Tim has nearly two decades of experience performing rate setting, reimbursement system design, and consulting services for state Medicaid agencies. He has served in a leadership position on the consulting engagement team since its inception in 2012. His experience includes numerous health care provider categories, including inpatient and outpatient hospital, physician, dental, transportation, and other ambulatory services.
Tim is a recognized expert in Medicaid financing and compliance issues, including upper payment limit (UPL) demonstrations, health care provider taxes, intergovernmental transfers (IGTs), and certified public expenditures (CPEs). He has extensive experience in Medicaid rate setting across a wide spectrum of health care services, including hospital, physician, federally qualified health center (FQHC), rural health clinic (RHC), durable medical equipment and medical supplies, dental, and behavioral health services. Tim has extensive experience in the development of cost reports and other data collection instruments, provider and stakeholder training, deployment of data collection tools, and data-driven rate setting and analysis. His experience also includes reimbursement and policy research, and preparation of analytical studies and reports including fiscal impact modeling and reimbursement rate analysis. He provides consulting services related to Medicaid state plan amendments (SPAs), Medicare and Medicaid legislation and policy issues, and Medicaid financing and compliance issues.
Tim is a Certified Public Accountant (CPA) and a member of the Indiana CPA Society, the American Institute of Certified Public Accountants, and the Healthcare Financial Management Association.