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.