Mr. Bays has served in numerous capacities in the healthcare industry ranging from clinical services and operations, healthcare bill & policy analysis, medical-legal consulting for healthcare attorney groups and oversight of accreditation, licensure and regulatory compliance programs. He specializes in economic aspects of healthcare litigation such as Life Care Plans, accounting and tax considerations, as well as reimbursement issues.
His experience includes healthcare bill & policy consultation, medical- legal consulting for healthcare attorney groups and oversight of accreditation, licensure and regulatory compliance programs.
In the state of Texas, Mr. Bays has implemented quality assurance tracking programs for the City of Austin, developed and taught educational programs for the Texas State Department of Health Services, and served as a Legislative Advisory Committee member for healthcare House and Senate bills.
The Firmen Group, LLC was founded by Richard Bays, JD, MBA, RN, CPHQ. One of the primary missions of the firm is to aid in navigating the complex regulatory requirements of the healthcare industry.
Within the labyrinth of healthcare regulations, Medicare Fraud and Abuse continues to be a growing concern to the federal government and taxpayers. CMS estimated that approximately $65 billion in improper payments was paid through Medicare and Medicaid combined in a recent fiscal year. These issues are frequently tied to malpractice which results in grave harm to the patient population. One of the firm’s focus areas is assisting in the reduction of health care costs and improving the quality of care by preventing fraudsters from preying on people with Medicare and Medicaid. Mr. Bays has provided litigation support for State & Medicare violations which has resulted in settlements reaching multimillion dollar recoveries and effecting improvements to a safer delivery of care for patients seeking treatment.
Professional ethics are standards of conduct that apply to people who occupy a professional occupation or role. A person who enters a profession acquires ethical obligations because society trusts them to provide valuable goods and services that cannot be provided unless their conduct conforms to certain standards. By adhering to ethical standards and codes of ethics, medical professionals can: 1) Avoid harming others, 2) Respect the rights of others and 3) Reduce personal liability.
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