Premier Governance, LLC, Boca Raton, FL USA Aug 2013 – Present
Senior Project Manager and Senior Business Analyst
Mr. Preble is engaged in the on-going conversion of the International Classification of Diseases Version 9 (ICD9) to ICD version 10 for medical clinics located in Southeast Florida. These projects involve a significant organizational change management component given that most clinics rely on predominately manual office procedures and the projects often include the installation and implementation of Electronic Health Record (EHR) systems. The Project Management strategy for the ICD10 implementations is to cultivate a climate for organizational change that builds upon the existing manual procedures that are in-place, currently in use and well understood with comparable procedures that introduce the new ICD10 coding in a non-threating, intuitive manner. Introduced the use of Clarity and CCPM to manage the several Premier Governance ICD9 to ICD10 conversion projects in order to comply with PPACA legislation. Develops work-flow business process diagrams to verify and validate operating procedures, identify, verify and validate business rules, discover opportunities to introduce automation in order to reduce cycle times, error rates, duplication of effort and other inefficiencies. Mr. Preble has developed and implemented several safeguards to protect the revenue stream for each clinic during the transition to the ICD10 codes.
Accomplishments: Mr. Preble has detected the likelihood that clinics that have migrated to the ICD10 codes may be subject to a loss in revenue as claims that transit through the clearance and payment cycle may become lost or diverted to a holding area from which they may never emerge. As part of the Premier Governance ICD10 implementation, safeguards based on historical revenue data are put into place to ensure that all claims can be accounted for. Hundreds of thousands of dollars are at risk if these safeguards are not put in place and monitored weekly.