Timothy M. Mosco, M.S.
Senior Principal

Tim has over 30 years of experience assisting healthcare providers with reimbursement and regulatory solutions. He is nationally recognized as an expert on hospital charge process issues and is recognized in Pennsylvania as one of the foremost experts in Pennsylvania workers’ compensation reimbursement and regulatory issues.

AREAS OF SPECIALIZATIOn

  • Pennsylvania Workers’ Compensation Reimbursement & Regulations 

  • Hospital Billing and Coding Compliance 

  • Hospital CDMs and CDM standardizations 

  • Charge Process and Revenue Cycle Improvement 

  • Data Mining Strategies 

EXPERIENCE

Tim worked directly with the Pennsylvania Bureau of Workers’ compensation to develop and implement the payment processes for workers’ compensation medical claims.  During this experience, Tim developed the payment processes to implement the Bureau of Workers’ Compensation’s Application for Fee Review system.  This effort involved systems development and implementation and staff training.  Tim also assisted Bureau staff with technical guidance while they were writing the regulations impacting the Fee Review system and payment processes for workers’ compensation insurers to follow.  These processes remain in use today.

Tim also has extensive national experience related to billing compliance and strategies and has worked with hundreds of hospitals and health systems to improve overall revenue and compliance.  He has pioneered innovative processes for large-scale hospital system CDM standardizations and data mining techniques to assist clients with both government audit defense and revenue recovery initiatives. 

Timothy_blank.png

EDUCATION

Masters of Science, Finance
Carnegie Mellon University, Pittsburgh, PA

Bachelor of Science, Business Administration, Finance
Indiana University of Pennsylvania, Indiana, PA