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Mark Daniels has proven experience in business operations settings including payor contracting, billing system processes and controls, financial analysis, project management and overall practice revenue performance improvement. His career hallmarks include a demonstrated ability to identify organizational strengths, weaknesses, and opportunities, defining business and information technology systems requirements, as well as developing and implementing process, organizational, and performance improvements. Throughout his career, he has integrated the application of continuous quality process improvement in problem solving, models utilizing measurement, analysis and control, and reporting and data management systems
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Based in San Diego, California, Mark Daniels founded Audit Quality Inc. in 1999 and has provided comprehensive payor contract revenue management, coding and billing reimbursement audit services to medical practices nationally.
Applying our skills has produced results such as these and much more for our clients:
- Improvements in managed care contracting and Part A billing, increasing revenue by over $650,000 per year (over $30,000 per partner per year)
- Hundreds of thousands of missed charges identified and documented, enabling the recapture of over $200,000 from payors and the prior billing company
- Over $1,000,000 in performance-related loss documented for a claim against a prior billing company
- Collected on hundreds of accounts previously considered a loss by the practice after providing documentation and deliberating with payor
- Practice revenue increased in excess of $7,000 per partner per year after losses documented in just one of numerous coding audits
- Created documentation improving internal control and reporting and reducing risk for a practice with in-house billing
Prior Experience
Mr. Daniels served as Director of Operations for a national physician practice and financial services company for which he managed the service level and quality control of reimbursement processes within a multi-state region. He directed planning, organizing, training, and work flow management of a staff of 56. He also served as a Practice Manager for eleven radiology and pathology hospital-based physician groups. Prior to that, Mr. Daniels was the Manager of Continuous Quality Improvement and developed continuous quality improvement training and auditing.
Mark Daniels was awarded an MS in Technology Management and a BBA in Healthcare Administration from National University, San Diego, California. He holds a Professional Certificate in Total Quality Management from the University of California San Diego. A Senior Member of the American Society for Quality, he is a Certified Quality Auditor and completed the American Society for Quality's Certified Quality Manager Training. |
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