Instructor Biography

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James L. Sink

Jim is a key leader in McGladrey’s Health Care Industry Practice and leads our National Health Care Advisory Services Practice. His professional career has focused exclusively in health care for nearly 22 years, specializing in performance improvement, revenue integrity, reimbursement strategy and regulatory compliance. Jim has invested the last 14 years of his professional career building McGladrey’s health care advisory capabilities, now exceeding more than 50 dedicated health care professionals. Before McGladrey, he gained valuable experience working for the Medicare program as a Medicare auditor, for a national not-for-profit health care system as a financial/decision support analyst and for a Big Four firm as a health care consulting manager. Jim holds a CPA certificate, has earned his MBA in Business Administration and holds undergraduate degrees in both accounting and finance. Notable Experience •Revenue Performance Improvement – Enterprise or focused assessments addressing patient access, charge capture, contract management, pricing strategy, health information management, patient accounting, denial management, reimbursement and cost reporting, people, process and technology improvement opportunities •ICD10 Risk Assessment – Enterprise risk assessment of ICD-10 governance, managed care, translation, revenue cycle, denial management, health information management, clinical documentation improvement, physician/coder education and overall ICD10 readiness with respect to industry benchmarks •Supply and Pharmacy Performance Assessment – Addressing process, internal control, charge capture (including HCPCS/NDC coding, pricing and payment) and inventory/cost management strategy •Regulatory Reporting, Reimbursement Strategy and Regulatory Recovery, Optimization and Appeal Services – Medicare, Medicaid and Blue Cross cost reporting and cost-allocation analysis; provider-based strategy addressing attestation, financial projection and revenue cycle implementation and related people, process and technology issues; regulatory recovery and appeals services addressing Medicare DSH/340B, bad debt, medical education and wage index and occupational mix reimbursement opportunities •Transaction Due Diligence – Evaluation of acquisition risk addressing quality of earnings, including Medicare change of ownership, regulatory compliance, provider enrollment, reimbursement and retroactive liability implications •Financial Projection – Development of complex financial models enabling sensitivity analysis of key strategic variables impacting future financial performance; models developed addressing change of ownership, organization and cost structure, debt funding and provider-based strategy, changes in payer mix and/or reimbursement methodologies and start-ups •HC Business Analytics – Industry advisor in the development and implementation of strategic revenue, productivity, cost and population health management business analytics enabling information based decision making and sustainable performance improvement •HC Industry Advisor supporting assurance and other financial advisory, risk advisory and technology services •HFMA Web/Ex Series – Originator, thought leader and frequent contributor to the McGladrey/HFMA web/ex and CPE partnership Professional Affiliations •Frequent participant in the health care industry programs of the firm •Healthcare Financial Management Association (HFMA) Education and Certification •Master of Business Administration, St. Ambrose University •Undergraduate degrees in both accounting and finance •CPA certification