RICHARD BAYS JD, MBA, RN, CPHQ
P.O. Box 5892
Kingwood TX 77325
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
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)
Congress in Chicago - Speaker for National meeting on
Negotiating Managed Care Contracts/ Contract Clause Legal
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
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