PINNACLE HEALTHCARE CONSULTING Strategy & Operational Services Physician Integration Strategy Supply Chain Cost Reduction Hospital / Physician Alignment Compliance Consulting Services Business Valuation Physician Compensation Valuation Coding & Audit Physician FMV Program Pinnacle Healthcare Consulting www.pinnaclegrouphc.com Pinnacle has created dynamic services, backed by a powerful team to solve the most complex challenges. S i m p l i f y S u c c e s s i n H e a l t h c a r e Valuation. Compensation. Integration.
PINNACLEHEALTHCARE C O N S U L T I N G S i m p l i f y S u c c e s s i n H e a l t h c a r e Valuation. Compensation. Integration. Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services for hospitals, health systems, physician groups and other health care organizations to improve clinical and business performance. Pinnacle is a nationally recognized leader in business valuation, physician compensation, performance improvement and compliance support. The firm also provides physician practice management, medical billing / coding audits, technology / integration support services as well as strategic and operational consulting. By building relationships and championing innovation, Pinnacle has created dynamic services, packed by a powerful team to solve the most complex challenges. Pinnacle s mission is to simplify success in healthcare by building lasting partnerships with clients to maximize their business performance through a focus on innovation, service excellence, creativity, teamwork and value-added results. WWW.PINNACLEGROUPHC.COM CONTACT: 303.801.0123
Pinnacle Healthcare Consulting Services PHYSICIAN COMPENSATION FAIR MARKET VALUE Pinnacle Healthcare Consulting performs FMV reviews of over 500 physician service arrangements per year for clients that range from large, multi-state health systems to independent physician practices. Pinnacle s extensive database of hospital-physician relationships can be quickly tapped to evaluate a range of client transaction needs, speed up the physician contracting process and eliminate unnecessary compliance costs. HEALTH CARE BUSINESS AND STRATEGIC VALUATION SERVICES Pinnacle Healthcare Consulting specializes in health care business valuations for buysell and joint venture (JV) transactions. Pinnacle provides valuation services that support transactional health care fair market value requirements with a process that includes: - Detailed situational assessments - In-depth fact-finding and interviews - Market analysis - Extensive financial modeling - Rigorous valuation methodologies Our knowledge of the broader health care industry adds valuable insight to the risks and benefits of either a sale or acquisition. We ensure that you enter a transaction fully informed. HOSPITAL / PHYSICIAN STRATEGY DEVELOPMENT T h e r a p i d l y c h a n g i n g h e a l t h c a re environment is again pushing hospitals and physicians to streamline care delivery methods. Pinnacle Healthcare Consulting helps devise strategies and operational solutions to create high service lines and physician networks. BILLING / CODING AUDITS Effective billing / coding practices are necessary to support compliance, revenue optimization, practice development and ongoing operations. Audits are also effective due diligence tools that can be l e v e r a g e d a s p a r t o f i n t e g r a t i o n transactions. Pinnacle s Coding and Audit Division works across specialties to help clients improve clinical documentation and elevate physician coding knowledge. The results are realized through improved revenue cycle performance and compliance - especially in terms of False Claims, RAC and other forms of government scrutiny. PHYSICIAN COMPENSATION PLANNING Determining how much to pay physicians is only half the compensation challenge. The other half is identifying what method of c o m p e n s a t i o n w i l l b e s t s u p p o r t organizational goals. Pinnacle Consultants work closely with hospitals and physicians to assess strategic and operational goals in order to devise effective, consistent and compliant physician compensation programs. PHYSICIAN COMPENSATION / STARK COMPLIANCE Stark Law and Anti-kickback compliance are some of the most challenging issues in physician compensation today. Pinnacle Healthcare Consulting can conduct a full audit of an organization s billing and compensation process to determine the effectiveness of Medicare and IRS compliance efforts. Pinnacle is adept at working with counsel and financial managers to identify problem areas and create compliant billing, compensation and c o m p l i a n c e s o l u t i o n s. P i n n a c l e s We have found Pinnacle s work to be exemplary, and their staff - professional, friendly and extremely competent. - Hospital System Manager, Legal Division consultants have also supported a number of Stark self-disclosure audits to assist hospital management and counsel in conducting internal investigations and p re p a r i n g re p o r t s t o g o v e r n m e n t authorities. PHYSICIAN PRACTICE ASSESSMENT Master the key operational, financial and strategic systems needed for physician practice success. Pinnacle Healthcare Consulting works for hospital and physician practice managers. Pinnacle evaluates processes and performance against industry best practices and recommend business-building improvements. MARKET RESEARCH FEASIBILITY AND STRATEGIC ANALYSIS A successful health care business needs clear, detailed strategies and deep knowledge of an organization s specific business environment. Pinnacle hospitals a n d p h y s i c i a n p r a c t i c e s e v a l u a t e opportunities and develop innovative and sound solutions that improve performance and business development. WWW.PINNACLEGROUPHC.COM CONTACT: 303.801.0123
Pinnacle Healthcare Consulting Services (continued) MEDICAL STAFF DEVELOPMENT PLANNING As hospitals move to employ more physicians, compete for key physician resources and respond to community needs, strategic staff planning is critical. An evidence-based medical staff development plan - prepared by Pinnacle s team of expert consultants - can help hospitals and health systems understand their local physician landscape and align service line development and strategic objectives with physician recruitment. Pinnacle blends quantitative and qualitative approaches to provide targeted recommendations for developing medical staff. FAIR VALUE FOR FINANCIAL REPORTING (FAS COMPLIANCE) Pinnacle provides a potent combination o f i n - d e p t h h e a l t h c a re i n d u s t r y knowledge with a strong understanding of the nuances and best practices surrounding fair value in a GAAP reporting environment. This includes purchase price allocations, intangible asset and goodwill impairment testing, not-for profit entities, and other assets, liabilities and equity securities. FINANCIAL ANALYSIS AND PLANNING Pinnacle brings a balanced perspective t o b u s i n e s s v a l u a t i o n, n e e d s I continue to be a very satisfied client of Pinnacle Healthcare Consulting - Vice President of Regulatory Affairs and Chief Compliance Officer, Medical Center assessments, and feasibility in all financial transactions involving physician practices or ancillary clinics. Pinnacle has extensive experience in dialysis clinics but can offer our real-world expertise to anyone looking to add physicians, acquire practices, create unique professional service arrangements and more. NEW PHYSICIAN / NEW MANAGER EDUCATION Pinnacle helps physicians and staff better understand the business of health care. In fact, Pinnacle regularly teaches residents at hospitals - demonstrating effective management techniques for running successful practices. If an organization has new hires, Pinnacle s training program can position them to succeed. GROUP FORMATION, MERGERS AND MANAGEMENT Launching a group is a complex process but one Pinnacle Healthcare Consulting has completed many times. Pinnacle s proven project management plan helps create or integrate individual practices, from a smaller group to a larger one, or add physicians to hospital integration initiatives. Additionally, once Pinnacle helps create a group, on-going practice management including strategic / operation oversight, technology and revenue cycle support are available for both short and long term arrangements. HEALTH PLAN CONTRACT ANALYSIS / NEGOTIATION Make organization s payer contracts support business and financial goals. Pinnacle Healthcare Consulting will profile an organization s clinical activities and ensure proper coding to establish e q u i t a b l e c o n t r a c t t e r m s a n d management systems - a crucial part of bottom line success. WWW.PINNACLEGROUPHC.COM CONTACT: 303.801.0123
Pinnacle Compensation Fair Market Value Services Eliminate the mystery of fair market value in physician compensation arrangements Determining appropriate and compliant physician salaries can be complicated. Diverse factors like Medicare and IRS compliance, imperfect data, changing physician expectations and the rapid pace of hospital-physician transactions and employment make it difficult to confidently assess and establish workable compensation terms. Pinnacle Healthcare Consulting is one of the nation s leading valuation firms specializing in physician compensation. Pinnacle s experts guide hospital and other health executives through the most complex physician arrangements. Pinnacle s fair market value opinions help get deals done while providing the appraisal rigor needed to satisfy evolving government scrutiny. FAIR MARKET VALUE OPINIONS The types of physician arrangements requiring FMV support continue to evolve, and the value drivers in any particular arrangement are usually unique. Pinnacle consultants work with health organizations to dissect the most complex arrangements and identify their appropriate range of value. Pinnacle opinions are well documented describing the central appraisal methods, data sources, analytical assumptions and commercial reasonableness. The most common arrangements for which we are engaged include: Employment Emergency and Trauma Call Medical Directorship Independent Contractors Co-Management Arrangements Income / Revenue Guarantees Outreach Services Professional Service Arrangements Management Service Agreements Service Line Coverage Arrangements Physician Executives Administrative and Teaching Consulting Arrangements Research Investigators Specialty Clinics Mid-level Supervision COMMERCIAL REASONABLENESS As a result of recent government enforcement actions, new emphasis is being placed on the commercial reasonableness of physician arrangements. In addition to calculating FMV, health organizations also must perform analysis of the business rational, or commercial reasonableness, for creating the arrangement. While this duty traditionally falls on the hospital administrator, Pinnacle leverages its unique knowledge of the health care industry to incorporate a separate analysis in all of our FMV reports. SYSTEM-WIDE COMPENSATION AUDITS Many health systems now find themselves with a significant base of employed physicians, many for whom they ve been paying for several years without any FMV review. To conduct a focused valuation on each physician can be time-consuming and expensive. Pinnacle has devised a practical approach to assessing a large number of physician compensation arrangements under a single engagement. Pinnacle s phased process filters through the physicians to assess each individual, but apply focused resources on the most complex and sensitive arrangements. DISCOVERY, DISCLOSURE AND COMPLIANCE SUPPORT Some health systems unfortunately find themselves on the wrong side of the compliance fence concerning payments to physicians. Whether the event is a result of a whistle blower or self-disclosure, assessing the damage or explaining the extent of the problem to enforcement agencies requires rigorous and in-depth analyses. Pinnacle consultants have significant experience working with counsel to prepare analysis and communicate findings in an optimal manner for their clients. UNIQUE FMV SERVICES Referral relationships among providers can implicate complex regulations, put businesses at risk, create legal disputes or even generate new business opportunities. Pinnacle s consultants possess the experience and knowledge to help health organizations sort through the complexities of the most unique arrangements to assess value, avoid problems and create tailored client solutions. CONTACT DAN STECH PRINCIPAL, PINNACLE PRODUCTS & INNOVATION E-MAIL: KBERKEY@PINNACLEGROUPHC.COM PHONE: 303.801.0123 WWW.PINNACLEGROUPHC.COM CONTACT: 303.801.0123
Pinnacle Strategic & Operational Services A unique perspective on the strategies necessary for an organization s financial and future success Developing effective strategies, aligning with physicians and perfecting operational efficiencies is critical to the vitality and success of hospital service lines. Pinnacle Healthcare Consulting s Strategy & Operations Division specializes in helping hospitals and other health organizations address these and other complex challenges. From promoting physician engagement to eliminating unnecessary supply chain spending, Pinnacle Healthcare Consulting partners with clients to devise solutions tailored to their needs. Services include: HOSPITAL / PHYSICIAN ALIGNMENT Pinnacle Healthcare Consulting provides a structured approach to identifying models, structure(s) recommendations, financial analysis, due diligence and project management for hospital / physician alignment. STRATEGIC BUSINESS PLANNING Pinnacle's strategic and operational services both develop and provide clients with a clear and compelling direction for the entire enterprise, specific entity, or specific services. LEADERSHIP DEVELOPMENT & MANAGEMENT SUPPORT There is a shortage of experienced leaders in many key clinical departments. This can result in operational challenges and potential market loss. Pinnacle provides on-site and off-site support to fill leadership gaps and ensure that service lines are being managed in a way that increases their effectiveness. SPECIALTY SERVICE LINE DEVELOPMENT Competition within high profile service lines continues to increase. As a result, a well organized business unit is critical for success. Pinnacle's Service Line Development services ensures that these business units support are organized, governed and operated in a manner that allows for successful competition. FINANCIAL / REIMBURSEMENT ENHANCEMENT Pinnacle's financial / reimbursement enhancement evaluates contracts, service locations, technology options and coding to determine the efficiency of client financial organization. SUPPLY CHAIN COST REDUCTION Specialty services such as cardiovascular, orthopedic and neuroscience utilize high-dollar clinical devices and supplies. If resources are not properly managed, it can result in financial losses for services that are responsible for an organization's positive bottom line. Pinnacle's strategic and operational service evaluates current expenditures, identifies opportunities, provides an organizational structure for negotiations, and facilitates the contracting process to ensure savings are achieved with ongoing support. OPERATIONAL EFFICIENCY & IMPROVEMENT Successful health care organizations require efficiency in provided services and care delivery. Pinnacle's strategic operational services assess work evaluation, staffing, physician interaction resource utilization and key metrics to determine current efficiency and identify opportunities for improvement. CONTACT ANTHONY LONG, PRINCIPAL E-MAIL: ALONG@PINNACLEGROUPHC.COM BILL CHERRY, PRINCIPAL E-MAIL: BCHERRY@PINNACLEGROUPHC.COM PHONE: 303.801.0123 WWW.PINNACLEGROUPHC.COM CONTACT: 303.801.0123
Pinnacle Business Valuation Services Specializing in business valuation services for health care entities Pinnacle Healthcare Consulting s accredited professionals provide business valuation opinions to support transactions for mergers, acquisitions, and joint ventures in the health care industry. In addition to the valuation of operating businesses, Pinnacle performs valuation of intangible assets such as non-compete agreements, customer relationships, trained and assembled workforce, medical records, and proprietary technology, as well as tangible assets including fixed assets. Pinnacle also assists clients in valuing options to buy or sell business interests, securities, and off-balance sheet arrangements. Additionally, Pinnacle provides financial advisory services to clients to assist in strategic business planning efforts. FAIR MARKET VALUE DETERMINATION Transactions involving physician ownership or not-for-profit entities require fair market value determination to comply with Stark, Anti- Kickback and IRS regulations. Pinnacle has health care industryspecific knowledge and experience to value unique transactions and business arrangements such as: Mergers & Acquisitions Joint Ventures Divestitures FINANCIAL ADVISORY Clients are often presented with investment opportunities, such as the sale of the business, practice buy-in or formation of a joint venture, and need outside expertise to assist in their decision making process. Pinnacle s health care transactions experience allows us to assist with: Return on Investment Analysis Cash Flow Simulation Debt Service and Phantom Income Tax Liability Coverage Build vs. Buy Analysis FAIR VALUE FOR FINANCIAL REPORTING U.S. Generally Accepted Accounting Principles (GAAP) increasingly require assets and liabilities to be started at their fair values. Health care transactions often give rise to the recognition of various tangible and identifiable intangible assets and liabilities, which must be recorded at their fair values and which may need to be revalued at certain pints in time. Pinnacle has extensive experience with fair value analysis for situations including: Purchase Price Allocations Intangible Asset and Goodwill Impairment Testing Equity Securities / Non-Controlling Interests Off-Balance Sheet Transactions CONTACT AREAS OF EXPERTISE INCLUDE - HOSPITALS (NON-PROFIT, SPECIALTY) - DIAGNOSTIC IMAGING CENTERS - AMBULATORY SURGERY CENTERS - LONG-TERM CARE FACILITIES - DIALYSIS CENTERS - PHYSICIAN PRACTICES - REHABILITATION FACILITIES - SKILLED NURSING FACILITIES - CARDIAC CATH LABS - SLEEP CENTERS - URGENT CARE CENTERS JIM CONNORS DIRECTOR, VALUATION SERVICES E-MAIL: JCONNORS@PINNACLEGROUPHC.COM PHONE: 303.801.0123 WWW.PINNACLEGROUPHC.COM CONTACT: 303.801.0123
Pinnacle Revenue Cycle & Coding Consulting Elevate compliance to gain peace of mind and prepare for increasing government scrutiny Coding is the core element of the health care revenue cycle. Physician proficiency in coding has a distinct impact on the financial viability of practices as well as the management of regulatory risk. Pinnacle s Coding and Audit experts work across specialities and organizational types to assure optimal coding is being achieved by all providers. CODING / DOCUMENTATION AUDITS Find out if a provider level of service is supported according to correct coding guidelines and documentation standards. Identify improvement opportunities to promote proficiency and compliance. ELECTRONIC HEALTH RECORD TEMPLATE Maximize the efficiency an organization s current EHR templates with coding techniques that ensure efficiency with optimal documentation. COMPLIANCE / REVENUE RISK ASSESSMENT Understanding compliance and revenue risk assessment is vital knowledge for hospital and physician integration. Pinnacle can help discover coding and documentation needs as well as evaluate compliance and revenue risks before or after physician acquisition. PHYSICIAN EDUCATION Focused education that bolsters knowledge and improves skills for any physician. Pinnacle has expertise in physician education for virtually all specialties and specific procedures. BELL CURVE ANALYSIS Medicare uses physician utilization information to target audits. Compare a physician s utilization with others in their speciality. Pinnacle can conduct or assist an organization with this high level of physician assessment. CODING SERVICES (ASSISTIVE CODING) Pinnacle provides short-term, interim and long-term coding services for a variety of specialties. Our cost effective solutions help any size health system or group utilize internal resources and maximize coding efficiency and productivity. These services are often critical to new practice acquisitions. REIMBURSEMENT OPTIMIZATION Collect the money that is owed. Ensure that all services provided are billed and paid at the correct level through detailed reimbursement reviews. RAC AND EXTERNAL AUDITS Pinnacle can help organizations prepare for government audits and help protect revenue. PERIODIC AND TARGETED AUDITS Regular audits provide an opportunity for uncovering coding deficiencies. Our audits complement compliance efforts for both Medicare and private payers. CONTACT MICHELE OLIVIER DIRECTOR, CODING & AUDIT DIVISION PHONE: 303.801.0123 E-MAIL: MOLIVIER@PINNACLEGROUPHC.COM WWW.PINNACLEGROUPHC.COM CONTACT: 303.801.0123
PHYSICIAN FAIRMARKETVALUE P R O G R A M physician FMV Simplify Success in Physician Compensation Valuation. Compensation. Integration. PHYSICIAN FMV ONLINE PHYSICIAN FMV NETWORK PHYSICIAN FMV WORKBOOK PHYSICIAN FMV CONSULTING PHYSICIAN FMV TRAINING / COACHING Save thousands in consulting fees by instantly securing Physician Fair Market Value opinions for over 80 physician specialties - backed by the Program s third-party opinion. Access Physician FMV data anywhere with Internet connection. Generate tailored FMV Reports for individual physician relationships where physician arrangements and payment terms can be stored and tracked or printed and filed. Research hospital-physician relationships around the country. Manage access to Physician FMV data for others within an organization. The Physician FMV Network is a national clearinghouse for data on hospital and physician relationships. Participating hospitals submit data on a range of professional service arrangements from employment and medical directorships to joint venture and stipend payments. Data is validated, blinded and then offered through the network database. Access the Network to gather real-time information about comparable arrangements at other hospitals and systems. This proprietary data can help with reviews, FMV determinations, as well as strategic planning and development that comply with antitrust considerations. Physician FMV s proprietary Workbook profiles FMV payment ranges for general employment, medical directorships and call arrangements for 80+ physician specialties. Use the data in the Workbook to establish compensation terms, negotiate contracts and support compliance efforts while eliminating the need for costly consulting reviews. All published FMV payment ranges constitute the Physician FMV Program s third-party opinion. If an organization has a complex and sensitive arrangement for which data is not readily available, such as highly specialized physicians or one-of-a-kind clinical programs or recruiting challenges, the Physician FMV Program can provide analysis and insight through its expert consultative and coaching services. Consulting engagements include rigorous review, analysis, and close coordination with hospital staff and legal counsel. The result is a focused opinion of fair market value along with an evaluation of related strategic issues. The Physician FMV Program was created to make determining physician FMV easier. The Program includes indepth training related to process and methods so an internal staff can begin to evaluate commercially reasonable and compliant compensation arrangements independently. In addition to the training session, staff can take advantage of coaching in the process of familiarizing oneself with the Physician FMV Program s resources. The ultimate goals is physician FMV self-sufficiency for staff - backed by the Physician FMV Program s industry leading data and tools. WWW.PINNACLEGROUPHC.COM CONTACT: 303.801.0123
Solutions to Build Internal Capacity Make More Informed and Effective Decisions Related to Physician Compensation Physician Fair Market Value Program 9085 E. Mineral Circle, Suite 110 Centennial, CO 80112 Fair Market Value Training/Coaching The Physician FMV program was created to make your job easier We provide in-depth training on FMV and our methods, so your staff can develop reasonable and compliant compensation arrangements on their own Your staff can take advantage of coaching while they get comfortable using our resources Self-sufficiency backed by our third-party opinion and industry-leading applications Hospitals using the FMV Program immediately possess greater knowledge on which to base physician contracting decisions, the reliability of a proven FMV analytical methodology and improved capacity to manage / document compensation and other contractual terms. Fair Market Value Consulting Address situations where published data is insufficient: highly specialized physicians, oneof-a-kind clinical programs and recruiting challenges Conserve hospital resources for reviews of more complex arrangements Analytical methods and an extensive network provide insight to support the most advanced business / contracting strategies Consultants are adept at working with counsel to satisfy the most demanding legal requirements Physician FMV LLC is a member of The Pinnacle Group, based in Centennial, Colorado. The Pinnacle Group provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations. Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support. Other divisions of Pinnacle provide physician practice management, medical billing / coding, and technology / integration support services. Pinnacle's array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving the most complex challenges.
Medicare and IRS compliance Responding to competition and pay demands Recruitment and retention Creating an effective integration strategy Involving physicians in governance Elevated compliance scrutiny / enforcement risk Inadequate compensation knowledge and reliable data Biased understanding of fair market value / limited expertise Internal resource and budget constraints Many other competing demands / pressure to "get deals done" Solutions Determining appropriate and compliant physician salaries is complicated. Diverse factors like the Stark Law and inconsistent internal payment policies make it difficult to confidently approach physician compensation negotiations. Until now. The Pinnacle FMV Program dramatically reduces the complexity of determining fair market value for physician compensation. It builds internal capacity and gives you more control over the process by providing proprietary tools and powerful information to help you make defensible decisions about physician relationships. Try Physician Fair Market Value Online Now! Access FMV Data anywhere you can reach the Internet Generate tailored FMV Reports for individual physician relationships Track all your physician arrangements and payment terms Fair Market Value Online Research hospital-physician relationships around the country Manage access to the FMV data for others within your organization Fair Market Value Compensation Our proprietary database profiles FMV Payment ranges for general employment, medical directorships and call arrangements for 70+ physician specialties Use the database to establish compensation National clearinghouse for the array of hospital-physician contracting arrangements Data is validated and blinded, portraying contract deals ranging from employment and call to co-management and service line agreements Leverage the FMV compensation to create tailored reports for individual physician arrangements Share FMV documentation with compliance officers and counsel Fair Market Value Network terms, negotiate contracts and support compliance efforts while eliminating the need for costly consulting reviews All published FMV payment ranges constitute our third-party opinion Fair Market Value Reporting Network can be queried to gather real-time information about arrangements in place at other hospitals and systems Data support focused reviews as well as strategic planning and development activities Utilize the Network as your Stark Database Document payment decisions and save to file Educate contract managers and others on FMV payment values
O U R P E O P L E C O N S U L T I N G PINNACLEHEALTHCARE Valuation. Compensation. Integration.
Pinnacle Healthcare Consulting - Our Team "The executives of Pinnacle make up an exceptional team. Their collective knowledge base and broad expertise are impressive. Every issue was addressed quickly, concisely and accurately. I'm looking forward to our continued work together." - Pinnacle Healthcare Consulting Client David White, MBA - Principal, Pinnacle Healthcare Consulting David White is a partner in The Pinnacle Group and founding member of Pinnacle Healthcare Consulting. His professional focus has been geared towards building stronger provider relationships and identifying shared business opportunities for health care businesses. David is known as a creative thinker and problem solver with over 20 years experience in health care organization management and consulting. His areas of expertise include new business development, health services valuation and financial analysis, health care market research, medical staff partnership planning and physician practice management consulting. During the past four years, Mr. White has managed several hundred fair market value analyses. David has assisted health systems, community hospitals, rural hospitals, specialty health service providers, single and multi-specialty medical groups across the country. He has worked with national health plans regarding provider contracting and medical management issues. Prior to joining Pinnacle, David was a health care consultant with Milliman USA and a co-founder of Physician and Hospital Solutions. He also served as the Director of Planning and Practice Management for Eisenhower Medical Center in Rancho Mirage, California. David received his BS in from the University of Colorado and his MBA with a focus in healthcare management from Cleveland State University. Expertise: Business and health services valuation, Strategic planning and business development, Physician-hospital relationships, Financial analysis, forecasting and modeling, Community needs assessment and medical staff planning, Marketing research and product development, Physician compensation planning and analysis Dan Stech, MBA, CMPE - Principal, Pinnacle Products & Innovation Dan Stech is a health care business expert with over 20 years of experience in settings ranging from the health policy arena and health services research to physician practice management, association management and technology development. His professional focus is on hospital-physician relationships, physician compensation and regulatory compliance. In addition to consulting, Dan leads Pinnacle's Physician Fair Market Value (FMV) Program and other product initiatives. Dan is a partner in The Pinnacle Group and joined the firm in 2006 following an 11 year career with the Medical Group Management Association (MGMA). At MGMA, he held leadership positions in government affairs, health care consulting and between 2001 and 2006, was Director of Survey Operations. As Director of Survey Operations, Dan expanded the depth of performance measures observed by MGMA and firmed up MGMA's position as the market leader in physician data resources. Dan has authored numerous articles on practice management subjects and was coauthor of a book on the practice revenue development. He regularly speaks to industry groups having presented countless sessions for national, state and local health care organizations. Dan holds a BA in history from Benedictine College and a MBA from Marymount University. Dan is active in a number of industry associations including MGMA and Health Care Compliance Association (HCCA) and is a member of the Board of Directors of Colorado Healthcare Strategy and Management (CHSM). He received the credential of Certified Medical Practice Executive (CMPE) from the American College of Medical Practice Executives. Expertise: Fair market value (FMV) analysis, Physician compensation and productivity analysis, Physician practice management and improvement, Strategic planning and business development, Marketing research and product development, Association management and planning, Survey design and research project management Chris Rehm, MHA, MBA - Principal, Pinnacle Physician Resource Group Chris Rehm is the founding partner of The Pinnacle Group. His professional experiences encompass business management, planning, consulting, marketing, auditing and education within various segments of the healthcare industry. Chris has managed or consulted with more than thirty healthcare organizations. He has been active in strategic and operational management, as well as payer and facility negotiations for numerous practices. Chris also works with a variety of physician groups and hospitals to develop programs to cover critical hospital-based physician services. He continues to consult on a wide variety of strategic and organizational initiatives for facilities and physician practices specializing in physician compensation, fair market value analysis and business venture feasibility. Additionally, Chris heads AfterOurs Urgent Care, Inc. - an innovative urgent care company incubated by Pinnacle. Chris earned his BBA from Boston College and his MBA and MHA from the University of Missouri, Columbia. He is active in several community charitable organizations. Expertise: Organizational management and leadership, Strategic planning and business development, Physician compensation and fair market value analysis, Physician-hospital relationship development, Medical practice development and operations management, Health information technology planning and implementation, Health plan contracting and negotiation, Physician billing operations
Pinnacle Healthcare Consulting - Our Team "The executives of Pinnacle make up an exceptional team. Their collective knowledge base and broad expertise are impressive. Every issue was addressed quickly, concisely and accurately. I'm looking forward to our continued work together." - Pinnacle Healthcare Consulting Client Anthony Long, MBA, FACHE, FACCA, CAAMA - Principal, Pinnacle Healthcare Consulting Anthony Long is a Fellow in the American College of Healthcare Executives and the American College of Cardiovascular Administrators. Prior to joining Pinnacle, Anthony gained over 20 years experience as a Director of Health Strategy with Navigant Consulting, and Senior Vice-President of Paragon Health. With these companies, he lead numerous hospital-physician and practice-topractice strategic alignments (mergers, acquisitions and contractual arrangements), along with several strategic service line planning efforts for large health systems and hospitals. Anthony also specializes in cost saving initiatives involving supply chain management. Working collaboratively with all stakeholders, he has generated several million dollars in savings (significant and multi-year return on investment) for his clients. Prior to consulting, Anthony served as the president of multiple heart hospitals/centers, and also as a senior executive for a six-hospital health alliance in the Midwest. Anthony is a regular speaker and published contributor to national programs including the American College of Healthcare Executives, American Academy of Medical Administrators, American College of Cardiovascular Administrators, and the Healthcare Financial Management Association. He holds a MBA with an emphasis in Health Administration from Ashland University and a BS in business administration with a dual major in psychology from Ohio Northern University. Expertise: Physician alignment / integration, Strategic and business planning, Market expansion and development, Specialty service line development, Financial and reimbursement enhancement, Supply chain cost reduction, Operational efficiency and improvement, Leadership development, Management support Bill Cherry, MHA, CHE - Principal, Pinnacle Healthcare Consulting William (Bill) Cherry has more than 20 years experience in the healthcare industry and is a Diplomate of the American College of Healthcare Executives. Prior to joining Pinnacle, Bill was a Director, of Health Strategy with Navigant Consulting, Vice-President of Paragon Health, and also held leadership roles in several other consulting companies. He has been responsible for the development of numerous service line strategic plans, hospital-physician and practice to practice alignments, feasibility assessments, and establishment of service line governance structures. Before his management consulting career, Bill served in leadership roles of large heart centers, as well as providing leadership to the strategic planning and business development function of a large health system. Bill is a regular speaker on national programs including the American College of Healthcare Executives and the Healthcare Financial Management Association. He holds a MHA from Washington University in St. Louis and a BA in public administration from The University of Oklahoma. Expertise: Physician alignment / integration, Strategic and business planning, Market expansion and development, Specialty service line development, Financial and reimbursement enhancement, Supply chain cost reduction, Operational efficiency and improvement, Leadership development, Management support James Connors, III, MBA, ASA,CFA - Director, Valuation Services Jim Connors professional focus has been geared toward providing business and securities valuation services to enable clients to make better decisions and reduce their exposure to compliance issues. Jim has over 20 years experience in business valuation and financial and marketing consulting. Jim joined Pinnacle Healthcare Consulting in 2008 with focus on providing valuation opinions to support transactions for mergers, acquisitions and joint ventures in the health care industry. Areas of expertise include dialysis companies, ambulatory surgery centers, diagnostic imaging, cardiac cath labs, community, specialty and critical access hospitals, and physician practices, among others. Prior to Pinnacle, Jim spent eight years with Quist Valuation where he provided middle market clients with services including: valuation analyses performed for mergers, acquisitions and corporate finance, fairness opinions, purchase price allocations, goodwill and intangible asset impairment, employee stock ownership plans, executive compensation, and gift and estate tax compliance. Jim has assisted clients in a variety of industries, both nationally and internationally. Prior to Quist, Jim co-founded a boutique management consulting firm, working with Fortune 500 companies assisting management with strategy formulation, acquisition analysis / due diligence, tactical response to moves by competitors, market positioning, and market entry feasibility. Expertise: Business, securities and intangible asset valuation, Fair value accounting for business combinations and financial reporting, Transaction and corporate finance advisory, Financial analysis, forecasting and modeling, Acquisition analysis and due diligence, Competitor and market analysis
Pinnacle Healthcare Consulting - Our Team "The executives of Pinnacle make up an exceptional team. Their collective knowledge base and broad expertise are impressive. Every issue was addressed quickly, concisely and accurately. I'm looking forward to our continued work together." - Pinnacle Healthcare Consulting Client Michele Olivier, CPC, CPMA - Director, Coding and Audit Division For the past 15 years, revenue cycle management and coding have been Michele s professional focus. Her expertise in these areas complements Pinnacle s existing core services of physician compensation, business valuations and hospital and physician integration by adding depth to revenue cycle reviews. This unique perspective offers clients additional value, which further differentiates Pinnacle from other compensation companies. Michele began her career with The Pinnacle Group as Billing Manager in August 2007, where she oversaw her team comprised of coders, billers, payment posters and data entry personnel. In that role, Michele managed billing operations for diverse specialties that ranged from primary care and OBGYN to bariatric and cardiovascular surgery. She has demonstrated the ability to build and maintain strong client relationships, provide advanced billing solutions and work diligently with a team to advance efficiency and profitability. Prior to joining Pinnacle, Michele gained valuable experience in a variety of companies. In previous roles, she held practice management positions, assisted with accounts receivable, human resources, payroll, hospital and insurance credentialing, Colorado state licensing, new hire orientation and personnel training. Additionally she implemented training and compliance for Health Insurance Portability and Accountability Act (HIPAA) and Occupational Safety and Health Administration (OSHA) programs as well as served in managerial roles regarding patient billing and collections for both Medicare and private insurance companies. Expertise: Medical billing and collection, Correct coding and compliance, Fee schedules, Credentialing, Contracting, Practice management systems and electronic health records (EHR) Lucas Hutchison, MHA - Senior Healthcare Consultant/Senior Practice Manager Lucas' professional experiences encompass business operations, strategic and market planning, and financial analysis as well as planning for healthcare organizations. He has served in various capacities, ranging from an operating room technician to an administrative resident for senior hospital leadership. Lucas joined Pinnacle Healthcare Consulting / The Pinnacle Group in 2003 and is responsible for market research, medical staff planning projects, physician practice implementation and management consulting projects. He has been active in numerous physician practice start-ups and ongoing practice management. In addition, he has served as a consultant for health systems, community hospitals, rural hospitals, specialty health service providers, single and multi-specialty medical groups across the country. Lucas leads Front Range Primary Care, a practice management solution by Pinnacle. Lucas earned his BA in health sciences from James Madison University and his MHA from The Medical College of Virginia. Expertise: Physician practice development and management, Operations improvement, Financial analysis and modeling, Business and practice valuation, Physician compensation and fair market value (FMV) analysis, Market research, Strategic planning, Medical staff development William Johnson, MBA, CPA - Senior Consultant Mr. Johnson offers a wide range of health care experience to The Pinnacle Group that includes nearly 30 years of executive leadership. Bill s professional experiences include strategic planning, business development, physician recruiting, operational management of large physician practices in multiple locations, outreach development, financial operations, business / practice mergers and acquisitions, physician / hospital joint ventures, selection of practice management and electronic health systems for practices. He also has significant experience in third-party contracting, hospital / physician integration strategies, physician compensation models and tax planning for strategic decisions. Within Pinnacle, Bill provides financial and strategic direction as well as consulting on client engagements. Prior to joining Pinnacle, Bill served 14 years as a Vice President of Finance with the HealthONE Hospital System and more recently, 15 years as a Chief Executive Officer for Western Cardiology Associates and Aurora Denver Cardiology Associates PC, (the largest cardiology group practice in the metro Denver market place). Bill holds a BSBA in accounting from Colorado State University as well as an MBA with an emphasis in finance from Regis University. Expertise: Strategic planning and business development, Physician / hospital relationships and joint ventures, Financial analysis, forecasting and modeling, Physician compensation planning and analysis, Physician practice mergers and acquisitions
Pinnacle Healthcare Consulting - Our Team Kelly McFadden - Consultant Kelly joined Pinnacle Healthcare Consulting in April 2008, bringing with her previous consulting experience related to resolving operational, regulatory, and financial issues for health care organizations. Currently, Kelly conducts consulting engagements including fair market value reviews of physician compensation, business plan development, financial and market analysis, community needs assessments, physician practice start-up and management assistance. Her experience related to fair market value assessments includes a wide variety of arrangement types including: physician employment, on-call services, medical directorships, professional service agreements, administrative service agreements, space and equipment leases and other specialized contracts. She also provides client support to participants in Pinnacle s innovative Physician FMV Program and has supported AfterOurs Inc. initiatives and Pinnacle Medical Billing. In the past, Kelly has worked on a broad range of projects covering a variety of health care topics that included: monitor and analysis of health care industry trends and policy changes, market research and competitive analysis for strategic planning, litigation support, business valuation engagements, feasibility studies involving utilization and financial projections for an urgent care center, freestanding emergency room, and other specialized facilities, etc. Kelly earned her bachelor s degree from the University of Pennsylvania and is currently in the Healthcare Administration MBA program at the University of Colorado, Denver. Expertise: Financial analysis, forecasting and modeling, Business and practice valuations, Financial advisory, Transaction support, Return on investment analysis Kay Hide - Senior Consultant Kay brings a wide range of expertise in health care finance, operations and management to Pinnacle Healthcare Consulting. She has made a mark with nearly 30 years of health care experience in hospital systems and integrated / non-integrated physician group practices. Kay s professional experience includes financial management and analysis, strategic planning and business development, physician compensation design and business operations. Kay joined Pinnacle in 2013 and specializes in financial analysis and physician integration services. Prior to joining Pinnacle, she served in a senior financial leadership for health care systems and most recently, for a 130 provider integrated physician group practice. Kay also worked with Arthur Andersen Certified Public Accountants with a focus on financial auditing and tax planning for numerous corporations and individual clients. She holds a BSBA with a specialization in accounting from the University of Nebraska, Lincoln. In her free time Kay enjoys golf, snow skiing and scuba diving. Expertise: Financial analysis, forecasting and modeling, Hospital service line development, Physician compensation planning and analysis, Physician/hospital relationship development and integration Lisa Hamko, CPC - Consultant Lisa Hamko has actively practiced revenue cycling and coding management in the health care industry for nearly a decade. Lisa s expertise includes physician coding for several specialties, E&M audits, coding denial management and revenue recovery. She has had experience working with several practice management and EMR systems as well as proprietary software programs. At Pinnacle, Lisa specializes in research and analysis relative to medical records and coding denials such as bundling, medical necessity, E&M levels, modifiers, invalid CPT codes and incorrectly denied claims. Lisa s past work includes several years as an account specialist for an oncology billing and revenue recovery company. Lisa s precision was critical in her role of performing billing audits to identify errors, recover revenue and ensure financial recovery. She strived to improve recovery process flow and worked alongside software engineers to increase efficiency and usability of the software program. Her coding specialties included Critical Care, Infectious Disease, Dermatology, OBGYN and Pediatrics. Lisa has the capability to process a high volume of claims for multiple physician specialties while maintaining accuracy and prioritizing tasks. She continues to be active in coding education and resources to further develop and maintain coding knowledge and certification. Expertise: Physician coding, Specialties include: Oncology, Critical Care, Infectious Disease, Dermatology, OBGYN and Pediatrics, E&M auditing, Denial Management, Revenue Cycle Audits for Recovery
Pinnacle Healthcare Consulting - Our Team "The executives of Pinnacle make up an exceptional team. Their collective knowledge base and broad expertise are impressive. Every issue was addressed quickly, concisely and accurately. I'm looking forward to our continued work together." - Pinnacle Healthcare Consulting Client Drew Hoffman, CHFP - Senior Analyst Drew joined Pinnacle Healthcare Consulting during the Summer of 2010. As Analyst, he supports Pinnacle s health care physician compensation, valuation and appraisal divisions, with a focus on fair market value analysis of professional service arrangements. He additionally provides market research, financial analysis and business plan development. Prior to joining Pinnacle, Drew interned at Arthur J. Gallagher & Co., a company known as one of the world's largest insurance brokerage and risk management service firms that provides a full range of retail and wholesale property/ casualty (P/C) brokerage and alternative risk transfer services, as well as employee benefit brokerage, consulting and actuarial services. During his time at Arthur J. Gallagher & Co., he created a 401k portfolio performance benchmarking template, composed requests for proposal and insurance renewal materials and participated in a regional intern project. In his free time, Drew enjoys participating in outdoor activities such as wake boarding and playing softball. Drew additionally enjoys attending listings on the silver screen when he is not participating in Colorado s outdoor recreation. Expertise: Physician compensation planning and analysis, Healthcare industry trends and policy research, Financial analysis, forecasting and modeling, Business plan development Chris Fete, JD, MHA - Senior Analyst Chris joined Pinnacle Healthcare Consulting in 2011. As a Senior Analyst, he supports Pinnacle s consulting engagements including fair market value reviews of physician compensation, Key Opinion Leader analysis, business plan development, financial and market analysis, community needs assessments and physician practice start-up / management assistance. Prior to joining Pinnacle, Chris was an administrative intern for a children s medical center in St. Louis, MO. As a team leader, he assisted in the development and organization of a patient access-line for Maternal Services between two hospitals. In past positions, Chris served as a legal clerk at Behr, McCarter & Potter P.C and Saint Louis University School of Medicine in St. Louis, MO. During his time at St. Louis University Medical Center, he prepared memorandum and analysis of complex legal issues related to medical center operations. Chris has researched and prepared service arrangements, employee contracts, as well as compliance issues specifically related to Stark Law, False Claims Act, Fraud and Abuse, and Anti-Kickback Statutes. He has additionally reviewed and analyzed university agreements with physicians, pharmaceutical companies, and service providers. In his free time, Chris enjoys participating in outdoor activities such as mountain biking, kayaking, camping and hiking. He additionally enjoys lending a hand with community service projects and was an assistant high school varsity lacrosse coach for several years before moving to Denver. Expertise: Physician key opinion leader compensation planning and analysis, Regulatory and compliance analysis, Healthcare industry trends and policy research, Financial analysis, forecasting and modeling, Strategic planning and business development Kimberly Berkey, Marketing & Client Development Kimberly leads client development, client management, marketing initiatives, communications, financial services and other client relations. Along with Dan Stech, she additionally manages the execution of ongoing promotion and development related to the Physician Fair Market Value (FMV) Program. Kimberly joined the team in 2008 and performs a variety of organizational and unique project management responsibilities which include: research and analysis, web development, branding and identity, product development, accounts receivable, etc. Kimberly's experience also includes event planning, marketing and fundraising for numerous organizations. She is an active volunteer and member of Colorado Healthcare Strategy and Management (CHSM), member of the Society for Healthcare Strategy and Market Development (SHSMD), member of the Employee Assistance Professionals Association (EAPA), volunteers for Colorado's division of the American Lung Association Leadership Council - a philanthropic organization for young professionals, has volunteered with at risk homeless youth and volunteers for various philanthropic events in the Denver community. Kimberly earned a BA in mass media communication, a BFA in art and art history as well as a minor in leadership, diversity and social change from Virginia Polytechnic Institute and State University (Virginia Tech). At Virginia Tech, she received several scholarships for academic, leadership and community achievement. Kimberly is currently working towards her masters in counseling psychology with a multicultural focus. Expertise: Marketing initiatives, Client development and customer service, Communications, Web content and development, New media marketing, Credentialing