Ambulance revenue leakage - A Study in Payment Integrity | Kisaco Research

This panel will examine how ambulance revenue leakage occurs across the claims’ lifecycle. Panelists will discuss practical strategies for using clinical, dispatch, billing, and claims data to strengthen payment integrity, improve reimbursement accuracy, reduce administrative burden, and ensure that ambulance services are paid appropriately.

In partnership with IntegraRev

Speaker(s): 
Moderator

Author:

Anthony Shimkin

CEO
IntegraRev

Anthony Shimkin, Chief Executive Officer: More than 25 years in medical technology, life sciences, and health information technology. Former Chief Executive Officer and President of AVACEN Medical, with senior roles at Cardinal Health, Quidel, and Qualcomm, and earlier as head of healthcare equity research at Wedbush. He holds a Master of Science in Executive Leadership from the University of San Diego, a Master of Business Administration from Boston University School of Management, a Master of Arts in Medical Sciences from Boston University School of Medicine, and a BA in Psychology from Boston University.

Anthony Shimkin

CEO
IntegraRev

Anthony Shimkin, Chief Executive Officer: More than 25 years in medical technology, life sciences, and health information technology. Former Chief Executive Officer and President of AVACEN Medical, with senior roles at Cardinal Health, Quidel, and Qualcomm, and earlier as head of healthcare equity research at Wedbush. He holds a Master of Science in Executive Leadership from the University of San Diego, a Master of Business Administration from Boston University School of Management, a Master of Arts in Medical Sciences from Boston University School of Medicine, and a BA in Psychology from Boston University.

Panelists

Author:

Mark Baird

Co-Founder
IntegraRev

Mark Baird is Co-Founder, Chairman of the Board, and Treasurer of IntegraRev Inc., a healthcare revenue cycle claims integrity consulting company. He is a healthcare revenue cycle, compliance, and healthcare operations executive with more than three decades of experience in healthcare services, claims integrity, regulatory compliance, payer audit defense, quality assurance, and strategic business operations. Mark has held senior leadership roles across diverse types of healthcare organizations. Mark functioned as a subject matter expert in healthcare revenue cycle and compliance for Siemens Healthineers. He holds both a Master of Science and Bachelor of Science in Management with a concentration in Health Care Management from Purdue Global University. Through IntegraRev, Mark applies deep industry expertise to help healthcare payers and organizations identify improper payments, strengthen compliance, and improve financial performance.

Mark Baird

Co-Founder
IntegraRev

Mark Baird is Co-Founder, Chairman of the Board, and Treasurer of IntegraRev Inc., a healthcare revenue cycle claims integrity consulting company. He is a healthcare revenue cycle, compliance, and healthcare operations executive with more than three decades of experience in healthcare services, claims integrity, regulatory compliance, payer audit defense, quality assurance, and strategic business operations. Mark has held senior leadership roles across diverse types of healthcare organizations. Mark functioned as a subject matter expert in healthcare revenue cycle and compliance for Siemens Healthineers. He holds both a Master of Science and Bachelor of Science in Management with a concentration in Health Care Management from Purdue Global University. Through IntegraRev, Mark applies deep industry expertise to help healthcare payers and organizations identify improper payments, strengthen compliance, and improve financial performance.

Author:

Kelly Shintaku

Director at Large & External Chief Compliance Officer
IntegraRev

Kelly Shintaku, CFE, is a Certified Fraud Examiner, former federal law enforcement officer, and corporate executive with more than 25 years of experience in healthcare fraud investigations, regulatory compliance, enterprise risk management, corporate governance, and complex financial crime matters. She currently serves as President and Chief Executive Officer of Kokel, Inc., providing investigative, compliance, security, and strategic advisory services to public and private sector organizations. Her prior public service includes leading healthcare fraud investigations with the U.S. Department of Health and Human Services, Office of Inspector General, serving as a Special Agent with the United States Secret Service, and advising on policy, regulatory, legislative, and administrative matters as Special Assistant to the Director of the California Department of Motor Vehicles. Ms. Shintaku earned her Juris Doctor from Southwestern Law School and her Bachelor of Arts from the University of Southern California.

Kelly Shintaku

Director at Large & External Chief Compliance Officer
IntegraRev

Kelly Shintaku, CFE, is a Certified Fraud Examiner, former federal law enforcement officer, and corporate executive with more than 25 years of experience in healthcare fraud investigations, regulatory compliance, enterprise risk management, corporate governance, and complex financial crime matters. She currently serves as President and Chief Executive Officer of Kokel, Inc., providing investigative, compliance, security, and strategic advisory services to public and private sector organizations. Her prior public service includes leading healthcare fraud investigations with the U.S. Department of Health and Human Services, Office of Inspector General, serving as a Special Agent with the United States Secret Service, and advising on policy, regulatory, legislative, and administrative matters as Special Assistant to the Director of the California Department of Motor Vehicles. Ms. Shintaku earned her Juris Doctor from Southwestern Law School and her Bachelor of Arts from the University of Southern California.

Author:

Jonique Dietzen

Director of Payment Integrity
Providence Healthcare

With over 18 years of experience in healthcare billing and finance, I am a certified professional coder dedicated to ensuring accurate claims and proper reimbursement for providers. Having worked extensively on the provider side in finance and revenue cycle, I bring wealth of knowledge to the table, particularly in processing and payment integrity.
Throughout my career, I have gained a comprehensive understanding of billing challenges from both perspectives. This unique insight drives my commitment to improving billing practices and advocating for provider education. I continue to leverage my expertise to enhance billing processes and support providers in navigating the complexities of healthcare finance.

Jonique Dietzen

Director of Payment Integrity
Providence Healthcare

With over 18 years of experience in healthcare billing and finance, I am a certified professional coder dedicated to ensuring accurate claims and proper reimbursement for providers. Having worked extensively on the provider side in finance and revenue cycle, I bring wealth of knowledge to the table, particularly in processing and payment integrity.
Throughout my career, I have gained a comprehensive understanding of billing challenges from both perspectives. This unique insight drives my commitment to improving billing practices and advocating for provider education. I continue to leverage my expertise to enhance billing processes and support providers in navigating the complexities of healthcare finance.

Time: 
11:45am
Agenda Track No.: 
Track 2
Session Type: 
General Session (Presentation)
Force Inline Description: 
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