Managed Care Revenue Consulting Group, LLC
 
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Leadership Team
 
 
 
       

Michael Sylvester

Michael Sylvester has an extensive background in hospital finance, administration, and managed care. With twenty plus years in healthcare, Mr. Sylvester has worked at the Greater New York Hospital Association (in its affiliated Hospital Credit Exchange), New York Presbyterian Hospital, a major teaching hospital system in New York City, and for 18 years at Continuum Health Partners (at the time the parent company of Beth Israel Medical Center, St. Luke's - Roosevelt Hospital Center, Long Island College Hospital, and New York Eye and Ear Infirmary). Mr. Sylvester's career has been very diverse with responsibilities that have included managing the day-to-day operations of patient access, surgical scheduling, emergency room services, insurance verification, collections, cashier services, and most recently managed care where he was the Assistant Vice President of Managed Care Finance and Operations. In this position, Mr. Sylvester was responsible for all contract negotiations, rate analysis and reporting, budget analysis, and contact compliance. Mr. Sylvester led a zero balance revenue recovery program that was developed by him, Ruth Levin, and Patrick Nolan. This program involves the review and analysis of all claims to ensure full reimbursement and contract compliance after the claims have been closed by a hospital or other healthcare provider. In April 2011, Mr. Sylvester became a Managing Partner at Managed Care Revenue Consulting Group, LLC, and currently assists hospitals and other providers around the country with revenue recovery, contract compliance, contracting strategies, and negotiations.

Ruth Levin

Having worked in health care for over 30 years, Ruth Levin has a diverse background which includes hospital administration, long term care, provider network development and health insurance. She earned her Master’s degree in health care administration from New York University, and moved into the managed care industry as a director of the start-up operation of Maxicare New York, one of the country’s largest HMOs at that time. Over the next 22 years, Ms. Levin held managerial positions at a large NYC hospital system, Continuum Health Partners, managing clinical and administrative departments, physician relations, and payor negotiations. During her last 7 years at CHP, the parent company to Beth Israel Medical Center, St. Luke’s Roosevelt Hospital Center, Long Island College Hospital and New York Eye and Ear Infirmary, Ms. Levin held the title of Corporate Sr. Vice President of Managed Care. Ms. Levin directed all hospital and employed physician managed care contract negotiations, implementation and compliance, as well as other related activities such as a CMS sanctioned Gainsharing - Pay for Performance project with over 500 physicians. In April 2011, Ms. Levin became a Managing Partner at Managed Care Revenue Consulting Group, LLC, and assists hospitals around the country implement gainsharing and other hospital- physician collaboration programs, and generates additional revenue for hospitals through underpayment recovery programs and managed care contracting strategies.

Patrick Nolan

Patrick began his health care career in 1996 in HIP of NY's Medicare Marketing Department where he was involved with Medicare risk arrangements and network development. In 1999 he went to Aetna, handling physician, ancillary facilities and hospital contracting in a wide array of methodologies and structures including capitation, risk, pay for performance and fee for service agreements. Patrick worked with system implementation and analysis, engaging internal claims management and providers on improving contract compliance, identifying system functions and rate schedule terminology that caused claim problems and rework. In 2004 Patrick joined Continuum Health Partners' Managed Care Department working with managed care plans and third party payors on contracting and compliance for Continuum's 5 hospitals and 1500 employed physicians. In 2006, Patrick, along with Michael Sylvester and Ruth Levin, developed a program to optimize Continuum's hospital revenue by thoroughly analyzing all zero balanced claims to guarantee all managed care payments matched contractual expectations.

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