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John Bair's Resume


John is the Vice President - Revenue Enhancement of The Lancaster Group, LLC (12/2004 - present). Prior to his tenure at The Lancaster Group, LLC, John served as a manager in the KPMG LLP Senior Living Services Practice located in the Harrisburg office (4/1999 - 12/2004).

His extensive and in-depth knowledge is concentrated in performance improvement, third- party reimbursement, interim business office assistance, billing, collections, and business office operational assessment. John has a 19 year career in healthcare reimbursement and business office operations.

Relevant Experience John has extensive experience in the Medicare and various state Medicaid reimbursement systems (e.g. Pennsylvania, Louisiana, Maryland, Louisiana, Indiana, Ohio and Utah), including cost reporting and billing.

  • Supervision of the preparation and review of Medicare and Medicaid cost reports for skilled nursing facilities (SNFs), hospitals, inpatient rehabilitation facilities (IRFs), long term acute care hospitals (LTACHs), hospice, and home health agencies.
  • Assisted skilled nursing facilities post closing in all business office areas including; final billing and collections, accounts payable, final statements, financial statement audits, cost reports, and cost report audits.
  • Assistance in the appeal of Medicaid and Medicare cost report audit adjustments.
  • Operational assessments of nursing facility business offices and all related processes, including, billing, collections, policies, and procedures.
  • Conducted training sessions on business office procedures including, billing, collections, internal control, and monthly financial statement closing.
  • Interim Business Office assistance during periods of staff turnover. Identified and trained new business office staff in the proper business office procedures considering facility culture and skills sets of staff.
  • Served on a Task Force appointed by County Commissioners to determine the future of a County-owned nursing facility. Spearheaded the financial analysis and formed conclusions towards the elimination of mounting operating losses at the nursing facility.
  • Acquisition due diligence for the purchase of chain skilled nursing providers
  • Performance improvement assessments of nursing facilities, assisted living facilities and Continuing Care Retirement Communities (CCRCs).
  • Performed Medicare and Medicaid billing compliance for the submission of skilled nursing facility claims.
  • Assisted the State of Utah with the redesign of its Medicaid skilled nursing facility reimbursement system; including the implementation of a fair rental value system for capital reimbursement.

Professional Background
Prior to joining The Lancaster Group, LLC, John spent two years as a Medicaid auditor of cost reports with the Pennsylvania Department of Auditor General, two years as a Medicare auditor of cost reports with a Fiscal Intermediary, three years as Chief Financial Officer of a 361-bed nursing facility, two years as a Regional Controller of a nursing home chain, and five years with KPMG, LLP. His progressive experience fulfills a comprehensive background in third party reimbursement and business office operations for healthcare providers.

John holds a Bachelor of Science degree in Business Administration - Accounting & Finance from Elizabethtown College and is a member of the Healthcare Financial Management Association (HFMA). John volunteers for the United Way. John is a licensed nursing home administrator in the Commonwealth of Pennsylvania.

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