Gaeta Company, Inc. provides strategic, operational, revenue cycle and financial
consulting services to hospitals, ambulatory care centers and nursing homes. As
the owner of the Gaeta Company, I have worked in the fields of executive hospital
management, physician practice, operations, finance and reimbursement, medical
malpractice, and coding and billing. Gaeta Company Inc. manages organizational
restructuring, crisis management, develops regulatory assistance programs,
implements cash management strategies, designs and implements risk management and
restructured medical malpractice programs.

As an independent contractor in revenue recovery and financial turnaround
assignments, I am employed by hospitals to identify range of possible savings to
be identified through analysis of program expenditures and revenue, staff
interviews and comparison with hospitals of similar size, services and patient
mix. I have identified specific approaches to maximizing revenue and reducing
costs that includes unit design and configuration, minimum staffing requirements
and other operational issues. The process includes clinicians, finance and
administration working together to flush out duplication, look for consolidations
and efficiencies where possible and set the bar for quality improvements. Monthly
monitoring of Departmental P/Ls and specialized board financial briefing
documents are a significant product of my efforts. 

Revenue recovery requires strategic intervention rather than simply rebilling
bad claims data repeatedly until it is    bad debt   , most especially in
financially compromised hospitals. This includes: correct patient and insurance
information to amend patient demographic database; manage medical records
requests and untimely issues. We find that frequently among commercial carriers,
medical records requests have not been followed up on; denial management and
aggressive payment follow-up is lacking; financial data is not well articulated
in billing parlance; billing to the patients  ' primary insurer and
reclassification to self-pay status, as well as appealing denials are haphazard;
contractual adjustments are classified inappropriately as bad debt. I have been
actively engaged in the redesign and rebilling of claims. I lead the revenue
recovery team and maintain a staff of 15 billers and coders.

The Gaeta Company provides a thorough review of the patient account department 
's adjudication practices necessary to determine collection rates among its
various financial classes and that proper and systematic follow-up protocols are
in place. Systemic problems should be fixed rather than the typical case-by-case
approach. Hospitals are writing off a large number of accounts without any true
understanding of the nature of their problems. Using techniques such as an
accounts receivable roll forward analysis can define the nature of the
write-offs. This type of analysis shows how much being is written off to
collections and highlights weaknesses in bill processing. 

I have pioneered these techniques in hospitals throughout the New York City area
as a consultant for the fifteen years in a variety of hositals both large and
small.

It would be my pleasure to discuss with you your job opportunity and how I might
fit within your organization.