Leonard S. Brauner, CPA
Senior Principal
Leonard has over 40 years of healthcare experience including over 30 years of diversified healthcare financial consulting experience with national accounting and consulting firms. He has spent his career working with healthcare providers concerning financial and reimbursement issues focusing on ensuring that providers receive all appropriate payments to which they are entitled, and no more.
Leonard has assisted hospitals and health systems develop pricing objectives and policies and procedures with the goal of establishing prices that generate appropriate net patient revenue consistent with the hospital’s circumstances and philosophy. Due to the heightened scrutiny on hospital pricing, Leonard has recently focused on assisting hospitals develop pricing methodologies that allow a hospital to more comprehensively explain the establishment of its patient pricing while ensuring the generation of the required net patient revenue.
EDUCATION
Bachelor of Science, Business Administration
University of Arizona, Tucson, AZ
AREAS OF SPECIALIZATION
Virtually all aspects of Medicare and Medicaid Reimbursement
Price Transparency
Pricing
Patient Charging and Billing
Charging and Billing Compliance
Revenue Integrity and Compliance
EXPERIENCE
Medicare reimbursement: All types of exception and specialty requests (high percentage of ESRD discharges, SSI percentage, geographic reclassification), Research and studies (DSH, graduate medical education, organ acquisition, Provider-based versus freestanding issues, critical access hospital and cost report issues), Provider Reimbursement Review Board appeals
Strategic and resource based pricing studies
Patient charge process development and charge description master consolidations
Managed care denials of “routine” services
Charging and billing compliance studies
Transfer DRG reviews