P.O. Box 5892
Kingwood TX 77325
832-316-2701 Cell
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R Bays Brochure


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R Bays Brochure

  1. 1. RICHARD BAYS JD, MBA, RN, CPHQ P.O. Box 5892 Kingwood TX 77325 832-316-2701 Cell HEALTHCARE CONSULTANT SERVICES  Obtain State facility licensure for Hospital /ASC / Freestanding ER clients including McR, McD, CLIA, DEA, DPS and State Pharmacy Board Licensure.  Conduct full mock CMS/State Department surveys and formulate plans of corrective action when required.  Prepare facility for accreditation (AAAHC/JCAHO) by implementing survey preparedness systems.  Implement programs for RM, IC, QA, PI, EOC & OSHA Safety for facilities and within multisite systems.  Review operations process for fiscal improvement opportunities with supply chain management, GPO, revenue cycle and most favored vendor tiered rates.  Expert Witness / Medical Legal consulting and facility Risk Management evaluation / training  Implement changes based on analysis of new State level bills and national standard updates including data collection and Federal QM reporting.  Provide training and support for management / administration in regulatory compliance issues.  Consultation & Analysis of Federal / State legislative changes and CMS compliance for healthcare systems. RECENT PRESENTATIONS / POLICY ACTIVITES 2012 - Texas Ambulatory Surgery Center Society (TASCS) – Speaker for annual conference on ASC Medicare Surveys and the New Requirements for Quality Reporting Measures 2012 – “ASCs Choosing Non-Accreditation: A Brave New World” Aug 2012, Becker’s Healthcare Review 2011-2012 – “Accreditation Update” June 2011, Sept 2012, AHC Media’s Same-Day Surgery 2011 – Health Care Fraud and Abuse –Presentation for the Greater Houston Physicians Medical Association 2010 – “Avoiding Liability in Outsourced Healthcare Contracts” May 2010, AHC Media’s Same-Day Surgery 2010 - Texas Ambulatory Surgery Center Society – Quality Workgroup representative for standardizing ASC quality indicators. 2010 – FTC Red Flag Rules for Healthcare – Training presentation for Physicians and Regional Business Office leaders. 2010 - Texas Ambulatory Surgery Center Society (TASCS) – Speaker for annual state legislative conference on new Federal / State IC standards and regulatory compliance. 2009 - Texas Ambulatory Surgery Center Society (TASCS) – Speaker for 4th Annual Conference on regional / state level Benchmarking, New AAAHC IC standards and state mandated patient safety program changes. 2009 - Association of Peri-Operative Registered Nurses (AORN) 56th Congress in Chicago - Speaker for National meeting on Negotiating Managed Care Contracts/ Contract Clause Legal Analysis 2009 – 81st Texas Legislative Session – Educated State Representatives / Senators on ASC economic impact / services. 2008 – Texas Department of State Health Services (DSHS) – Drafted proposed Rule changes for state ASC Licensing through TASCS committee leadership. 2008 - Texas Ambulatory Surgery Center Society – Sat on State Committees for Mandatory Healthcare Data Collection (2009 Texas Senate Session) and Workers’ Compensation (Senate Bill 1985) working with the Texas Department of Insurance-Division of Workers’ Compensation (TDI-DWC) in developing fee guidelines for ASC’s. ABOUT RICHARD BAYS Richard Bays, JD, MBA, RN, CPHQ, has served in numerous capacities in the healthcare field ranging from hands on clinical services, administrative and regional operations. His experience includes ambulatory surgery center bill & policy consultation, medical- legal consulting for healthcare attorney groups and oversight of accreditation, licensure and regulatory compliance programs. In the state of Texas, Mr. Bays has implemented quality assurance tracking programs for the City of Austin, developed and taught educational programs for the Texas State Department of Health Services, and served as an advisory committee member on several healthcare House and Senate bills. Mr. Bays also has experience in performance improvement and quality program reporting for federal reimbursement and with financial analysis for health insurance plan negotiations. He holds multiple degrees including Nursing, Criminal Justice, Pre-Med, MBA in International Business and Doctor of Jurisprudence.