Mr. Robert Rozzano has twenty-five years of experience in accounting, auditing, contract compliance review, application system development, contract transition management, healthcare claims processing, fraud & abuse detection, and customer service center operations. Mr. Rozzano healthcare experience includes the administration of one of the largest Medicare contractors in the nation, encompassing Medicare Part A and Part B and Durable Medical Equipment (DME) contracts. Mr. Rozzano's Medicare systems knowledge encompasses all three Medicare standard systems: Fiscal Intermediary Standard System (FISS), VIPS Medicare System (VMS) and the Multi Carrier System (MCS) and expertise in CMS’s Healthcare Integrated General Ledger Accounting System (HIGLAS). Mr. Rozzano’s internal control review and contract compliance experience encompassed Medicare Hospital (Part A) and Medicare Medical (Part B), Medicare Advantage (Part C) and Prescription Drug Program (Part D) and Medicaid/CHIP
Mr. Rozzano has been instrumental in conducting numerous major business process re-engineering efforts that have resulted in reduced operating costs and increased production efficiencies. He has expertise in health care operations, having successfully managed both staff and projects in the areas of Budget, Cost, Purchasing, Contract Administration, Benefit Accounting, General Accounting, Mail Operations, Warehousing, Printing and Duplicating Services, Financial Applications Support, and Facilities Support. Customer Service, Systems Development and Claims Processing.
Mr. Rozzano has a Masters of Business Administration (MBA) and Bachelor of Science degree in Accounting from Syracuse University and an Associate of Applied Science in Accounting degree from the State University of New York.
Mr. Rozzano's range of expertise in the healthcare environment includes:
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Contract Compliance Reviews
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HIPAA Compliance Reviews
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Internal Control Evaluation
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OMB Circular A-123 Reviews
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SAS-70 Reviews
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Claims Coding Review and Auditing
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Contract Performance Reviews
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Change Readiness Assessment Review
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Project Status verification and validation Review
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Risk Assessment Reviews
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Compliance with the guidelines of the United States Sentencing Commission and the Office of Inspector General Compliance Guidance.
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Claims Processing
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Medicare Secondary Payor
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Medicare Accounting , Budgeting and Financial Reporting
Mr. Rozzano has been active for ten years in the consulting environment that includes numerous consulting engagements. These include:
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Participated in Office of Management and Budget (OMB) Circular A-123 self assessment review of Centers for Medicare & Medicaid Services (CMS) ’ (Central and Regional Offices, Data Centers, and Medicare contractors) Internal Controls over Financial Reporting (ICOFR) Services. This internal review encompassed Medicare Hospital (Part A) and Medicare Medical (Part B), Medicare Advantage (Part C) and Prescription Drug Program (Part D) and Medicaid/SCHIP
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Assisted in the development of a system to replace all the existing systems that perform CMS accounting functions with one integrated accounting system, “Healthcare Integrated General Ledger Accounting System (HIGLAS)”
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Assist CMS in the implementation of CMS's Medicare FFS Contractor Reform Operations Business Strategy in order to manage the Medicare program more effectively and efficiently.
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Perform a compliance program review to assist a Medicare contractor in determining whether its compliance program meets the guidelines set by the United States Sentencing Commission and Office of Inspector General Compliance Guidance.
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Managed the transfer and audit of all open accounts receivable from an exiting contractor to the acquiring contractor as part of the contract transition.
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Managed the transition of all Medicare operational activities from an exiting contractor to the acquiring contractor as part of the contract transition.
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Assist CMS to identify a strategy to improve CMS's financial management systems as part of CMS's continuing effort of implementing the 1990 Chief Financial Officer's (CFO) Act and to achieve and maintain a clear audit opinion on CMS's annual Financial Statements.
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A project to enhance CMS's understanding of the complex issues related to the implementation of Program Safeguard Contractors, prepare PSC task orders for award to Program Safeguard Contractors and assist CMS in implementation of PSC.
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Development of a centralized accounting /reporting system that allowed a Medicare contractor too systematic develop and generate the various Quarterly Medicare Financial Statements (CMS 750/751 reports etc.).
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