Jim serves as one of the partners-in-charge of the Cost Report and Disproportionate Share Hospital (DSH) Audit engagement team within the firm. During his 30-year career with Myers and Stauffer, Jim has worked in all capacities on multiple auditing, rate setting, and consulting engagements, including project director, project manager, and quality assurance.
Jim has conducted audits and desk reviews of hundreds of health care providers including nursing facilities, hospitals, federally qualified health centers (FQHCs), home health agencies (HHAs) and Local Education Agencies (LEAs). Many of these audits or desk reviews also included auditing the home office entity or management company operating the facilities. Jim has also provided consulting and expert testimony on behalf of a state Medicaid agency that prevailed when it was challenged in federal court over their definitions of allowable cost, and the cost finding principles utilized.
In addition to the audit services, Jim has assisted several states in developing new reimbursement systems and policies including implementing case mix reimbursement systems for nursing facilities, revising DSH allocation methodologies, developing new reimbursement systems for intermediate care facilities for individuals with intellectual disabilities (ICF/IID) providers, and implementing FQHC prospective payment rates. Many of these projects have also included revising or developing cost reporting tools, including developing and providing training to the provider community on the new policies and forms.
Managing several of the firm’s DSH audit contracts, including with the states of Georgia, Kansas Nebraska, New Mexico, and Texas, Jim has established the internal procedures and protocols for completing the DSH audits in accordance with the regulations established in the final rule published in the December 19, 2008, Federal Register. In addition, Jim has developed the learning material for comprehensive training seminars presented to hospital providers, as well as internal staff.
Jim has also been involved in the firm’s quality control committee which develops and implements quality control policies across the firm. This includes overseeing the firm’s involvement in the American Institute of Certified Public Accountant (AICPA) Peer Review program.
Jim is a Certified Public Accountant (CPA) and a member of AICPA, the Missouri and Kansas Society of Certified Public Accountants, and the Association of Government Accountants.