David J Zetter

David J. Zetter,

PHR, CHCC, CPCO, CPC, CPC-H, PCS, FCS, CHBC

Healthcare Management Consultant David Zetter is the founder and lead consultant with Zetter HealthCare in Mechanicsburg, PA and has over 30 years of operational and healthcare experience.

David is nationally recognized for his presentations and expertise. He is well versed in regulatory requirements, revenue cycle management, compliance, and coding and documentation. He is considered an expert on Medicare, not only by his clients, but his consultant colleagues across the country. He has evaluated existing ambulatory care facilities and practices with respect to patient flow, marketing, fee structures, use of ancillary services and financial considerations; developing strategic plans to improve profitability and productivity. His activities in management and compliance include physician practices, hospitals, ASCs and DME, including coding and broad-based regulatory issues. David has also conducted chart audits on behalf of Medicare contractors and Blue Cross/Blue Shield early in his career, so he has knowledge of what the expectations are from the payers. David’s firm works with healthcare professional clients and facilities coast to coast. David works with clients in all areas of practice and facility management including start-ups, buy-ins, compensation, exit strategies, reimbursement enhancement, practice financial modeling, governance documentation, policy and procedure development and implementation, human resources staffing and management, compliance, coding and chart reviews, physician education and many other areas. David has helped to maximize both profitability and reimbursement of facility and ambulatory programs, re-engineered operational and human resources, and addressed coding and billing issues for providers to curtail fraud, abuse, kickback, OIG, and IRS issues. He is also a member of CMS’ PECOS Power User Group which provides feedback and recommendations to Medicare’s Center for Program Integrity on design and improvements to the PECOS enrollment environment.

David has conducted practice management, human resource, coding and compliance education and seminars in many states over the past twenty five years. David speaks often on a variety of practice management subjects at hospital residency programs, the National Society for Certified Healthcare Business Consultants, the Medical Management Group Association, the American Academy of Professional Coders, AHIMA, Florida Institute of Certified Public Accountants, many other venues and is often called upon by DecisionHealth, Part B News, Part B Insider, and many others, to conduct audio conferences and webinars. He has been published in Medical Economics and interviewed and quoted in many publications including Report on Patient Privacy and Report on Medicare Compliance.

David is a previous member of the Board of Directors for the National Society of Certified Healthcare Business Consultants. He is currently on the Education Committee and Marketing Committee Chair and is a Certified Healthcare Business Consultant. He is a member of the Society for Human Resource Management and is a past Professional Development Chair and past Vice President of Human Resource Professionals of Central PA. David is also a past board member of the Central PA affiliate chapter of the American Academy of Professional Coders and is certified as a Professional Coder for physician practices, hospitals and facilities. David is also a Certified Compliance Consultant and Officer.

David publishes operations policies and procedures manuals, employee handbooks, compliance manuals for billing, HIPAA and OSHA and has published articles in various healthcare and human resource related magazines on subjects like coding and compliance, interviewing, recruitment, evaluations and disciplinary processes.


 
161 Old Schoolhouse Lane, Suite 3, Mechanicsburg, PA 17055
(717) 691-7100 - Office
(717) 691-6855 - Fax
(717) 979-5037 - Cell
www.zetter.com
Education Villanova University
Delta College
 
Professional Designations Professional in Human Resources (PHR)
Certified Healthcare Compliance Consultant (CHCC)
Certified Professional Compliance Officer (CPCO)
Certified Professional Coder - AAPC (CPC)
Certified Professional Coder – Hospital - AAPC (CPC-H)
Physician Coding Specialist – AHIMA/ACMCS (PCS)
Facility Coding Specialist – AHIMA/ACMCS (FCS)
Certified Healthcare Business Consultant (CHBC)
 
Experience
2000 – Present
Consultant, Zetter HealthCare, Mechanicsburg, PA. Consultant,
Health Care Professional Management Services, Mechanicsburg, PA.
The firm serves approximately 150 physicians and dentists in Pennsylvania, New Jersey, Virginia, Maryland, Delaware, New York and across the country, providing a full range of services including all areas of practice management, practice start-up and group formation, outpatient facility development, strategic planning, managed care, human resource management, training, billing, reimbursement and coding audit and analysis, compliance planning and implementation, contract negotiation, accounting, tax preparation and planning, and personal financial planning. The firm has also worked with hospitals in forming integrated delivery systems with the medical staff and with large physician group mergers.
 
2000 – 2005 Vice President, Business Development, Perfect Solutions, Inc. (PSI), Mechanicsburg, PA.
PSI is an outsourcing company for software and hardware solutions for US companies. PSI has relationships with several companies in India that excel in providing high quality, cost effective information systems solutions, enhancements and management services. PSI also has a Health Care Systems division that provides practice management, billing, collection, medical transcription, and EMR systems to Health Care providers.
 
1998 – 2000 Executive Management, Compass Group NAD, Charlotte, NC.
Compass Group NAD is the largest contract service organization in the world providing operational strategic planning and guidance, strategic human resource management, training and mentoring, employment and labor compliance, budgetary and financial forecasting and planning, contract negotiation for its clients, Fortune 500 companies in the United States and abroad.
 
1981 – 1998 Executive Management, Jerrico, Inc, Lexington, Ky.
This experience involved financial, operational, human resource, training and compliance planning and guidance involving hundreds of locations within a national and global corporate environment.
 
Professional Affiliations National Society of Certified Healthcare Business Consultants
  Board of Directors (2008-2011)
Education Committee (2006-2013)
Vendor Committee Co-Chair (2009-2013)
Marketing Committee Chair (2013)
Planning Committee (2010-2013)
Medical Group Management Association (MGMA)
Society for Human Resource Management
CMS’ PECOS Power User Group Member (2010 - 2013)
Human Resource Professionals of Central PA
  Vice President (2006-2007)
Professional Development Chair (2003-2005) (2008-2009)
Health Care Compliance Association
Healthcare Financial Management Association
Pennsylvania Medical Society – Bloodborne Pathogens, OSHA & HIPAA Compliance Manuals
Association of Certified Fraud Examiners
Urgent Care Association of America
National Association for Ambulatory Care
American Health Information Management Association
Healthcare Compliance Resources
American Academy of Professional Coders
American College of Medical Coding Specialists
Professional Coders of Central Pennsylvania Board Member
  Past New Member Development Officer
Past Treasurer
President Elect (2010)
Healthcare Professionals Association of Pennsylvania
York Technical Institute – Medical Coding & Billing Advisory Board
Capital Region Partnership for Career Education – Advisory Board
 
Other Activities Medical Economics Roundtable – NSCHBC Conference (June 2007)
ETC Newsletter articles (national Dermatology newsletter)
Part B News Webinars and Interviews (2005-2013)
Medical Group Management Association Webinars (2010)
DecisionHealth / Part B News Audio Conferences & Webinars (2007-2013)
Doctor’s Digest (2010-2012)
CMA Today (2013)
Compliance Online Webinars (2007-2010)
Progressive Business Publications Webinars (2008-2010)
Medical Economics Roundtable & Magazine Contributor
Urology & Renal News Contributor (2012-2013)
Hospitalist Coding Advisor Interview (2012)
Medical Practice Compliance Alert (2008-2012)
Advance for Nurse Practitioners – Wrong Foot Forward (April 2009)
On Call Magazine – Employee Performance: Conducting an Evaluation Interview (August/September 2004)
On Call Magazine – Performance Evaluations: A Look at the Basics (June/July 2004)
On Call Magazine – The Right Staff, Finding and Hiring Top-Drawer Support Staff (June 2003)
Physicians Practice Magazine - Various articles
AIS’s Report on Medicare Compliance & Report on Patient Privacy
Part B Insider Contributor
Human Resource Certification Study Group – Mentor/Facilitator
Expert Witness
 

Sought after National Speaker and Educator on Coding & Documentation, All Areas of Compliance, Practice Management & Human Resources for:

  Pennsylvania Medical Society
American Institute of Certified Public Accountants (AICPA)
American Academy of Professional Coders
Florida Institute of Certified Public Accountants
Pinnacle Health Systems Residency Program
Pennsylvania Community Providers Association
DecisionHealth/PartBNews
Holy Spirit Health System
Blue Ridge Coders
Healthcare Financial Management Association
American Association of Medical Assistants
Professional Coders of Central PA - AAPC
Practice Managers Network
Healthcare Billing Management Association
PA BonesSummit Health
Waynesboro Hospital
Chambersburg Hospital
Robinwood Medical Center
Crozer – Keystone Health System
Human Resource Professionals of Central PA
Professional Association of Health Care Office Management (PAHCOM)
Professional Coders of Central PA
Northwestern Human Services
National Association of Medical Staff Services
Medical Group Management Association (MGMA)
National Society of Certified Healthcare Business Consultants
Winchester Medical Center Grand Rounds
West Virginia AHIMA