Senior Reimbursement Consultant

Education

Educated at Providence College, with a degree in Political Science, Robert H. Tessier earned his Master of Public Health (MPH) degree in 1972, with a concentration in Health Planning, at the University of North Carolina in Chapel Hill.

Experience

Shortly after joining the Massachusetts firm, Professional Management Services, Bob became Director of Consulting. He focused on hospital and third party negotiations, as well as the development of complex practice plans.

Working as Reimbursement Consultant to a number of state societies, he was able to obtain favorable financial arrangements. The 70’s were spent handling Radiology projects throughout the US.

In 1982, Bob established HBP Services. They were retained by Cornell/New York Hospital to set up the first private practice in NYC. A subsequent engagement at Yale Pathology included third party negotiations on behalf of the Connecticut State Pathology Society.

HBP actively manages successful pathology groups in a number of states.

Expertise

Specific skills include:

  • Hospital Part A Support with Performance Incentives
  • Hospital-Pathology Joint Ventures
  • Third Party Negotiations and Selective Contracting
  • Fair Market Value Studies for Technical Services
  • Develop of Regional Pathology Groups
  • Hospital/Medical School/Private Practice Plans
  • Hospital/Revenue Maximization for PCCP Billing
  • Valuations for Buy In/Buy Out Arrangements
  • Compensation Models

Major Accomplishments

  • Provided direction to the Connecticut Society of Pathologists’ Task Force to enact Direct Billing Legislation (passed July, 2009).
  • Negotiated with a major commercial insurance carrier generating $1.5M in professional and global payment improvement over 5 years.
  • Eliminated a challenge to referred GI business that saved the Pathologists and their Hospital $1.6M per year in cash.
  • Negotiated Global Billing for referred services with a net improvement to the Pathologists of $500,000 per year.
  • As former CEO of Pathology & Lab Services, a joint venture Cytology laboratory, provided 120,000 Pap and Molecular services on a wholesale basis.
  • Increased income for four clients billing the professional component of clinical pathology (PCCP) by $1.8M per year (2014).
  • Evaluated Part A support for a major hospital system over each of the three contract cycles (total of 9 years 2014).
  • Consulted a major teaching hospital on Part A support with detailed comparisons to other academic medical centers (2015).
  • Developed a reputation for fair and balanced advice to a variety of clients including commercial labs, hospital systems and private Pathology groups.

Future

Mr. Tessier continues working on the development of regional alliances. This includes:

  • Strategic planning
  • Retreats, both practice and development
  • Joint ventures
  • The development of creative revenue models and unique Hospital arrangements are ongoing assignments.

    Presentations

    Executive War College

    “Boosting Pathologist Income During 2017 with Creative Strategies for Part A, Pricing and Pathology Productivity” – May 2, 2017

     

    APF 2017 Coding & Practice Management Seminars

    “Maximizing Pathology Income, The Best Strategies & Newest Benchmarks” March 28, 2017

     

    Dark Webinar

    “Boosting Revenue & Pathologist Income During 2017” January 25, 2017

     

    West, Midwest & Canada Regional APC/PDAS Meeting – Maui, Hawaii

    “Optimizing Pathology Income” October 27, 2016

     

    Dark Report 21st Annual Executive War College

    “Report on Medicare Physician Data and the Pathologist Workload Study: Insights to Guide Pricing, Managed Care Negotiations and Improve Part A Agreements” April 28, 2016

     

    APF Coding and Practice Management Seminar

    “Ten Best Financial Accomplishments and Ten Worst Mistakes I’ve Seen in the Pathology and Laboratory Business” April 12, 2016

     

    California Society of Pathologists Webinar

    “Preparing for Part A Contract Negotiations Including Performance Based Incentives” November 18, 2015

     

    Dark Report Webinar

    “Pathology Practices: Financial and Clinical Strategies for 2016” November 17, 2015

     

    APF Pathology Coding and Practice Management Seminar in San Diego

    “Preparing for Part A Negotiations, What You Should Know” April 10, 2015

     

    West, Midwest and Canada Regional Meeting, Association of Pathology Chairs in Kauai

    “Part A Support including Performance Based Incentives” October 23, 2014

     

    Pathology Institute 2014 in Orlando

    “Hospital Pathology Contracting in a Dynamic Period: Maximizing Income through Innovative Arrangements” March 1, 2014

     

    Dark Report 18th Annual Executive War College – Panel in New Orleans

    “Should Smaller Groups Sell, Merge or Buy?” April 30, 2013

     

    The Dark Report Audio Conference

    “Negotiating Pathology Part A Reimbursement with Hospitals: Why the Performance-Based Approach Opens the Door to Increased Value” April 21, 2010