Day Egusquiza
Day Egusquiza brings over 28 years experience in health care reimbursement, hospital business office operations, contracting and compliance implementation. Additionally, her experience includes eight years as a Director of a Physician Medical Management billing service and most recently completed an integrated business office between a hospital and a large physician clinic. She has been an entrepreneur in hospital and physician practice accounts receivable management and a leader in redesigning numerous organizations. Her work includes providing guidance as a compliance & APC educator while providing operational insight on the revenue cycle impacts of HIPAA. Additionally, she has been instrumental in researching and preparing national education on the impact of the Prescription Drug Benefit to hospitals and nursing homes.
Ms. Egusquiza is a nationally recognized speaker on continuous quality improvement (CQI), benchmarking, redesigning, reimbursement systems and implementing an operational focus of compliance- both in hospitals and practices. She has been on the AAHAM National Advisory Council, HFMA National Advisory Council, HFMA faculty, CCH Reimbursement Advisory board and is a past President of the Idaho HFMA Chapter & recently received the Lifetime Achievement Award. She has been highlighted in JCAHO's Six Hospitals in Search of Excellence, Zimmerman's Receivable Report, HFMA's HFM and Patient Account, AHIA Prospective, and numerous healthcare newsletters along with a contributing author to 2006 Health Law and Compliance Update. She received the Idaho Hospital Association “Distinguished Service Award” for her legislative work and training on new indigent law. Attendees at HFMA's ANI rated her in the top 25%, earning her the 'Distinguished' Speaker recognition for each year she has presented.
Mike Frith, MBA
Mike Frith has over 26 years experience as Director of Business Services and has done consulting with hospitals covering all aspects of revenue cycle management, development of systems and process for more efficient and effective operations, chargemaster and charge capture reviews, organizational structuring and performance improvement.
Virginia Gleason, JD/MPA, CHC, CPHRM
Virginia Gleason brings a medical and administrative background to her consulting practice. Ms. Gleason provides health care regulatory compliance consulting to healthcare organizations including teaching and re-search hospitals, county healthcare organizations, Critical Access Hospitals, and physicians. Ms. Gleason also served as the Compliance Officer for a regional Medicare Part D contractor during the implementation of Medicare Part D. In this role, Ms. Gleason directed and implemented the compliance program for a seven-state regional Medicare Part D contractor. Ms. Gleason has dedicated her professional practice to healthcare regulatory compliance and her experience includes assisting clients with compliance plan implementation, compliance audits, medical staff issues, JCAHO compliance, Health Insurance Portability and Accountability Act (HIPAA) compliance, Emergency Medical Treatment and Active Labor Act (EMTALA) compliance, Medicare and Medicaid billing compliance, physician contracting, managed care contracting, risk management and organizing complex corporate structures to meet the current regulatory environment.
Karen L. Kvarfordt, RHIA
Karen Kvarfordt, President of DiagnosisPlus, Inc. has over 19 years experience in the Health Information Management (HIM) field and during that time has functioned in numerous roles related to the efficient operation of HIM/medical record departments in both acute and long-term care settings. Such roles included Coding Supervisor, DRG Coordinator and HIM Department Director for both acute and LTC. Within this time-frame, she also served as Manager in a physician practice management setting. Ms. Kvarfordt has recently joined forces with Day Egusquiza, President of AR Systems, Inc. in providing consultative coding and auditing services relating to such areas as Inpatient, Ambulatory Surgery, Observation, ER, Hospital Based Clinics, and Physician Practice (E/M) auditing and education.
