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Consultant Bios
Consultants



Rochelle Pleskow, MHSA

Rochelle Pleskow, MHSA
Managed Care, Integrated Healthcare Delivery Systems, Insurance Industry Expert

Rochelle is a healthcare industry consultant with over 20 years experience. She is the former Director of Business Architecture at Blue Shield of California and Executive Director of Palm Medical Group IPA, an affiliate of Tenet Healthcare. She was also a Medical Delivery Consultant with Blue Cross and Blue Shield of Georgia. She is fully versed in all aspects of the managed care claims management cycle and integrated health delivery system operations. 

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Jim Grigsby, CPAM, CDIA, CHCS

Jim Grigsby CPAM, CDIA, CHCS
Revenue Cycle, management consultant, author, and speaker with over 20 years of healthcare financial management experience.

Jim has guided hospitals and clinics through systems conversions, completed dozens of successful projects in all phases of the revenue cycle, and implemented a variety of technology improvements to optimize efficiency. He has extensive revenue cycle management and project management experience. He is president of Jim Grigsby Consulting, a healthcare revenue cycle and management consulting firm; serving a variety of clients on cash generation, process improvement, and management consulting projects. He has a degree in Economics and direct healthcare financial management experience as revenue cycle director for hospitals ranging from 77 beds to a multi-hospital central billing office (CBO) in a for-profit system.  His proudest accomplishment is 16 former employees who hold management positions in healthcare.

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Javier Esteras, MD

Javier Esteras, MD
International Healthcare Quality, Managed Care, Insurance Industry, Hospital Marketing, Healthcare Administration, Biotech



Dr. Esteras has more than fifteen years experience in the health industry.  He is a physician and former regional medical director with BUPA International in Spain (Sanitas S.A.). He was also a regional manager and Primary Healthcare Medical Director at the Institut  Catala de la Salut ICS.  His most recent position was as Corporate Marketing and Business Development Director for Grupo Hospitaliro Quiron.

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“As a managed care consultant she stays focused on the scope of the engagement, while offering insights into other areas. Her recommendations are clear, well thought out and consistent with the culture of the organization for which she is working. Her educational seminars on managed care contracting are full of information and tools that can be applied immediately after attending a session. She is excellent at working and communicating at the conceptual level for planning and at the detail level for application.” Edwin Casteel,  Regional Director, Managed Care at Hospital Management Associates [August 17, 2008]

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Maria Todd is Innovative….
•    She's not afraid to ask questions
•    She's not afraid to ask the tough questions
•    She's not afraid to ask questions that make people uncomfortable
•    She's not afraid of challenging others to ask tough questions
•    She's not afraid to ask why it has become acceptable to not ask questions
•    She's not afraid to indicate that she doesn’t know the answer to the tough questions, but she's prepared to find out if she can
•    She's not afraid to suggest that maybe there have now been too many questions, and now something simply must be done

Contact:
(International) +1.718.250.0154
(Toll Free USA)  1.800.209.7263
Email us

Headquarters:
999 18th Street, Suite 3000
Denver, CO 80204 USA

 

In the News...

Propofol OK for use in Gastroenterology
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Now available at Amazon.com!
THE 
MANAGED CARE CONTRACTING HANDBOOK 2nd ed., by Maria Todd

Maria has contracted with CRC Press, a Taylor and Francis Group, to author or edit five book manuscripts for release in 2009. 
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For HFMA AND HFMA Chapters...
With new technology Maria offers a total education solution for HFMA and MGMA local chapters that is cost effective, innovative and well-received by members.
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Maria Offers Low Cost Managed Care Contract Reviews
A flat fee charge includes contract review and analyis, commentary and private webinar-style debrief where she reviews the contract line-by-line, with you, your legal counsel, the revenue management leadership and the CFO, highlighting the problems and offering solutions.  Read more about it
...
 

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TRAINING AND SEMINARS


Training and professional development designed to your exact specifications, or, choose from our current catalog of developed topics. All are available on-site at your chosen location or online as a private webinar for your company or association. Interactive audience response technology is available for live and web-based programs.
To schedule training or request a speaker for keynotes, breakouts, webinars, hands-on training, panel moderator, panelist, or learning-intensive workshops,  call 800.209.7263 today.
Check out these Cost Saving Opportunities 
Save Money... Piggyback onto a date that Maria will already be in your area

Compliance
HIPAA for New Hires
HIPAA Privacy and Security Refresher
Compliance with Red Flag Rules

Managed Care
Revenue Management
Managed Care for New Hires
Managed Care Contract Analysis
Managed Care Contract Renegotiation
Overturning Denied Claims
Successful Claim Appeals
Front-end Revenue Improvement
Motor Vehicle Accident Claims
Troubleshooting Self-insured Payer Problems
Troubleshooting International Payer Denials
Developing Payer Report Cards
Medicare Advantage Contracting
Get Paid for Performance

Physician Practice Management
Social Networking for  Physician Groups
Concierge Medicine Practice Development
Medical Home Practice Development
Physician Integration
Physician Employment Contracting
Customer Service Training for Physician Groups
Billing and Collections Improvement

Bottom Line Improvement

Orthopaedics
Cardiology
Bariatrics
Plastic Surgery
Oncology
Gastroenterology
General Surgery

Integrated Health Delivery
IPA  Rejuvenation
IPA Contract Management
Network Credentialing and Privileging Procedures
Creating Quality Management and Metrics Programs
How to build an Accountable Care Organization (ACO)
Recalibrate Your MSO NOW!
Refocusing the Lens: Physician Integration  v2.0
What to Do with Your Dormant PHO


*Speaker Travel Expense and Fees Vary by Program Location/Duration