RICHARD BAYS JD, MBA, RN, CPHQ

P.O. Box 5892

Kingwood TX 77325

832-316-2701 Cell

RBaysConsulting@Gmail.com

HEALTHCARE CONSULTANT SERVICES

Obtain State facility licensure for Hospital /ASC /

Freestanding ER clients including McR, McD, CLIA,

DEA, DPS and State Pharmacy Board Licensure.

Conduct full mock CMS/State Department surveys and

formulate plans of corrective action when required.

Prepare facility for accreditation (AAAHC/JCAHO) by

implementing survey preparedness systems.

Implement programs for RM, IC, QA, PI, EOC &

OSHA Safety for facilities and within multisite systems.

Review operations process for fiscal improvement

opportunities with supply chain management, GPO,

revenue cycle and most favored vendor tiered rates.

Expert Witness / Medical Legal consulting and facility

Risk Management evaluation / training

Implement changes based on analysis of new State level

bills and national standard updates including data

collection and Federal QM reporting.

Provide training and support for management /

administration in regulatory compliance issues.

Consultation & Analysis of Federal / State legislative

changes and CMS compliance for healthcare systems.

RECENT PRESENTATIONS / POLICY ACTIVITES

2012 - Texas Ambulatory Surgery Center Society (TASCS) –

Speaker for annual conference on ASC Medicare Surveys and the

New Requirements for Quality Reporting Measures

2012 – “ASCs Choosing Non-Accreditation: A Brave New

World” Aug 2012, Becker’s Healthcare Review

2011-2012 – “Accreditation Update” June 2011, Sept 2012, AHC

Media’s Same-Day Surgery

2011 – Health Care Fraud and Abuse –Presentation for the

Greater Houston Physicians Medical Association

2010 – “Avoiding Liability in Outsourced Healthcare Contracts”

May 2010, AHC Media’s Same-Day Surgery

2010 - Texas Ambulatory Surgery Center Society – Quality

Workgroup representative for standardizing ASC quality

indicators.

2010 – FTC Red Flag Rules for Healthcare – Training

presentation for Physicians and Regional Business Office leaders.

2010 - Texas Ambulatory Surgery Center Society (TASCS) –

Speaker for annual state legislative conference on new Federal /

State IC standards and regulatory compliance.

2009 - Texas Ambulatory Surgery Center Society (TASCS) –

Speaker for 4th Annual Conference on regional / state level

Benchmarking, New AAAHC IC standards and state mandated

patient safety program changes.

2009 - Association of Peri-Operative Registered Nurses (AORN)

56th

Congress in Chicago - Speaker for National meeting on

Negotiating Managed Care Contracts/ Contract Clause Legal

Analysis

2009 – 81st Texas Legislative Session – Educated State

Representatives / Senators on ASC economic impact / services.

2008 – Texas Department of State Health Services (DSHS) –

Drafted proposed Rule changes for state ASC Licensing through

TASCS committee leadership.

2008 - Texas Ambulatory Surgery Center Society – Sat on State

Committees for Mandatory Healthcare Data Collection (2009

Texas Senate Session) and Workers’ Compensation (Senate Bill

1985) working with the Texas Department of Insurance-Division

of Workers’ Compensation (TDI-DWC) in developing fee

guidelines for ASC’s.

ABOUT RICHARD BAYS

Richard Bays, JD, MBA, RN, CPHQ, has served in numerous capacities in the healthcare field ranging from hands on clinical services, administrative and regional operations. His experience includes ambulatory surgery center 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 an advisory committee member on several healthcare House and Senate bills. Mr. Bays also has experience in performance improvement and quality program reporting for federal reimbursement and with financial analysis for health insurance plan negotiations.

He holds multiple degrees including Nursing, Criminal Justice, Pre-Med, MBA in International Business and Doctor of Jurisprudence.