Greg Adams is President, Consulting Services, at Panacea Healthcare Solutions, Inc. He has over 35 years of experience in the healthcare field, including 20 years experience as a hospital CFO and 12 years as a partner in a healthcare consulting company. His experience includes financial operations, managed care contracting, physician practice management, patient accounting, patient access, medical records, materials management and real estate development.
Greg has served as the Senior Vice President and Chief Financial Officer of Holy Name Hospital, Teaneck, New Jersey, and as the CFO at Jersey Shore Medical Center, Wayne General Hospital and Beth Israel Hospital, Passaic.
Greg received a Bachelor of Science degree in Accounting from Seton Hall University and an MBA in Finance from Fairleigh Dickinson University. He is a Fellow (FHFMA) of the Healthcare Financial Management Association (HFMA).
Greg served as the National Chair of HFMA in 2011-12 and on the National Board from 2009-2012. He previously served as a member of the National Board of Directors for HFMA from 2002-2005 and as President of the New Jersey chapter. He is a frequent speaker on healthcare reform and the transition to a value based payment system. Greg also served as a member of the Board of Trustees and Chairman of the Finance Committee at St. Ann's Home for the Aged, Jersey City, New Jersey.
Chris Apgar, CISSP, CEO and President of Apgar & Associates, LLC, is a nationally recognized information security, privacy, national identifier, HIPAA & electronic health information exchange expert. He has over 14 years of experience assisting health care organizations comply with HIPAA, HITECH and other privacy and security regulations. Mr. Apgar also has assisted healthcare, utilities and financial organizations implement privacy and security safeguards to protect against organizational harm and harm to consumers.
Mr. Apgar is a member of the Workgroup for Electronic Data Interchange Board of Directors member and has served on the Board for seven years. Mr. Apgar is secretary of the Oregon & SW Washington Healthcare, Privacy and Security Forum Board of Directors. Mr. Apgar was a member of the California Office of Attorney General project team and the American Health Information Management Association Medical Identity Theft project team charged with developing educational material for health care providers, health plans and consumers regarding medical identity theft and prevention. He is also a member of the Oregon Prescription Drug Monitoring Program Advisory Commission.
Apgar & Associate, LLC clients range from small to large health plans, providers, healthcare clearinghouses, vendors, non-profits, government agencies and health care associations. Mr. Apgar is also a nationally known speaker and author. Mr. Apgar is has been a Certified Information Systems Security Professional since 2002 and is a senior member of the Information Systems Security Association. His education includes a Bachelor of Science degree in psychology and an Associates of Science degree in accounting.
In addition to his position as Executive Director for EHNAC, Mr. Barrett is President, CEO of IGI Global Health, a provider of services to HIE's, EMR, Portals and EDI Transactional platforming. He also currently serves as a board trustee on the NJ HITEC Regional Extension Center.
Mr. Barrett has 10 years leading healthcare professional services organizations including PricewaterhouseCoopers, SAIC, Covansys and Virtusa. He has 20 years in senior management roles in payer organizations including: MassMutual, Connecticut Mutual, Travelers and Aetna. He has also lead and grown healthcare and other software/solutions companies including: MultiMate, Barrett Consulting Group, Medical banking Exchange (MBEXX) and Claredi Corp. He has also been in senior leadership for the American Dental Association Business Enterprises Inc. (ADABEI), the for-profit, wholly owned subsidiary of the ADA, a provider organization. He has served as chairman of WEDI, and ASCX12N Insurance Subcommittee and has been on a number of other industry board roles.
He speaks nationally on a variety of e-Health/e-Commerce and industry topics and is involved in a number of industry coalitions promoting the use and implementation of both administrative and clinical transactions, including the development and proliferation of electronic health records (EHR) and "Meaningful Use" including the National Health Information Network (NIHN) and Health Information Exchanges (HIE's).Mr. Barrett continues to work on key e-Health industry initiatives that lay the foundation for health information technology - including support and implementation of the American Reinvestment and Recovery Act (ARRA), Health Insurance Portability and Accountability Act (HIPAA),the Health Information Technology for Economic and Clinical Act (HITECH and Accountable Care Act (ACA).
As senior vice president of health management at Blue Cross, Garrett Black leads network management, health economics, medical affairs and integrated health management.
Black joined Blue Cross in 2010 as vice president of network management, a role in which he led the overall development and implementation of Blue Cross' provider relationship and contracting strategy.
Immediately prior to Blue Cross, Black served as chief strategy officer for Children's Hospitals & Clinics of Minnesota, overseeing strategy, business development and the organization's centers of excellence. Before his work at Children's, Black was system director for strategic development at Allina Health, where he grew Allina's provider network by integrating multiple community medical groups into the Allina system. Black's experience also includes several years in consulting where he advised hospitals, physician practices and integrated delivery systems across the country on strategy, service development and financial planning.
Black earned his bachelor's degree from Marquette University in Milwaukee and holds both an MBA and an MHA from the University of Minnesota.
Ms. Borten brings to clients her expertise in security, privacy, and health IT from a decades-long career inside the healthcare industry. In the 1990s she turned her focus to privacy and security, leading the enterprise-wide security program at Massachusetts General Hospital. Then, as Chief Information Security Officer, she established the first information security program at Beth Israel Deaconess Medical Center and CareGroup in Boston.
In 1999 Ms. Borten founded The Marblehead Group to provide HIPAA/HITECH Act privacy and security strategic planning, risk assessments, compliance auditing and solutions to the healthcare industry. Clients include the full range of providers, health plans, and business associates.
Ms. Borten is a nationally-recognized expert on HIPAA and health information privacy and security, and a frequent speaker on these topics. She is the author numerous books and training products including HIPAA Security Made Simple (HCPro, Inc.). She holds CISSP (since 1999) and CISM security certifications, and is an ISSA Senior Member.
Jim is Chairman of the Workgroup for Electronic Data Interchange (WEDI) Board of Directors and co-chairs the WEDI ICD-10 workgroup. He is a past recipient of WEDI's Chairman's Award, Distinguished Service Award and the Andrew H. Melczer Excellence in Volunteerism Award.
Jim has co-chaired WEDI national events on topics such as HIPAA implementation concerns, use of transaction acknowledgements, and issues associated with migration to ICD-10 coding. He is frequently quoted in industry publications and is asked to speak nationally regarding ICD-10 and other industry issues related to health IT. Jim has testified before the National Committee on Vital and Health Statistics on behalf of WEDI and on behalf of the Blue Cross and Blue Shield Association on topics including ICD-10, Health Plan Identifier, and health plan compliance certification.
Jim is the Director of IS Risk & Compliance for BlueCross BlueShield of South Carolina, one of the largest Medicare and TRICARE claims processors in the nation. Jim represents BlueCross nationally on health IT and founded the BlueCross corporate information security council. He also serves on the Health IT Plan Advisory Group for the Blue Cross and Blue Shield Association and served as a commissioner with the Electronic Healthcare Network Accreditation Commission. Jim is a graduate of the University of Connecticut School of Engineering and was a commissioned officer in the U.S. Army.
Tom Dean is Senior Vice President of Financial Services at Emdeon, a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. Previous to his current position, Tom was President and CEO of Revenue management solutions a service provider to banks offering healthcare specific cash management solutions. Tom worked for the past 25 years as in senior management positions at some of the leading healthcare and banking IT organizations.
Rich Dowell is the manager of UnitedHealthcare's Process Performance Program (P3) where he and his team work with large hospitals, physician groups and ancillary care providers to improve their administrative experience with UHC. As a certified Six Sigma Black Belt with 15 years of experience in payment systems and technology adoption, his focus is on transforming opportunities for improvement into sustainable solutions that reduce rework and wasted resources. A graduate from Brigham Young University (Economics) and the University of Illinois (MBA), Rich is completing his doctorate in healthcare administration from Central Michigan University with an emphasis in change management results in healthcare technology.
Jay Eisenstock has close to 30 years of management and technology consulting experience along with significant health insurance industry knowledge. He currently heads provider eSolutions at Aetna where his responsibilities include the innovation and deployment of administrative, clinical and financial interactions between Aetna and the provider community. In previous roles at Aetna, Mr. Eisenstock led the company's efforts to achieve HIPAA compliance for electronic transactions.
Prior to joining Aetna, Mr. Eisenstock was vice president of the web development and business intelligence line of business for a technology consulting firm. He also held various leadership and technical positions with Electronic Data Systems Corporation (EDS). He is the current chair of the CAQH Committee on Operating Rules for Information Exchange (CORE) Joint Certification/Enforcement and Testing Subgroup, serves the Workgroup for Electronic Data Interchange (WEDI) as a director, and the Electronic Health Network Accreditation Commission (EHNAC) as a commissioner. He was selected by the Certification Commission for Healthcare Information Technology (CCHIT) to be one of twenty participants in its Health Information Exchange Work Group. Mr. Eisenstock was honored with the Workgroup for Electronic Data Interchange (WEDI) Leadership in Technology award and was a finalist for Aetna's highest employee recognition award. He was also recognized as one of 11 top executives and thought leaders in the healthcare IT industry by eMids Technologies and Healthcare Payer News. Mr. Eisenstock earned a master's degree in business administration from the University of Massachusetts.
Wendy Ferenc has 30 years of experience in automated financial management systems design. A relative newcomer to the health insurance industry, Wendy joined Blue Cross and Blue Shield of Vermont in 2008. Currently immersed in the planning efforts for Vermont's Health Exchange, she has also led the effort to successfully implement EFT/ERA and has coordinated continuous improvement efforts in the areas of claims processing, provider reimbursement, and premium billing. Previously she worked as a systems consultant for a CPA firm and a software company, spent thirteen years in life insurance IT and Finance at National Life of Vermont, and enjoyed ten years managing a real estate law practice. A native of Brooklyn, New York, Wendy has a Bachelor of Science in Accounting from Binghamton University.
Paul served as the General Counsel to a physician trade association for almost 25 years, until 2009. As Compliance Services Director at Apgar & Associates, he counsels covered entity and business associate clients nationally on issues related to compliance with HIPAA Privacy and Security Rules, PCI DSS as well as other consumer protection rules and regulations. Paul provides compliance strategic planning, breach investigation, risk analysis and compliance audits for Apgar clients. Long involved in regulation and compliance issues, in 2003, Paul was the Vice-Chair of the Oregon Legislature's Task Force on Medical Privacy and assisted in securing the passage of comprehensive legislation to conform Oregon's healthcare privacy laws to the federal HIPAA regulation. He served a member of Oregon Governor Ted Kulongoski's Health Information Security and Privacy Collaboration (HISPC), laying the groundwork for exchange of electronic health information statewide. Since 2004 Paul has been an adjunct professor at the University Of Oregon School Of Law in Eugene, Oregon where he teaches Health Law as well as Bioethics to second and third year students.
Paul is a founding board member of the National Patient Safety Foundation. He is also co-author of a book on supporting physicians in professional crisis published by Oxford University Press, and a founding advisory board member of physicianlitigationstress.org. This website is dedicated to decreasing the likelihood that any practitioner involved in or facing the threat of medical malpractice litigation has to do so alone.
Aaron Grandison is the President of MediStreams, one of the fastest growing healthcare RCM and remittance automation companies. He has over 18 years' experience in Medical Banking and Healthcare RCM . Aaron has an exceptional understanding of ERA and payment processing and brings real world experience in the juxtaposition of healthcare entities and financial institutions. For the past 11 years, Aaron has focused on medical banking, remittance automation, and revenue cycle management, gaining an exceptional understanding of the healthcare claims revenue cycle, ERA delivery, presentment and reconciliation
Stuart Hanson currently leads the healthcare provider solutions activities for Citi's Enterprise Payments business unit, which leverages the bank's industry-leading wholesale and retail payment capabilities across regions and organizations globally as well as the bank's global expertise in the healthcare sector. In this role, Stuart works closely with healthcare clients involved in development and adoption of Citi's innovative business-to-consumer and consumer-to-business healthcare payment solutions.
Prior to joining Citi, Stuart managed the healthcare line of business at Fifth Third Bank, a leading super regional financial institution with respect to the convergence of healthcare and banking. There he was responsible for overall healthcare line of business product strategy, profitability, growth, and strategic product & business development opportunities.
He is very involved in numerous governmental and industry initiatives supporting the achievement of Administrative Simplification under HIPAA and subsequent legislation, including the Patient Protection and Affordable Care Act of 2010 (aka "Healthcare Reform"). Related to these efforts, in 2011, Stuart served as Co-Chair, CAQH / CORE's Workgroup on EFT & ERA Operating Rules, and speaks frequently on the topic of healthcare payments.
With his background in medical banking at multiple financial services organizations, Stuart brings a wealth of deep healthcare revenue cycle and healthcare IT expertise to bear in working to develop and deploy new innovative payment capabilities in the healthcare industry. His background helps his firm position itself as an industry-leader amongst financial institutions with respect to compliance with the evolving regulatory landscape impacting the management of healthcare-related financial transactions, including HIPAA, ARRA, Healthcare Reform, and HITECH legislation.
Hanson is a recognized industry expert and frequent writer and speaker in the healthcare and medical banking arenas. He often speaks at national and regional industry conferences on a variety of topics including the role of banks in healthcare reform, rise of consumer directed healthcare, emerging healthcare treasury solutions, as well as industry standards and regulatory updates. His background includes game changing payment product innovations, product strategy, development and management in the areas of medical banking as well as supply chain finance in multiple banking organizations, including formerly at Fifth Third Bank, JPMorgan Chase, and Bank One Corporation.
Stuart holds an M.B.A. in Finance from the University of Chicago, Booth School of Business and a Bachelor's degree in Finance from the University of Illinois. He, his wife, and their four children currently live in the suburbs of Chicago.
Ms. Holland currently is the Senior Director of Healthcare & Industry Verticals for NACHA. As Senior Director, she leads NACHA's healthcare payments program and works on other payments and remittance information and standards projects. Previously at NACHA Ms. Holland led NACHA's international programs. She has more than 20 years of experience in cash management, project management and product development. Prior to joining NACHA in 1996, Ms. Holland was a Vice President and Senior Product Manager for First Interstate Bank. She is an Accredited ACH Professional (AAP) and a permanent Certified Cash Manager (CCM).
Janet is a graduate of the University of North Carolina - Chapel Hill, Kenan-Flager School of Business. She has been with Blue Cross and Blue Shield of North Carolina for 28 years, currently as Director of Document Operations and Electronic Solutions. In this role, she is responsible for both the paper and electronic front-ends, including HIPAA transactions and secure web portal for providers. Janet works extensively with trading partners and providers and has been very active throughout all phases of HIPAA implementation at BCBSNC, including 4010 and 5010 Transactions and Code Sets, Operating Rules, Privacy, Security, and National Provider Identifier. Janet is Vice-Chair of the North Carolina State Uniform Billing Committee, a member of the AHIP Administrative Simplification taskforce, and has represented BCBSNC on various BCBSA and CAQH CORE workgroups.
Outside of work, Janet enjoys spending time with her family and friends, volunteering with the USO, riding her Harley, hiking, traveling, and dancing!
Don is responsible for Business Development and Client Support activities of Jopari Solutions, a leading nationwide supplier of eBilling and ePayment solutions for the Workers Compensation/Auto Medical industries. He directs a talented team that manages the acquisition of, implementation processes, and ongoing support of a vast and expanding footprint of provider and payer clients. He joined Jopari in April, 2007, after a number of years of establishing one of the first nationwide Workers Compensation eBilling solutions. He has over 30 years of wide ranging experience in Claims, Risk Management and Loss Control, including designing/implementing claims processing systems, as well as claims management and medical cost containment programs. Don has also been one of the industry champions of Property and Casualty eBilling, beginning in 2000 while working with The Hartford. He is daily immersed with the provider and payer communities, various state regulators, as well as providing input to national organizations to foster expanded and expedited adoption of eBilling and ePayment. He is a graduate of Oklahoma State University, with a degree in Fire Protection and Safety Engineering Technology.
He has been a speaker at the FWCI Conference in Orlando, has delivered presentations to the AMA, WEDI, IAIABC, regularly presenting to provider and payer organization about eBilling/ePayment, including testifying to NCVHS regarding the applicability of HIPAA Standards to the P&C industry.
Joy Paris-Johnson is a Vice President and Senior Lockbox Product Manager at City National Bank in Los Angeles, CA. She has over 30 years experience in Banking and Treasury Services where she has managed numerous operational departments, projects and products. Joy has implemented a vast number of lockbox solutions built on process management, workflow, integration and complex application approaches, including a full web redesign. She oversaw the selection and implementation of the Bank's Healthcare Solution encompassing a comprehensive selection and due diligence process. She was instrumental in the implementation of their first healthcare clients and continues to play a key role with all new clients to the product.
Gwendolyn Lohse is the Deputy Director of CAQH and the Managing Director of the CAQH Committee on Operating Rules for Information Exchange (CORE). CAQH is a catalyst for industry collaboration on initiatives that simplify healthcare administration. CAQH CORE brings together over 130 healthcare industry stakeholders and is making the interoperable exchange of administrative data a reality by developing common business rules and promoting their market adoption. Prior to joining CAQH, Ms. Lohse was with PricewaterhouseCoopers serving both domestic and international healthcare clients, and Johns Hopkins Healthcare.
Vincent Marzula is the Managing Director for the Healthcare solutions team. His group is responsible for driving the strategic direction, solution development, and positioning for the BNY Mellon's Treasury Services Division in the Healthcare Market segment. Vince and his team leads a cross functional group representing multiple business lines across the institution to deliver comprehensive integrated solutions using multiple bank assets to achieve client goals in administering their healthcare revenue cycle.
Vince's previous experience over 20 + years includes developing innovative solutions to both payers and providers in the healthcare revenue cycle for PNC Financial Services and multiple Cash Management services for the former Mellon Bank. He is currently a board member of the Electronic Healthcare Network Accreditation Commission (EHNAC) and a past Vice President of the Medical Banking Project. Vince is a graduate of the University of Pittsburgh with a bachelor's degree in economics.
JOHNS HOPKINS HEALTH SYSTEM
Charlie Myers is Director of Operations, Special Programs and Support for the Johns Hopkins Health System. In that role, he has Accounts Receivable responsibility for the outpatient psychiatry, substance abuse, and long term care services of JHHS. Charlie is also responsible for the revenue control, cash applications, and credit review functions for all of the Hopkins hospitals.
Charlie's previous experiences include positions in hospital, independent laboratory and physician business offices. On the other side of the ledger, he served as Utilization Review Manager at Blue Shield of Maryland, earlier in his career.
In addition to his duties at JHHS, Charlie is the Past Chair of the Government Relations Committee for the National AAHAM, and he is Co-chair of the WEDI Sub-workgroup for the 835 transaction.
He is married and has four children. His hobbies include music and sports.
Joseph (Joe) Mikel, CTP is Senior Vice President for Fiserv where he is responsible for Sales and Business Development for Fiserv's Nationwide Lockbox Solution. Joe joined Fiserv in January 2002 with 26 years of banking experience with Bank of America and Continental Bank. Joe has more than 27 years of Treasury Management experience, with specialization in Lockbox /Remittance Services and Check Clearing Services. In addition to his Treasury Management experience, Joe spent 5 years in Commercial Real Estate and 4 years in Cost Accounting for Continental Bank.
Joe has a Bachelors of Science in Accounting and an MBA in Finance, both from DePaul University. Joe earned his Certified Treasury Professional (CTP) status in June 1996 and has maintained his accreditation.
Attorney Miller is an attorney and independent consultant. She founded her own law firm in 2002. She has 40 years of professional leadership experience spanning teaching, biochemistry research and law. She is a well-known national expert in the HIPAA law and regulations.
Attorney Miller provides legal and consulting services to health care vendors, to national accreditation agencies, federal government agencies, the Massachusetts Medical Society, Massachusetts Hospital Association and numerous other entities. Her clients have also included CMS Medicare+Choice, CMS Region 1, CMS Region 4, CMS Region 6, BCBSA, NJ-Medicaid, GA-Medicaid, OCR, and NIST.
Attorney Miller received her undergraduate and Masters degrees from Tufts University, Medford, Massachusetts, and her law degree cum laude from Suffolk University Law School in Boston, Massachusetts.
Attorney Miller is past Co-chair of WEDI SNIP, a member of the Leadership Committee, is a founding Co-chair of the Security and Privacy Work Group and chairs many of the privacy and security sub-workgroups. She has worked on numerous legislative initiatives and is responsible for analysis of state and federal health care reform proposals and payment reform.
Attorney Miller was the third winner of Melczer award by WEDI in November 2007 for "providing exemplary service by giving her time to WEDI and the industry." The award recognizes a person "whose business philosophy is to make the world a better place by sharing one's time and talents."
Alan Robinson has over thirty years of financial management experience with Intermountain Healthcare. He has worked as financial analyst, hospital CFO, and Strategic Planner. As CFO at Logan Regional Hospital his team reduced AR Days to 40 days and reduced bad debt expense by $1 million while lowering per unit cost. His facility has been progressive in implementing point of service collections while focusing on customer service experience. POS cash collections increased dramatically under his leadership.
His facility was also innovative in introducing a revenue integrity department. This has generated over $30 million in net savings in the Urban North Region the past five years.
Alan has an MBA, CPA, CGMA, and is a Fellow with Healthcare Financial Management Association and the American College of Healthcare Executives. Alan currently serves in a volunteer role as the Region Executive for HFMA's Region 10, comprising seven states.
Gordon is Director of Healthcare & Medical Banking Solutions at Systemware, Inc., where he is responsible for application direction and go-to-market strategy. He has 20 years experience in delivering process-based business solutions built on document management, workflow and integration technologies. He attended Queen's University in Canada and holds professional certifications in Health Information Technology management and Electronic Healthcare Records systems
In recent years he has been an invited speaker at numerous event including HIMSS, IFO and Gartner IT conferences where he spoke on the topics of revenue cycle and healthcare payments reconciliation.
Scott has worked in the healthcare industry for the past 20 years, with a focus on solving operational inefficiencies through innovative applications of technology. He co-founded an Internet-based healthcare technology company in 1995, led it through fund raising, product design/development, US and international sales and marketing, and sale of the company in 1999. Since that time, Scott has served as a business practice and technology consultant with expertise on healthcare business practices and technology. Scott has delivered visionary and practical solutions for critical business problems to clients including provider groups, independent physician organizations, surgical hospitals, medical billing companies, and pharmacy groups. He has also led discussions on these types of solutions and community health initiatives in presentations before regional, state, and local Medical Group Management Association (MGMA) conferences. Scott has been involved in the development and maturation of the concept of "medical banking" over the past ten years as the healthcare industry has begun the shift toward utilizing financial institutions as data aggregators. Scott is a graduate of the University of Louisiana at Lafayette.
Elvis W. Wright has over 25 years of experience in the financial industry, with 11 of those years specializing in remittance services, document imaging and archiving, and healthcare processing. He has successfully partnered with commercial clients from all sectors including, senior executives and their leadership teams to identify opportunities in their companies for significant improvement. Before joining F&M, his professional career included time at Bank of Oklahoma, Commercial Financial Services and Saks Fifth Avenue.
Ms. Wojciechowski is a Healthcare Market Specialist with BNY Mellon's Healthcare Solutions Team. Rose is responsible for executing on the team's strategic direction, solution development and marketing efforts to the healthcare industry.
Ms. Wojciechowski has over 30 years of experience with the organization and, over the course of her career, has held various roles in product management, direct marketing, credit risk, and financial analysis across multiple business lines. Ms. Wojciechowski is a Certified Treasury Professional and holds a bachelor's degree in accounting from Carlow University and a master of business administration degree from Capella University.