Brad Gingerich is a Managed Care and Revenue Cycle Senior Consultant with Healthcare MCR.  He has a strong background in all facets of Managed Care contracting and implementation with experience from both the payor and provider side, having negotiated contracts for both.  He is proficient in leveraging organizational opportunities to negotiate the best possible contact for his clients.

Brad has hands on detailed knowledge and experience in every aspect of the revenue cycle from patient access/registration to final collection of a claim.  He utilizes his knowledge of managed care contracts and applicable law to exhaust every opportunity for revenue procurement.  In his most recent engagement, Brad was instrumental in significantly increasing the provider’s cash collections allowing a recently bankrupt community hospital to thrive.

Mr. Gingerich has vast experience with government payors.   He is fluent in government reimbursement methodologies and understands the fundamental differences between commercial and government payors as well as the opportunities they present.

Education

- BBA, Baldwin Wallace College

Memberships

- American College of Healthcare Executives
- Community Shares finance committee (a non-profit community outreach program)

Hospital

Bayonne Medical Center: Oversight of Managed Care contracting and implementation, Medicare and Medicaid provider enrollment, and the creation of banking structure and controls. A proven leader in both the strategic and operational management of the revenue cycle.  CDM management and charge creation and analysis.  Routinely engaged in public speaking engagements with the community to address specific issues regarding the hospital and access to care. 
 
St. Vincent’s and St. John’s Hospitals: Denial Management analysis and reporting.

Kessler Medical Center: Acquisition Due Diligence.

Physician Practice

BMC Medical Associates: Instrumental in the creation of this multi-specialty PC.  Responsible for Medicare/Medicaid provider enrollment, banking account establishment and oversight, and all managed care relations.  Facilitate multiple three-way business relationships to fill specific needs and offer an array of ancillary specialties.

Litigation and Accounts Receivable

National Acute and Chronic RX Company: Class action lawsuit litigation support involving the sale value of the Accounts Receivable in a case involving a publicly traded company.  Conducted statistical analysis of historical net revenue to value and forecast the collection of current A/R in comparison to the price paid in acquisition.

Managed Care

Integrated Health Plan: Managed Care Contracting with providers nationwide ranging from multi-facility health systems to physician groups.

Restructuring

Patient Care Ombudsman Program: Development of standardized hospital and nursing home templates to improve assessment efficiency.

Haven Health Care: Support to Patient Care Ombudsman in scheduling, prioritization, and reporting obligations for this 25 Nursing Home company.

 

Cleveland: 440-666-7324
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