CONSULTING Consultant Bios

Lisa Werner is the Director of Consulting Services for Fleming-Advanced Outcomes Design.

Lisa has managed and consulted with healthcare providers of various sizes and types across the continuum of care including acute med/surg, inpatient rehabilitation, LTACH, skilled nursing, and outpatient rehabilitation. After working for eight years as a speech-language pathologist, Lisa received her MBA from the University of North Carolina at Chapel Hill. As the Director of Program Services for RehabCare, Lisa managed field consultants and planned the strategic integration of rehabilitation settings management to streamline staff resources. Most recently she served as a regional Director of Operations for multiple rehabilitation programs spanning the continuum of rehabilitation care.

She has presented at numerous national and state conferences on topics related to 60% rule changes and compliance, coding accuracy, documentation strategies, denials management, group utilization and productivity strategies, effective management of outpatient clinics, and swallowing evaluation and treatment. She is an active member of the American Speech-Language and Hearing Association, American Medical Rehabilitation Providers Association (AMRPA), and the Outpatient Task Force of AMRPA.

Since 2006, Lisa has assisted our clients with clinical and financial performance improvement, managing 60% rule compliance, market analysis and strategic business planning, compliance review, RUGs analysis, and case management for obtaining maximum profitability.

Sam Fleming is the President of Fleming-Advanced Outcomes Design.

Sam has worked with inpatient rehabilitation and long term acute care hospitals since 1990, providing consulting services to individual hospitals, large multi-hospital enterprises, and national trade associations. His work with providers includes reimbursement policy and hospital performance optimization.

Sam is the Director of eRehabData, a national outcomes system which revolutionized the use of Internet technology to provide real time analysis and guidance for policy creation and hospital operation. Sam also oversaw the design and development of LTRAX, the nation's largest database of LTACH clinical and outcomes data, which is used for regulatory compliance and operational decision support. Both of these systems continue to be improved and operated by Fleming-AOD.

In the public policy arena, Sam advises the American Medical Rehabilitation Providers Association on matters of national reimbursement and compliance policy and, on their behalf, meets with CMS, CBO, OMB, MedPAC, HHS, House Committee on Ways and Means, and other policy makers. He regularly presents information to other associations active in matters of federal policy, including the American Hospital Association and the Federation of American Hospitals, as well as regional and state associations.



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