Bill has over 35 years of Medicare Reimbursement experience. Prior to joining the firm, he worked 30 years, for the Medicare Fiscal Intermediary in Massachusetts. During that time, he has been employed by Blue Cross Blue Shield of Massachusetts, Associated Hospital Service of Maine, and most recently Anthem Blue Cross.
During his tenure with the Massachusetts Fiscal Intermediary, he held various key positions, including Manager of Medicare A Program Safeguards, and for the 16 years was the Audit Manager in the Medicare Audit and Reimbursement Department. He has been responsible for a myriad of audit and reimbursement functions including: provider appeals, rate setting, internal quality review, staff training, and liaison to Centers of Medicare & Medicaid Services (CMS) on policy issues.
Bill has played a leadership role in serving the training needs of the provider community during major Medicare reimbursement and policy changes occurring over the past several years, and was a key contributor to CMS on various reimbursement issues including Graduate Medical Education, Provider-Based Entities and Long-Term Hospital Prospective Payment System. He has served as an expert witness for several hospitals at the Provider Reimbursement Review Board (PRRB).
Bill holds a Bachelors of Science in Business Administration from Northeastern University and a Master in Business Administration from Suffolk University.
E-mail:
wwheeler@besler.com