Medical Health Care

Robert A. Kaplan, BA DC MBA

*****************@*****.*** 609-***-****

SELECTED ACCOMPLISHMENTS

Taught adult students healthcare and business courses at the post-secondary, college and career school level over the past 25 years. Expertise in presenting lecture and laboratory material to an adult audience with emphasis on student’s mastery of classroom material, developing a strong work ethic, and securing employment. Students included those in nursing, EMT, paramedic, medical billing and coding, medical assisting, physical therapy, occupational therapy, and other healthcare programs.

Entrepreneurial experience operating multiple businesses. Strong skills in meeting patient needs while operating within the medical/legal and third-party payer environment. Ability to interpret and manipulate diverse healthcare and scientific information, develop disease management tools through a continuum of care, successfully work in a group setting. Computer literate.

Built successful businesses (1986 to 2011) in Pennsylvania and New Jersey growing a client base of hundreds of patients. Performed demographic studies, developed marketing tools, negotiated leases, financed the acquisition of therapeutic and diagnostic equipment, and arranged funding for business mortgages.

Developed solutions: accounts receivable/payable, insurance invoicing, tracking patient accounts, salaries, taxes, etc. Excellent follow-through skills pursuing delinquent accounts, pursuing third party payers for reimbursement, handling insurance claims, billing and coding matters, and compliance with health care regulations.

PROFESSIONAL EXPERIENCE

Dr. Robert A. Kaplan Chiropractic Physician 1987 to 2010

Owned and operated three chiropractic offices for 23 years with a personal injury and workers’ compensation patient population. Responsible for complete office operations, employee staffing and payroll, promotional and networking activities, patient care, invoicing/collections, and data maintenance/retrieval.

Dr. Robert Kaplan 1987 to 2004

Physician Advisor, Peer Review, Expert Testimony

Developed working relationships with third party payers, MCO’s, auditing organizations, and lawyers in performing peer/fee reviews, IME’s, medical necessity determinations, fraud/utilization review, malpractice evaluations, personal injury and workers’ compensation cases.

Experience as an expert witness in arbitrations and depositions. Strong skills researching and analyzing technical and scientific data. Experienced writing professional determinations for insurance industry and lawyers.

Instructor: City College (2012-2013), Gwynedd-Mercy College (2009-2011), New Wave Resources (2008-2011), Princeton Information Technology Center (2011-2012), and other institutions over the past 20+ years

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Taught microbiology, CPR/emergency medicine, phlebotomy, medical records, health care law and ethics, clinical laboratory procedures, accounting, small business administration, marketing, cadaver dissection, medical terminology, anatomy/physiology, pathology, medical billing and coding, medical insurance, health care administration, OSHA, and HIPAA. Prepare: lesson plans, syllabi, audiovisual presentations, electronic blackboard, grading and examination protocols, attendance records, computer applications, and power point presentations. Proficient in ICD-10 coding. Participated in school accreditation matters. I have taught courses in the traditional classroom setting and on-line.

MEDIA

MedStar Television, CBS Morning News, Greater Media Cable, WTXF FOX TV-29, WRTI (National Public Radio-Temple University Broadcast Network; Brian McDonnough, MD), WJNC 1360 AM, WAYV FM, NewsGleanor Publications. Authored a variety of healthcare articles.

AUTHOR

1. The Health Care Revenue Cycle, How Money is Generated for the Business of Health Care Delivery, Finney Learning Systems, New York, NY, 2009-2011.

2. Manual for ICD-10 coding, Finney Learning Systems, New York, NY, 2012.

3. The Health Care Revenue Cycle Workbook, Finney Learning Systems, New York, NY, 2012.

COMPUTER EXPERIENCE

Medisoft; MedCin; Word Perfect; Windows XP, Windows 7; Microsoft Word; Power Point; Excel;

The Medical Manager for Windows and Managed Care Systems for Windows; Global Scholar.

Electronic Blackboard (SmartBoard).

EDUCATION

MBA-Health Care Administration 2000

Eastern College, St. Davids, PA

Doctor of Chiropractic 1986

Palmer College of Chiropractic, Davenport, Iowa

BA-Bachelor of Arts (Biology) 1976

La Salle College, Philadelphia, PA

Certified Patient Account Technician (CPAT) 2012

American Association of Healthcare Administrative Management (AAHAM)

Certified Billing and Coding Specialist (CBCS) 2010

National Health Career Association

Certified: BLS/CPR for Healthcare Providers 2012 to 2014

Certified: BLS/CPR Instructor 2012 to 2014

Certified: PALS 2013 to 2015

Certified: Advanced Cardiac Life Support (ACLS) 2012 to 2012

American Heart Association

Certified to Teach: HIPAA; OSHA for Blood Borne Pathogens

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