|
|
|
Key Personnel |
|
Managing Shareholder |
|
|
Manager |
|
|
Manager |
|
|
Manager, Reingruber & Associates |
|
|
Senior Billing Consultant |
|
|
Senior Nurse Consultant |
Claudia Reingruber, CPA
Shareholder
Claudia Reingruber graduated from the University of South Florida in 1980 with a bachelor's degree and a major in accounting. She then pursued a diversified career with Aetna Life Insurance Company, a Medicare Intermediary, where her responsibilities ultimately included managing a professional staff of ten accountants and performing all phases of audit and reimbursement responsibilities for 300 nursing homes. Additionally, she was involved in a wide range of reimbursement, audit, and appeal activities for hospitals, rehabilitation centers, home health agencies, and other providers of service.
In January of 1986, Ms. Reingruber joined a regional public accounting firm as a supervisor specializing in health care. She was involved in a variety of special consulting projects, including operations reviews and recommendations, developing strategies to maximize reimbursement under both the Medicare and Medicaid, and representing clients in audit exit conferences, administrative hearings and appeals. Additionally, she was responsible for audits, reviews, compilations, projections, and tax services for health care as well as non-health care clients, and has supervised cost report preparation and rate analysis for both Medicare and Medicaid programs in a variety of states.
Ms. Reingruber is currently the managing shareholder of Reingruber & Company, P.A., a certified public accounting firm based in St. Petersburg, Florida, and President of Reingruber & Associates, Inc., a health care consulting firm with an office in Nashville, Tennessee. The firm's clientele span more than twenty-five states and are largely concentrated in the health care industry. She has presented seminars on a wide variety of topics relating to the long term care industry, to clients as well as to various industry organizations, including seminars sponsored by the Florida Health Care Association and the Tennessee Health Care Association. She and her staff are actively involved in all phases of health care cost reporting, reimbursement and consulting, as well as Certificate of Need applications and appeals, acquisitions analysis and other special projects
William Davis, CPA
Manager
Professional Experience
o Over nineteen years experience preparing and reviewing Medicare and Medicaid Cost Reports for nursing facilities, rehabilitation agencies, CORFs, home health agencies and home offices.
o Design and preparation of various rate models under both Medicare and Medicaid to illustrate reimbursement concepts, calculate the financial benefits of alternative strategies, and prioritize objectives for the future.
o Extensive experience in analyzing and researching complex Medicaid and Medicare reimbursement issues to develop recommendations, defend against adjustments and obtain rate corrections.
o Preparation of health care training materials on a variety of subjects, and presentation of reimbursement seminars to staff accountants.
Client Experience
o Preparation of multi-year position papers and exhibits in connection with Medicare appeals to the Provider Reimbursement Review Board.
o Preparation and review of a variety of financial projections in connection with the Certificate of Need and licensure applications.
o Research, analysis and negotiation with state Medicaid programs to resolve audit adjustments and obtain prospective rate corrections.
o Review and analysis of Medicare and Medicaid Cost Reports for many provider types, in order to identify opportunities for enhanced reimbursement.
Affiliations and Education
o Member of the American and Florida Institutes of Certified Public Accountants.
o Graduate of Florida State University with a Bachelor of Science degree in accounting.
Al Grimes
Manager
Professional Experience
o Manager of the Nashville office of Reingruber & Associates, Inc. with responsibility for all accounting, reimbursement and consulting services. The company's clients include skilled nursing facilities, hospices, home health agencies, continuing care retirement communities, and long term care suppliers.
o Intensive reimbursement experience in dealing with Medicare Intermediaries and Medicaid agencies in many states, in connection with audits, exit conferences, intermediary appeals, and other reimbursement related issues.
o Responsible for services to health care clients including management advisory services and third-party reimbursement enhancement analysis.
o Previously the Director of Reimbursement of a regional health care company with both nursing facility and rehabilitation agency divisions. Other prior experience includes acquisition analysis, Director of Finance and Assistant Controller functions, with entry into the health-care field at the auditor level. Over 27 years association with health-care accounting.
Client Experience
o Responsibilities included provision of consulting services to potential clients in over 25 states, for skilled nursing facilities, home health and hospice agencies, comprehensive outpatient rehabilitation agencies, comprehensive outpatient rehabilitation facilities, histo-compatibility labs and home offices.
o Design and implementation of computerized financial budgeting and forecasting models using various software packages.
o Corporate compliance plan design and fieldwork, including resident trust fund examination and work governed under attorney-client privilege.
o Seminar design and presentation for both client training purposes and trade organization sessions.
o Responsible for the design and implementation of improved systems of billing, cost accounting and statistical recordkeeping and analytical procedures to achieve appropriate third-party reimbursement.
Affiliations and Education
Firm member or associate member of the following:
- Tennessee Health Care Association
- Past member, Kentucky Association of Health Care Facilities
- Past member, Mississippi Health Care Association
- Healthcare Financial Management Association
- American Health Lawyers Association
- American College of Health Care Administrators
- Associate Member, Association of Certified Fraud Examiners
- Past member, Tennessee Association for Homecare
- Past member, Middle Tennessee Health Care Executives Association
- Past member, Tennessee Hospice Organization
Graduate of the University of North Alabama with a
Bachelor of Sciences degree in Accounting
Other
Employees
France M. Wedin, CPA
Manager
Professional Experience
France M. Wedin is one of the managers of the St. Petersburg office of Reingruber & Company, P.A. She oversees and manages services provided to a variety of health care clients including skilled nursing facilities, home health agencies, hospices, and home office operations. Her professional experience includes over fifteen years experience in health care accounting and consulting. This includes reimbursement experience in dealing with Medicare intermediaries and Florida Medicaid in connection with audits, exit conferences, intermediary appeals and other reimbursement related issues. Her responsibilities also include oversight and training of all staff accountants, preparation of weekly and semi-annual work schedules, and research of client-related reimbursement issues.
Prior to joining Reingruber & Company, P.A., Mrs. Wedin was Asst. Vice President of Finance for a long-term health care company, whose operations primarily included skilled nursing facilities, as well as assisted living and independent living beds. Mrs. Wedin began her accounting career as an auditor with Ernst & Young and advanced to a senior level position dealing with a variety of industries before leaving to pursue a career solely in the health care industry.
Client Experience
· Preparation and review of Medicare and Medicaid cost reports for home health agencies, skilled nursing facilities, hospices, and home offices.
· Preparation and review of a variety of financial projections in connection with licensure applications and Medicaid rate setting in the state of Florida.
· Analysis of both Medicaid and Medicare cost report adjustments to determine potential reimbursement impact and any related negotiations required with state agencies and Medicare intermediaries to resolve determined issues.
· Analysis of cost report data to assist with operational and strategic planning, as well as identify areas for increased reimbursement.
· Assistance with corporate compliance and billing evaluations.
Affiliations and Education
· Graduated magna cum laude from the University of South Florida with a Bachelor of Arts degree with a major in accounting.
· Member of the American and Florida Institutes of Certified Public Accountants.
Felice Landry
Senior Billing Consultant
Career Highlights
o Director/manager of a multi-state Medicare billing company which provides consultation and Medicare and coinsurance billing services to community mental health centers, rehab agencies, comprehensive outpatient rehabilitation facilities, physicians and other licensed professionals.
o Former claims analyst for a Medicare intermediary with experience in all provider types including processing and reviewing claims, handling litigation cases, providing education to facilities through inservices and workshops, investigating Medicare secondary payor situations, and related claims processing functions.
o Financial and billing counselor for a dental and maxillofacial surgery practice.
o Billing manager overseeing a staff of 12 for a multi-state rehabilitation company, with responsibility for all Medicare billing activities for 17 provider numbers located in 3 states.
Professional Experience
o Over twenty-seven years experience in all types of medical and insurance claims, including Medicare, Medicaid, managed care, workers' compensation, auto liability and supplemental insurance.
o Established a variety of billing and collection systems, including manual and electronic billing processes, development of billing policies and procedures, staff training and quality improvement activities and monitoring status of reconsiderations and appeals.
o Experienced in the application, licensure and certification process necessary to obtain Medicare and Medicaid provider numbers.
o Familiar with HCPCS and ICD-9 coding requirements, Medicare billing procedures and regulations, and a variety of billing software systems.
o Experienced with MDS 2.0 computerization and electronic transmission requirements, and RUGS-III grouper software for Medicare PPS,
Christine Twombly, RNC
Senior Clinical Consultant
Career Highlights
o Licensed Registered Nurse Certified in Geriatrics with experience as a case manager, staff development coordinator, and resident care coordinator.
o Participated in Medicare PPS demonstration project in the state of Maine.
o Developed restorative nursing programs and continuous quality improvement programs.
Professional Experience
o Over ten years experience in long term care as a case manger, staff development coordinator, resident care coordinator and MDS Coordinator.
o Experienced with MDS 2.0/3.0 completion, computerization and electronic transmission requirements, and RUGS III/IV grouper software for Medicare PPS.
o Experienced with the implementation of the Quality Indicators into the continuous quality improvement program.
o Actively involved in MDS training, consultation, and evaluation, both on a client basis and with trade organizations such as THCA and FHCA.
Affiliations
o Registered Nurse (Florida, Maine, New Hampshire)
o Certified Geriatric Nurse (National)
o Train the Trainer Certification (New Hampshire)
o Member American Association of Nurse Assessment Coordinators