Vetri Gurusamy

Background

About Vetri Gurusamy

Graduated as Gold Medalist in Computer Science in Engineering from One of the Top Universities in India.Did my MHA from Cornell and health care systems engineering from Johns Hopkins University.I have been in Software Development and Health Care Management since 1998. I specialize in Economic analysis; premium dollars, capitation, relative value systems for Medical practices. With my 20 year experience I provide Practice Development Services through fee schedule analysis, contract review, managed care plan review, general problem identification, plan performance review, contract negotiations, practice management assistance, joint venture opportunities & practice enhancements. Other areas of interest include Physician profiling capabilities utilizing epidemiological methods, comparative data on physician practice patterns assessing dimensions of cost, utilization of services and quality of care; to increase physician profile and patient care management scores, I have maximized efficiency and Physician Practice Management for over nine hundred physician offices.Quantitative analysis by specialty is one of the sought after services I offer. Start-up operation, direct and administer all day to day non-medical business aspect of physician’s practice including administrative management, provider network maintenance, member services, maintenance of payer contracts, utilization review, quality assurance, claims administration and financial management,agreements negotiation with hospital, non-hospital ancillary service providers and all managed care plans, Medicare, Medicaid and all governmental payers are the skill sets I bring to the table.I offer professional help in setting up systems for receivable management, policies and procedures, staff recruitment and training. I review and formulate processes based on Historical collection rates, the procedures used for billing and collection. In short I am your go-to guy for reimbursement issues.