactions. As a Managing Director with The Braff Group, Pat is responsible for Digital Health, Home Medical Equipment, Urgent Care Centers and Ancillary Services.

Pat joined The Braff Group following his affiliation with Durandal, a Chicago-based diversified management company focused on private equity acquisitions of family-owned businesses. As Vice President of Business Development for Allscripts, Pat was responsible for acquisitions and strategic joint ventures. As a regional Director of Operations for Foster Medical, he was responsible for the integration of newly acquired home health care companies. Pat has a Bachelor of Science in Finance from the University of Illinois and holds an MBA from The University of Chicago Booth School of Business.

Kristen Conrad

Patient Engagement: Aligning Technology with a Personal Touch to Improve Health Outcomes

Kristin Conrad, RRT, BS, CEAC, is a dedicated employee of Gerould’s Healthcare Center/Community Cares Health Solutions where she manages patients with chronic respiratory conditions. Kristin is a certified health coach and uses a holistic approach to identify patients’ clinical and nonclinical needs.  Kristin is  passionate about improving the quality of life for her patients and community and holds certifications as a CDMSP Peer Leader and a Better Breathers facilitator.  She is also CEAC certified enabling her to evaluate patient’s home access needs to reduce the risk of falls. 

Kristin achieved her Bachelor of Science Degree from Kutztown University, PA and her Respiratory Therapy degree from Mansfield University, PA.  Kristin resides in Pennsylvania with her husband and two beautiful daughters. 

Mary Ellen Conway

Where to play and How to win: Strategic frameworks for driving growth

Will Cousin

Staying Connected to Employees and Patients in a Global Crisis

Always at the forefront of the web industry, Will Cousin is described by his peers as a lifelong learner who never misses an opportunity to deliver a well-timed “dad joke.” At VGM Forbin, Will is president and oversees the overall business and strategy. He is known for his keen understanding of online business systems and his ability to develop solid positioning strategy for e-commerce businesses. Will comes to VGM Forbin with a Bachelor’s degree from the University of Iowa in International Business and French. He has been in online sales for the last decade during which time he started a thriving e-commerce company and sold before joining our team. When he is not busy researching the next online solution for Forbin’s customers, Will spends his free time with his wife and son Teddy, or constructing home building projects with his dad and brothers.

Craig Douglas

Update/Comments on Round 2021 & Proposed Rule CMS-1738-P

Craig currently serves as vice president of Payer and Member Relations for The VGM Group, where he focuses on helping providers navigate payer relationships, as well as addressing concerns that are impacting VGM’s broad range of members from a payer perspective. Craig has also previously served as vice president of Provider Relations for VGM’s Homelink division, where he built and fostered relationships with payers and providers across the country. Craig has been with VGM since 1999.

John Gallagher

CMS Competitive Bidding Announcement and Legislative Update – Where Do We Go from Here?

John E. Gallagher is vice president of Government Relations for The VGM Group, Inc. in Waterloo, Iowa, the largest organization representing independent durable medical equipment providers. In his position, John oversees key government and regulatory affairs that pertain to the durable medical equipment (DME) industry. As a veteran of the home medical products industry, Gallagher has amassed thousands of miles, traveling across the country to educate both the state associations and independent providers on regulatory and government issues. Additionally, John has been conducive in working with independent providers and state associations to promote the DME industry, while advocating for beneficiaries’ access to quality care. John has also worked tenaciously to promote upstanding service within the home medical equipment industry. In 2005, Gallagher was elected to join the Healthcare Quality Association for Accreditation (HQAA), serving as the president of the board from 2005-2007. As a board member, John has worked closely with the association to create quality standards for accrediting DME providers to ensure that they meet the high standards of the industry. In 2008, John became a board member of the Fraud Eradication Advisory Team (FEAT), a unique advisory council that is comprised of industry leaders who have shown a commitment to eliminating fraud, waste and abuse in the DME industry. Recognizing that John is a prominent champion in the fight against fraud, the organization elected Gallagher as an executive team member to collaborate with other industry leaders, as well as Congressional staffers on ideas and solutions to combat fraud.

Bruce Gehring

Creating Successful CSR Teams for a Remote Work Environment

Bruce Gehring is a successful Sales and Marketing Executive with diverse management experience. Since 2008, Bruce has been responsible for business development representing Allegiance Group in the HME/DME industry. During this time, Allegiance Group has partnered with industry software providers and billing consultants to provide suppliers the tools to maximize their private pay receivables. In addition to presenting at several software user and state association conferences, Bruce has been a contributor to articles in HME News and HomeCare Magazine. Prior to joining Allegiance, he had 28 years of successful sales and marketing experience in the Finance and Hospitality industries. Bruce’s responsibilities include developing and implementing the sales and marketing strategy, resolving difficult marketing and sales challenges, identifying new market opportunities and forming strategic marketing alliances to strengthen market position.

Kelly Grahovac

Cybersecurity and the HME Supplier: What you need to know now

Audit and Compliance Guidance in the post pandemic era

Dissecting an OCR Investigation: A case study for HME Suppliers

Kelly Grahovac serves as a Senior Consultant for The van Halem Group where she focuses on audits, appeals, education and training across multiple lines of business and various specialties. Kelly is a known lecturer in the DME industry, speaking at national conferences, state associations, and for private events. Kelly has nearly 10 years of experience at one of the nation’s leading Medicare contractors where she worked for the DMERC, QIC, and A/B MAC. She has since brought this knowledge and experience over to The van Halem Group, where she has been working since 2013 to assist providers as they navigate the ever changing healthcare payor landscape.

Wayne Grau

Educating the HME Consumer to Grow Your Retail Revenue

Wayne started his HME career in 1991with Pride Mobility Products. Wayne held various sales positions and was promoted to Senior Area Manager in 2002 managing the New England area. The focus was to help HME providers grow their retail mobility and complex rehab revenue. In 2006 Wayne was promoted to Director of Rehab Industry Affairs, manager in charge of coordinating Pride Mobility Products efforts to support rehab providers in regards to legislation and regulatory issues.

In 2007, Wayne accepted a position with The MED Group and accepted the role of Vice President of Sales for the MED Group in 2010. The focus for Wayne and the MED sales team was to assist their members in preparing for the changes necessary for MED members to compete in the new HME environment brought on by competitive bidding. These changes included retail sales training to help MED members grow their retail sales revenue.

Wayne continued to assume more responsibilities with MED’s parent company- Managed Healthcare Associates. His duties included VP roles in both legislative affairs and business development and supplier relations.

This past December Wayne accepted a position with MK Battery to lead the HME product category. Wayne works with the MK sales team to help better serve their customers and provide assistance with growing sales revenue.

Wayne received his BBA from the University of North Texas and his MBA from Baylor University with a specialization in Healthcare.

Karina Hayat

Compliant Lead Generation for Medicare: Does it Exist? Is it Scalable?

 

 

 

Cheryl Henninger

Patient Engagement: Aligning Technology with a Personal Touch to Improve Health Outcomes

Cheryl Henninger, RRT, CEAC, is the Director of Operations at Community Cares Health Solutions, specializing in community based clinical services in collaboration with other healthcare entities to reduce readmissions and avoidable emergency room visits in New York.

Cheryl is a registered respiratory therapist and a health care business consultant with more than 30 years’ experience in the health care industry including acute care, long term care, primary care, pharmacy, and DME. After several years in home care, Cheryl became an accreditation surveyor and an independent consultant specializing in business analysis. Cheryl’s expertise is in business operations including new business developments and collaborations, management, reimbursement, and compliance.

Cheryl has spent the last several years working with organizations and insurance companies to develop new chronic care initiatives aimed at cost savings through shared risk arrangements. Cheryl has a passion for positive health outcomes and enjoys working with healthcare and community partners to develop processes that are streamlined, yet progressive and encourage active partner participation and patient engagement.

Cheryl’s most recent successes include the development of a successful holistic Chronic Respiratory Program and establishment of a Respiratory Network in collaboration with other healthcare and community providers.

A former accreditation field surveyor, Cheryl also conducts on site audits as well as overall business reviews in accordance with state and federal regulations and responds to audits on behalf of organizations.

Cheryl is a known speaker in the home care industry and frequently presents at different state and national conferences.

In her spare time, Cheryl enjoys spending time with her family, running, biking, and traveling.

 

Mark Higley

Update/Comments on Round 2021 & Proposed Rule CMS-1738-P

Mark Higley is Vice President of Regulatory Affairs of the VGM Group with responsibilities including corporate business development, market research and industry analysis. His current projects include analysis of governmental, regulatory and compliance issues affecting the DMEPOS industry, including national competitive bidding, health care reform, and other current home medical equipment provider concerns. He sits on the AAHomecare Regulatory Council, on the board of the Healthcare Quality Association on Accreditation (HQAA), and is a regular speaker/panelist/consultant at numerous HME industry events. Mark received his master’s of business administration in marketing research from the University of Iowa, and earned undergraduate degrees in Finance and Economics. Prior to his 1998 employment with VGM, Mark held a variety of executive positions with the Arena Football League, Chicago, IL, and as a financial analyst with Deere & Company, Moline, IL.

 

Hunter Jamerson

Compliant Lead Generation for Medicare: Does it Exist? Is it Scalable?

 

 

Tom Knapp

A Novel World: The Mechanics of Purchasing a DME Company in a post-COVID-19 World

Buying and Selling Toilet Paper: Preparing to Purchase or Sell in a post-COVID-19 World

Tom Knapp is a member of Brown & Fortunato’s Corporate Group, where he is a shareholder. His practice includes general business matters with an emphasis on mergers and acquisitions, healthcare transactions, corporate governance, business start-ups, business counseling, corporate finance, trademark filings, and contract negotiating and drafting. Tom serves as the principal legal advisor to a wide range of businesses, helping clients achieve growth and success. Tom has negotiated and drafted purchase and sale agreements, merger agreements, conversion documents, business start-up and formation documents, loan documents, trademark filings and appeals, license agreements, and a wide array of agreements designed for specific client needs.

Tom serves as the lead advisor to buyers and sellers in numerous health law transactions involving the sales and acquisitions of durable medical equipment companies, pharmacies, medical groups, home health agencies, hospices, and other healthcare related entities. In that capacity, he assists clients ranging from individuals to private equity groups in all aspects of these transactions including: helping clients secure financing; conducting legal, operational and financial due diligence; negotiating and drafting asset, stock or redemption agreements; drafting applicable ancillary agreements; and assisting with in-person or electronic closings and post-closing obligations.

 

Jeff Kristoff

Patient Engagement: Aligning Technology with a Personal Touch to Improve Health Outcomes

Jeff Kristoff started as an Advisor with TapCloud and now serves as Vice President of Client Success, helping TapCloud clients serve their patients and families.  Jeff started his career with Hewitt Associates (now Aon Hewitt) and then served in progressive roles in Information Technology, Finance, Sales & Marketing, and Sales Operations at Health Care Service Corporation (HCSC).  Jeff is passionate about palliative and hospice care, and volunteers in hospice.  He is also passionate about driving healthcare innovation that empowers individuals in their healthcare journey.  Jeff holds a Masters of Science in Data Science with a Bioinformatics focus from Lewis University and a Bachelor of Arts in Economics and Mathematics from Indiana University Bloomington. 

 

John Lawrence

COVID-19 Government Enforcement Update

Mr. Lawrence primarily counsels healthcare clients in responding to governmental investigations and defending False Claims Act lawsuits. He has represented both individuals and companies in investigations involving the Department of Justice, U.S. Attorneys’ Offices, and other federal and state agencies. His background also includes significant experience handling complex civil litigation inside and outside of healthcare. In addition to his litigation practice, Mr. Lawrence advises clients on healthcare regulatory matters, including those involving the Stark Law and Anti-Kickback Statute.

 

Denise Leard

Challenges or Opportunities: How to Survive in Turbulent Times

Denise joined Brown & Fortunato as a member of the firm’s Health Care Group where she has a national health law practice and is a shareholder in the firm. As part of the Health Care Group, she works closely with the Department of Justice, Office of Inspector General, Center for Medicare and Medicaid Services, Durable Medical Equipment Regional Carriers, Zone Program Integrity Contractors, National Supplier Clearinghouse, and other federal and state regulatory agencies. She represents durable medical equipment companies, pharmacies, home health agencies, hospices, hospitals, physicians, and other health care providers in a large variety of legal areas.

 

Miriam Lieber

Billing, Reimbursement and the Operational Impact of COVID-19

Lessons Learned for the Long Haul—A Panel Discussion

Miriam Lieber is an independent consultant and trainer specializing in homecare reimbursement and operations management. Her extensive experience with Medicare and other third party payers has brought her national recognition in the homecare industry. With over 25 years experience in the homecare field, Miriam is a featured author of many articles in the areas of operations management and leadership. She is also a nationally known speaker for many homecare trade associations. In her consulting practice, Ms. Lieber’s clientele includes, home health care companies, managed care organizations, hospitals, wholesalers, pharmacists and manufacturers. She is known to have practical approaches to complex reimbursement matters and assists her clients with the nuts and bolts of running a profitable business.

 

Josh Marx

Lessons Learned for the Long Haul — A Panel Discussion

Josh Marx is the Managing Director of Sleep & Vice President of BusinessDevelopment for Medical Service Company. Josh has held various rolessupportingSales, Business Development, Payer Partnerships,Marketing, Brand Management, and Operations Management. Josh’sprimary responsibility today is to continue growingMSCtoofferitsbest in classdisease management programs to patients and partners across the nation. Medical Service Company is a familyowned Sleepand Respiratory Disease Management Company founded in1950 in Cleveland, OH. MSC operates over 35Sleep & Respiratory TherapyCenters throughout the country with over 70,000 patients sleeping andbreathing better as a result.Josh earned his Master of Business Administration from the Weatherhead School of Management at Case Western Reserve University andBachelor’s in Business Administration from Coastal Carolina University. 

Todd Moody

Challenges or Opportunities: How to Survive in Turbulent Times

Todd Moody is a member of Brown & Fortunato’s Health Care Group. He is admitted to practice law in Texas and Arizona. He is a member of the Maricopa County Bar Association and American Health Lawyers Association. Todd represents home medical equipment suppliers, pharmacies, infusion companies, labs, manufacturers and other health care providers in regulatory compliance, licensure, program enrollment, reimbursement, and administrative appeal matters with a focus on businesses in the manufacturing, pharmaceutical, HME, and home health industries. He provides compliance advice related to HIPAA and similar state health information privacy laws as well as state and federal health care fraud and abuse laws, including the Medicare Anti-Kickback Statute, Stark, and the False Claims Act. In addition, Todd has experience assisting companies and health care providers with contracting matters and health-specific components of business transactions. Todd presents on a variety of topics across the country via on-site conferences and webinars, to members of pharmacy and HME industry trade groups. His experience includes: guiding manufacturers as they work with HME suppliers and directly with consumers; handling the Medicare and Medicaid program enrollment and revalidation process of IDTFs, ambulance services, pharmacies, and DME suppliers; assisting pharmaceutical wholesalers negotiating settlement agreements with the federal government; assisting HME suppliers with transactions involving the transfer of Medicare DMEPOS Competitive Bidding Program contracts; appealing Medicare provider enrollment revocations before the Departmental Appeals Board; and responding to state licensing Board complaints, audits, and inspections.

Jason Morin

How to Navigate State Advocacy with Medicaid and Managed Care

In his current role as Director of Reimbursement for Home Care Specialists, Inc. Jason is responsible for all facets of revenue cycle from contract negotiation & management to cash application. His passion is in strategic leadership through innovation and continuous process improvement. In addition to earning his MBA from Suffolk University in Boston, MA Jason has a strong clinical respiratory background and has served on a number of advisory boards and task forces such as Medicare and Medicaid work groups, Northern Essex College Respiratory Advisory Board and the HOMES Board of Directors. Jason was also honored in 2017 to Christopher J Denmark Commitment to Excellence award.

 

Jennifer Orr

Practical CRM in a Post Pandemic World

 

  • VP of Sales for Medical Modalities
  • MMI is a specialty home medical equipment provider caring for patients in the post-acute care setting.
  • Specialty solutions for advanced wound care, orthopedic recovery, pain management, and chronic pulmonary disease management for pediatric and adult patients.
  • MMI has been in business since 1987 and I started with the company in 2000
  • Lead a team of 17 sales executives throughout a 6 state region

Leah Richardson

COVID-19 Government Enforcement Update

Leah D’Aurora Richardson is a partner in the firm’s Research Triangle Park office. Leah advises academic medical centers, health systems, hospitals, hospices, and ancillary service providers, such as pharmacies, and durable medical equipment suppliers and clinical laboratories, on all areas of transactional and regulatory health law. Prior to attending law school, Leah was a medicinal chemist for almost ten years at GlaxoSmithKline and Albany Molecular Research.

David Rybicki

COVID-19 Government Enforcement Update

David Rybicki is a partner in the firm’s Washington, D.C. office. He is a member of the investigations, enforcement, and white collar practice group. David recently served in the Criminal Division of the United States Department of Justice in Washington, D.C., as Acting Principal Deputy Assistant Attorney General (2017) and Deputy Assistant Attorney General (2017-2020), the second- and third-highest ranking positions in the division. In these roles, David led the investigation, prosecution, and coordination of nationally significant matters and initiatives involving corporate fraud, the Bank Secrecy Act, the Foreign Corrupt Practices Act (FCPA), cybercrime and cryptocurrencies, trade sanctions, healthcare fraud, consumer fraud, immigration fraud, civil and criminal RICO, public corruption, human rights, labor racketeering, and gaming law. Prior to joining the Criminal Division, David served as Counselor to the Attorney General and worked on the Justice Department’s top criminal enforcement initiatives. This work included revision of the Department’s corporate enforcement policies, extension of the FCPA Pilot Program, marijuana enforcement

 

 

 

Lindsay Sessa

Compliant Lead Generation for Medicare: Does it Exist? Is it Scalable?

Lindsay Sessa is a partner with Macaulay & Jamerson, P.C. in Richmond, Virginia. She represents various health care providers, including pharmacies, durable medical equipment suppliers, physician groups, and other mid-level practitioners. She advises clients on a range of issues, including fraud and abuse, marketing, civil fraud investigations, regulatory compliance, HIPAA compliance, accreditation preparation, reimbursement issues, audits, supplier and provider issues, licensure, permit, and certification requirements, DEA compliance, pharmacy compounding, and FDA regulatory issues. When not practicing law, Lindsay is an adjunct professor at the VCU School of Pharmacy where she teaches pharmacy law to P3 students.

 

 

Gary Sheehan

Lessons Learned for the Long Haul — A Panel Discussion

Mr. Sheehan is the CEO of Spiro Health, a private equity backed provider of home respiratory care and home medical equipment. Spiro Health was formed in early 2020 when the leadership of America’s Healthcare at Home, Cape Medical Supply and Health Complex Medical came together to build a comprehensive service provider focused on digital healthcare leadership and an unmatched patient and referral experience.

Prior to the creation of Spiro Health, under his leadership at Cape Medical Supply, the company grew from a small local provider ($1m revenues, 1 county service area) to a regional leader in specialized HME service delivery ($16+m revenues, 4 states served). The organization strategically culled its portfolio of service offerings down to sleep and orthopedic bracing (sleep 80%, orthopedic 20%) and focused on targeted organic growth and proprietary M&A opportunities. Mr. Sheehan has sourced and lead 4 regional acquisitions; Cape &Islands Oxygen (from Cape Cod Healthcare, 2005), Seacoast Sleep Solutions (from founder and owner, 2011), New England Medical Homecare (from founders and owners, 2016), Enos Home Medical’s sleep therapy business (from corporate parent, 2019).

In addition to his role at Cape Medical Supply Mr. Sheehan also serves in the following capacities: The Cooperative Bank of Cape Cod, Board of Directors; Brightree, Executive Advisory Board; American Association for Homecare (AAHomecare), Vice Chairman.

Mr. Sheehan also provides consulting expertise to numerous analysts and financial services corporations on the home medical equipment and home respiratory care industry and is frequently quoted in industry publications, the local media and has spoken at national conventions, to groups of investing professionals, and to federal and state legislators on the state of affairs in the home medical equipment and respiratory care industry. Mr. Sheehan has presented to regional and national audiences at Medtrade, The HME Summit, Investment and M&A Opportunities in Healthcare, The Home Medical Equipment and Services Association of New England, and The VGM Platinum Executive Education Conference. Past topics have included Lean process improvement, Strategic Planning, healthcare consumerization, general M&A outlook and “The New Normal” in a post competitive bidding world.

Mr. Sheehan is a graduate of Boston College and earned his MBA from Suffolk University; he lives in West Barnstable with his wife and son.

David Siegel

Payor Contracting: How to navigate Narrow & Closed Networkspdate

David Siegel is the CEO of Nationwide Medical, Inc., who specialize in Obstructive Sleep Apnea Management and other Respiratory solutions. He is responsible for all of Nationwide Medical Inc.’s vision, operational performance, and manufacturer and insurance payer relationships, which are used to enable Nationwide Medical to serve its’ 25,000+ active patients. David joined Nationwide Medical, Inc. (NMI) in May of 2004 and has held numerous roles with NMI starting out as the VP of Business Development before transitioning to head of Collections. In the middle of 2005, David was promoted to Chief Operations Officer. David was raised in Agoura Hills, CA and attended Agoura High School before graduating and attending California State University, Northridge. David received a Bachelor of Arts in Organizational Systems Management.

 

 

Bradley Smith

A Novel World: The Mechanics of Purchasing a DME Company in a post-COVID-19 World

Buying and Selling Toilet Paper: Preparing to Purchase or Sell in a post-COVID-19 World

Bradley M. Smith ATP, CMAA Serial entrepreneur Bradley M. Smith has spent his entire career building healthcare and selling
healthcare companies. He’s been a pioneer in many rapidly growing market segments, include medical device franchising, DME, urgent
care, home health care, hospice, and pharmacy innovation. Bradley now specializes in helping healthcare executives take advantage of
developing market trends to increase the value of their companies and obtain the best price when they decide to sell.

Andrea Stark

Reimbursement Update: Coronavirus Edition

COVID-19 Ask The Experts Panel

Andrea Stark is a Medicare consultant and reimbursement specialist for medical equipment suppliers and pharmacies. She has over 20 years of experience in the DME industry, including 15 years as an independent consultant. Stark founded MiraVista, LLC after working for the Region C DMERC, and now provides consulting, education and data analysis services to suppliers throughout the country. Stark is the former Chair of the Jurisdiction C Council and collaborates with numerous state and national associations. For more information, visit: http://www.miravistallc.com

Christina Throndson

Marketing SMART after 6′ Apart—The Road to Recovery

With over 14 years in the digital industry, Christina Throndson is a seasoned digital marketing strategist focused on bringing businesses and their targeted audiences together to meet goals and maximize ROI. As a long-time VGM Group, Inc., team member, Christina currently serves clients with a variety of online and offline marketing tactics within Hellman, a division of VGM. Her unique experience and knowledge in new media marketing allow her to focus most of her time planning and executing campaigns for VGM Group, Inc.’s largest vendor and member partners. Guiding industry business leaders in the financial and health care industries by presenting on the ever-changing marketing growth opportunities and solutions through audience targeting is a passion for Christina. When she’s not strategizing, Christina digs being in the garden, shuffling with some friends or family over card games, or hanging with her charming southern husband, Blake and their fluffy pup, Harvey.

Wayne van Halem

Audit and Compliance Guidance in the post pandemic era

COVID-19 Ask The Experts Panel

Wayne van Halem founded The van Halem Group in 2006. The Atlanta-based firm merged with VGM Group in 2014 and Wayne currently serves as its President as they assist providers navigate complex issues related to audits, appeals, enrollment, and compliance. As a CMS contractor for 10 years, he spent a majority of that time as a fraud investigator and national Appeals Director. Wayne is also a published author and well-known lecturer. He is an Accredited Healthcare Fraud Investigator through the National Health Care Anti-fraud Association (NHCAA); a Certified Fraud Examiner through the Association of Certified Fraud Examiners (ACFE), and an active member of the Health Care Compliance Association (HCCA). He has served on the faculty for each of these national organizations. He also sits on the American Association for Homecare’s Regulatory Council, Medtrade’s Educational Advisory Board, Medicare DME MAC Jurisdiction D Advisory Council, MAC Jurisdiction 6 Home Health and Hospice Provider Outreach and Education Advisory Group; and on the Advisory Board for HME Business Magazine. He has also served as a legal expert in various criminal and civil proceedings. Since 2006, his company has saved clients over $75 million in overpayments and denial recoveries.

 

Laura Williard

How to Navigate State Advocacy with Medicaid and Managed Care

COVID-19 Ask The Experts Panel

Laura Williard is the vice president of payer relations for the American Association for Homecare. In this role, she has formed relationships with national payers including Anthem, TRICARE, the Defense Health Agency, AIM Sleep Management and CareCentrix, to have a greater impact on policy and operational changes for HME providers. She has consulted with legal staff on the impact of the CURES Bill and created reference materials and resources for the industry; and at the state level she has been a driving force to secure wins in several states who were following suit with Medicare reimbursement.

Williard has served in the HME community for more than 24 years, most recently at Advanced Home Care as senior director of regulatory affairs, reimbursement compliance, and contracting. She has extensive experience working with managed care, Medicare advantage, MEDICAID MCOs, and state Medicaid programs.

Laura is very active in the state associations, serving on the board for GAMES, Vice President for ACMESA, and Vice President for ATHOMES. She also served as the Vice Chair for the Jurisdiction C Medicare Council, and is a founding member of the Mediware User Group. Williard also participated as a member of the Palmetto 16 State Coalition Committee and sat on the Public Policy Committee of the Visiting Nurses Association of America, and both home health associations during her time at Advanced Home Care.

In addition to her industry involvement, Williard has previous experience managing a large reimbursement department with 150 employees and was responsible for all aspects of the revenue cycle.

 

Alfonso Zambrano

A Novel World: The Mechanics of Purchasing a DME Company in a post-COVID-19 World

Buying and Selling Toilet Paper: Preparing to Purchase or Sell in a post-COVID-19 World

Alfonso Zambrano is a shareholder at Brown & Fortunato and has a general business practice with an emphasis on mergers and acquisitions, corporate finance, business start-ups, real estate transactions and corporate governance.

Alfonso has served as the lead advisor to buyers and sellers in numerous health law transactions involving the sales and acquisitions of durable medical equipment companies, pharmacies, medical groups, and other healthcare related entities. In that capacity, he has assisted clients in all aspects of such transactions including: (i) helping clients secure financing, (ii) conducting legal, operational and financial due diligence, (iii) negotiating and drafting asset, stock or redemption agreements, (iv) drafting applicable ancillary agreements, and (v) assisting with in-person or electronic closings and post-closing obligations. Alfonso’s broad range of experiences and participation on the business side of transactions result in a practical, problem-solving approach to legal issues designed to achieve business objectives.

Alfonso is a member of the State Bar of Texas, the Amarillo Area Bar Association and the Amarillo Young Lawyers Association. He is also an active board member of the Amarillo Museum of Art, the Amarillo College Foundation, and the Amarillo Local Government Corporation. Alfonso earned his Bachelor of Business Administration degree from Angelo State University in 2005 and graduated cum laude. Thereafter, Alfonso attended Texas Tech University and earned his Master of Business Administration degree from the Rawls College of Business. Alfonso received his J.D. and Business Law Certification in 2010.

 

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