Watch our on-demand educational webinar to gain an understanding of the latest Medicare regulations and how providers can optimize reimbursement. 

Understanding the latest Medicare regulations for compliance and optimizing reimbursement

Medicare reimbursement updates and opportunities for providers

Listen to our Healthy Outcomes podcast episode for a discussion about proposed changes to Medicare reimbursement rates and methodologies for FY 2023. 

Healthy Outcomes: Medicare reimbursement updates for fiscal year 2023

Keith is a partner with Baker Tilly’s healthcare practice. Keith has more than 35 years of reimbursement and accounting experience in the healthcare industry. His prior experience includes a position as a Medicare senior auditor, auditing cost reports and reimbursements to hospitals and other healthcare providers. Keith is a frequent speaker on topics relating to hospital reimbursement and speaks with client groups on various reimbursement topics.

Keith is a partner with Baker Tilly’s healthcare practice and has more than 35 years of consulting and accounting experience.

Bachelor of Business Administration in accounting
Marshall University

Performs consulting, audit and advisory services to clients in the healthcare industry

Provides strategic advice to healthcare clients, relating to mergers and acquisitions and the impact of new facilities and locations on overall system reimbursement

Assists clients with Medicare/Medicaid services, including reimbursement, DSH, bad debts, S-10 charity care logs and wage index

Performs cost reports, including appeals, exemption and exception requests

Assists clients with sole community and Medicare dependent designations

Provides provider-based physician billing services

Excellent understanding of current Medicare regulations

Critical access hospital reimbursement expert since inception as Rural primary care hospital (RPCH)

Expert in reclassification of urban to rural special hospital designation, including rural referral, sole community hospital status and improvement in wage index

Provides hospital reimbursement and consulting services

Speaks on cost reporting and reimbursement issues

American Institute of Certified Public Accountants (AICPA)

Healthcare Financial Management Association (HFMA)

West Virginia Society of Certified Public Accountants (WVSCPA)

Hospitals and health systems must continue to find ways to reduce expenses and improve revenue and recover positive cash flows. One area many organizations are turning to is their pharmacy departments with 340B Drug Program optimization and strategic management of drug spend and pricing structure. By conducting a review of their organization’s 340B participation, compliance, and pharmacy pricing and charge structures, many health system leaders are finding additional ways to reduces expenses and right-size their pharmaceutical charges, while taking better control of their reimbursement structure with contracted payers.  Join Baker Tilly for an informative webinar where our team of healthcare specialists will discuss how health systems can conduct a review of their organizational 340B participation, 340B compliance program, revenue cycle compliance for pharmacy charges, and strategic pricing optimization for their pharmacy charges to help improve their bottom line. Finally, our team will walk through actual use cases showing how one system was able to recertify for 340B participation reducing costs by nearly $12 million annually and another hospital that identified more than $11 million in annual gross charge improvement with significant anticipated increases in net revenue.    Who should attend?   C-Suite executives, presidents, VPs, and directors, as well as pharmacy leaders and revenue cycle professionals at hospitals and health systems   Presenters   Keith Hutcheson, Partner, Baker Tilly  Ed Ricks, MHA, CHCIO, Managing Director, Baker Tilly  Anne Jones, RPh, Senior Pharmacy Consultant, Baker Tilly  Sherri Faber, RPh, MHA, 340B ACE  Learning objectives   Gain insights on 340B participation and reclassification opportunities  Learn about 340B Compliance programs  Gain insights into how health systems can optimize their pharmacy charges through conducting a comprehensive pharmacy charge review, including their 340B Drug Pricing Program and Commercial Payers  Recognize actionable steps after areas of improvement have been identified  Explore real case studies highlighting significant reductions in expense and optimization of charges leading to significant increases in reimbursement by their contracted payers 

Healthcare & Life Sciences

Ed  Ricks

Keith J. Hutcheson

Hospitals & Health Systems

Distressed & Underperforming Hospital Solutions

Healthcare IT Solutions

EHR Implementation & Optimization

Healthcare Provider Financial Sustainability

Managed Care Advisory Services 

Medicare & Medicaid Reimbursement Services

Improving health system cash flows through 340B program optimization and strategic management of drug spend and pricing structure

Examining the implications of the IPPS proposed rule  The Centers for Medicare & Medicaid Services’ (CMS) recently published the Inpatient Prospective Payment System (IPPS) fiscal year 2025 proposed rule. Many hospitals and health systems are trying to identify how the proposed regulations and updates under the Medicare IPPS system will impact them and where to focus their energy from a reimbursement and compliance standpoint.   Join Baker Tilly for an informative discussion where our team of reimbursement specialists will discuss the proposed IPPS rule and what leaders need to know about its impact on cost reporting and various aspects of Medicare reimbursement. Our team will also discuss changes to DSH uncompensated care and the wage index as well as other implications that it will have on service line  Who should attend?  CFOs as well as finance, reimbursement and revenue cycle professionals at hospitals and health systems  Presenters  Keith Hutcheson, CPA, Partner  Brian Restivo, MBA, CHFP,  Director   Learning objectives  Interpret the key impacts that the CMS’ IPPS FFY 2025 proposed rule will have on Medicare reimbursement  Understand the implications the IPPS proposed rule will have on service lines and more. 

Keith J. Hutcheson

Location

Columbus, OH

Education

Expertise

Keith's latest insights

Medicare reimbursement updates and opportunities for providers

Healthy Outcomes: Medicare reimbursement updates for fiscal year 2023

Keith's upcoming events

Webinar

Improving health system cash flows through 340B program optimization and strategic management of drug spend and pricing structure

Webinar

Medicare reimbursement updates for fiscal year 2025