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DSH Management Solutions - Who We Are...
Robert F. Gricius, President
Robert F. Gricius is the President and founder of DSH Management Solutions, LLC. He holds a Computer Science Degree from the
University of California, Berkeley, an M.B.A. in Finance and is a licensed C.P.A in the Commonwealth of Virginia.
He founded RFG Associates, Inc. in 1992 after a career as a Hospital Chief Financial Officer and Corporate Director of Managed Care
for a $1 billion+ multi-hospital system in the Mid-Atlantic region.
RFG Associates, Inc. has been a successful healthcare consulting company focused on data driven solutions for providers since 1992. The founder and President of this entity is a recognized industry expert witness in contract negotiations, hospital reimbursement, and retrospective settlements with commercial, managed care, Medicare and Medicaid 3rd Party Payers.
In his capacity as a healthcare industry expert witness, Mr. Gricius has represented provider clients in disputes with managed care payers comprising over 80% of the covered lives in the Mid-Atlantic region and with several Medicaid States and Medicare. Based on his professional reputation and experience as a testifying expert witness, he has opined on the financial fiduciary responsibilities of administrative executives, contract compliance issues between providers and payers, anti-trust issues as they pertain to managed care contracting, Medicare and Medicaid HMO operations and Third Party Administrator performance in claims adjudication and capitation management.
From 1998 to 2002, RFG Associates, Inc. represented eighteen hospitals in the Commonwealth of Virginia versus the State Title XIX program after uncovering a series of nine separate systemic hospital inpatient reimbursement errors subsequent to a claims payment methodology change (Per Diems to AP-DRG’s). These system errors artificially deflated payments to every hospital in the State over a period of four years. Final settlement was reached over this extended period subsequent to a series of appeals that generated $22 million in supplemental Medicaid claims payments to his clients and stipulations for corrective action on behalf of the contracted vendor.
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