CODING & REIMBURSEMENT ASSESSMENT & RECOMMENDATIONS
1) Identify & Detail Relevant Coding Pathways for Reimbursement
2) Roadmap of Key Milestones, Deliverables, & Timelines.
3) Assessment of Strategic Market Access Implications & Recommendations

DYNAMIC VALUE-BASED PRICING MODEL Evidence-driven Pricing Justification
1) Customized Pricing Calculator
a. Competitive Market Analysis
b. Standard Care Cost vs. Relative Value

DYNAMIC HEALTH ECONOMIC BUDGET IMPACT MODEL Starting at $25,000 Payer Cost-effectiveness Value Proposition
1) Evidence-based Health Economic Impact Model
a. Comparative vs Standard Care
b. Adjustable Inputs & Dynamic Outputs Dashboard

EARLY ACCESS PAID PILOT PROGRAM
Value-based contracting (VBC) initiative with innovative payer(s), based on predetermined metrics & pay

- Leveraged the power of HL7® FHIR® to capture clinical & community data standards to develop evidence-based AI-driven Clinical Decisions Support CDS tools
- Gathered RW data to discover new care paths while testing project feasibility, reproducibility & functionality while driving equity with product implementation
- Developed 1st patient reportable EHR Clinical Quality Language interoperable across embedded in risk share payments & nationally endorsed Clinical Quality Measures

Bridged domains of clinical data, HIT standards & RWE solving national health interoperability dilemma staking claim in the future of the value chain
Architected FHIR-driven data infrastructures for rapid market access by digitizing value-based care with clinical quality metrics & drafting, negotiating risk-share contracts
Innovated data science & informatics in biotechnology to quantitate outcomes for HECON contracting & new digital product innovation in a fast-paced, demanding environment

Continuing Education

- Contracted high-profile corporations consulting value propositions with value-based care & health informatics for expansion to hospital systems, Veterans Affairs & commercial accountable managed care organizations
- Published HIPAA Security Risk Assessment Tools for Privacy Rule, Security Rule, Enforcement Rule satisfying compliance monitoring in private practices
- Defined UI/UX specifications for 1st in industry EHR Cost Composite Score calculator for TIN cost to system data analytics

- Built & directed a team of 15 national executives to guide clinicians in value-based care regulations & ease of use EHR clinical quality workflows improving launch efficiency, saving time & money while pushing limits with value innovation
- Secured consultancy contracts for >150 provider clinics annually in >18 specialties consulting MACRA, HITECH, ARRA & HIPAA regulations in HIT, MIPS, APMs, ACOs & ASCQR programs

Continuing Education

- Led engineer team in regulated ecosystem developing & managing omnichannel approaches for clinician UI/UX for add-on EHR Machine Learning ML modules
- Innovated MIPS EHR automated reporting winning Black Book Top Ambulatory EHR Solutions
- Scaled EHR system to secure largest contract in company history for 730 locations 2000 providers
- Certified multiple EHR products for ONC 2011 - 2015 Certification drafting technical specifications electronic clinical quality measures

Consulting private practices in Canada & US implementing EHR, clinical workflows & billing policies for Canada & US insurance claims

Insurance coordination, account management, appeals & reconciliation & RCM