Anthony Marshall
McDonough
Summary
Senior Reimbursement Consultant with expertise in long-term care reimbursement strategy and regulatory compliance. Proven track record in optimizing revenue cycles and delivering effective presentations. Proficient in rate analysis and financial forecasting, with strong experience in Association Management and relationship building within the healthcare sector.
Overview
42
42
years of professional experience
Work History
Senior Reimbursment Consultant
Hansen Hunter LLC
McDonough
06.2024 - Current
- Advises clients in the long-term care healthcare sector on navigating reimbursement regulations and optimizing revenue cycles.
- Serves clients across multiple states, ensuring compliance, and maximizing profitability.
- Verifies calculations of quarterly Georgia Medicaid rates for accurate client billing.
- Provides comprehensive rate analysis and projections to inform strategic decision-making.
- Leads the team to support Medicare licensure, including filing Change of Ownership applications and SNF Off-Cycle Revalidation Applications.
President and CEO
Georgia Health Care Association
Stockbridge
09.2015 - 11.2022
- Directed effective operations of Association and subsidiaries, reporting to Chair and Board of Directors.
- Recommended and contributed to formulation of mission, goals, objectives, and policies.
- Planned and coordinated staff, programs, and activities to meet objectives and fulfill member needs.
- Established legislative priorities and developed positions to advocate for long-term care residents.
- Educated members on adopted positions and mobilized stakeholders to influence legislative actions.
- Encouraged membership engagement in governmental affairs, securing support for GHCA priorities.
- Represented Association in interactions with legislators, regulators, press, and public.
- Developed and presented testimony for legislative committees and Rule Hearings on behalf of GHCA.
- Served as liaison to and on the Board of Directors of the American Health Care Association to ensure coordination of state and national issues
Senior Director of Reimbursement/COO
Florida Health Care Association
Tallahassee
06.1999 - 08.2015
- Acted as the primary liaison for FHCA with the Florida Legislature, state, and federal agencies on reimbursement issues.
- Developed models and policies on Medicaid reimbursement modifications for FHCA membership.
- Managed financial services for FHCA, Service Corp, Education & Development Foundation, and Health Care PAC.
- Held position of Treasurer for FHCA Service Corp and Florida Health Care PAC.
- Delivered professional presentations at local, state, and national conferences and seminars.
- Provided testimony before state legislature and regulatory agencies to influence policy outcomes.
- Oversaw member services, systems administration, event planning, human resources, and office operations.
- Advised on impacts of health care finance policies to enhance facility operations.
Vice President of Reimbursement
ServiceMaster Diversified Health Services
Memphis
08.1993 - 06.1999
- Had overall management responsibility for the Reimbursement Department, which included four vice presidents and four analysts serving more than 100 skilled nursing facilities in more than 30 states.
- Direct management responsibility for all aspects of reimbursement for nursing facilities in the states of Florida, Mississippi, North Carolina, South Carolina, Utah, and Washington.
- Responsible for regulatory oversight to ensure reimbursement maximization.
- Specific job duties included the preparation or review of cost reports, the review of rate computations, and the coordination of audits and appeals.
- Extensive experience with operating budget preparation, Certificate of Need financial forecasting, and acquisition analysis.
Senior Reimbursement Consultant
Coopers & Lybrand
Raleigh
07.1991 - 08.1993
- Consultant to various health care providers, assisting the client in optimizing program participation, and developing effective reimbursement strategies and cost controls.
- Served many clients, ranging in size from national multi-facility organizations to individually owned nursing facilities, specializing in Medicare and Medicaid reimbursement.
- Specific jobs included the preparation or review of Medicare and Medicaid cost reports for hospitals, nursing facilities, rehabilitation agencies, and rural health clinics, assistance with third-party audits, rate analysis and rate appeals, contractual allowance evaluations, and reimbursement advisory services.
Manager of Reimbursement and Budget
The Memorial Hospital of Danville
Danville
06.1986 - 07.1991
- Managed all aspects of third-party reimbursement to ensure compliance with federal and state regulations, and optimal financial reimbursement for this 500-bed hospital system.
- Coordinated all activities related to the budgeting process.
- Specific job duties included the preparation of all third-party cost reports, as well as the coordination of audits and appeals, computation of contractual adjustments, and negotiation and review of contracts to ensure reimbursement maximization.
- Budget activities included the management of the overall budget process, forecasting/modeling of contractual adjustments and price increases, sensitivity analysis, preparation of budget reports to state regulatory agencies, and maintenance and analysis of budget variance reports.
Senior Accountant
Universal Management Systems
Milton
01.1986 - 06.1986
- Established and maintained both manual and PC-based accounting systems for various clients, including rehabilitation agencies and physicians' offices.
- Prepared monthly financial reports, payroll tax returns, and statistical reports for third-party cost reporting.
Staff Accountant
Manning, Perkinson, Floyd and Co.
Danville
01.1984 - 01.1986
- Performed all functions of a staff accountant, including the preparation of audited and unaudited financial statements, income tax returns, and various other government reports.
Education
B.S. - Accounting
Virginia Tech
Blacksburg, VA08-1983
Skills
- Reimbursement strategy
- Regulatory compliance
- Rate analysis
- Financial forecasting
- Cost reporting
- Public speaking
Governor Appointments
- Georgia Council on Aging
- Georgia Alzheimer's and Related Dementias (GARD) State Plan Advisory Council
- Georgia Older Adults Cabinet
- Governor's Complete Count Committee (Census)
Activities & Interests
- Board Member, American Health Care Association Affiliated State Health care Association Executives (ASHCAE)
- Member, American Health Care Association Audit Committee
- Member, American Health Care Association Reimbursement Committee
- Board Member, Georgia Chamber of Commerce
- Treasurer and Board Member, Georgians for Lawsuit Reform
- Board Member, Georgia Health Information Network
- Member, Georgia Society of Association Executives
- Member, Florida Society of Association Executives
- Member, Healthcare Financial Management Association
- Board of Directors, Tallahassee Quarterback Club
- Chapter President and State Board Member, National Kidney Foundation
- Hobbies include photography, music, reading, and Virginia Tech athletics
References
References available upon request.
Timeline
Senior Reimbursment Consultant
Hansen Hunter LLC
06.2024 - Current
President and CEO
Georgia Health Care Association
09.2015 - 11.2022
Senior Director of Reimbursement/COO
Florida Health Care Association
06.1999 - 08.2015
Vice President of Reimbursement
ServiceMaster Diversified Health Services
08.1993 - 06.1999
Senior Reimbursement Consultant
Coopers & Lybrand
07.1991 - 08.1993
Manager of Reimbursement and Budget
The Memorial Hospital of Danville
06.1986 - 07.1991
Senior Accountant
Universal Management Systems
01.1986 - 06.1986
Staff Accountant
Manning, Perkinson, Floyd and Co.
01.1984 - 01.1986
B.S. - Accounting
Virginia Tech
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