Meet Your Expert
David Zetter is the founder and President of Zetter HealthCare, LLC in Mechanicsburg, PA and has over 30 years of operational and healthcare experience.
Many recognize David nationally for his presentations and expertise. He excels in revenue cycle management, credentialing and contracting, compliance, coding and documentation. People see David as 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, operations, use of ancillary services and financial considerations; developing strategic plans to improve profitability and productivity. David Zetter’s activities in management and compliance include physician practices, IDTFs, hospitals, ASCs, pharmacy, DME and other facility types. This includes 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. This gave David the knowledge of what the expectations are from the payers.
David’s firm works with healthcare professional clients and facilities coast to coast. Zetter’s specialties include all areas of practice and facility management including start‐ups, buy‐ins, compensation, exit strategies, reimbursement enhancement, practice financial modeling, and governance documentation. Zetter’s firm may also assist you in policies and procedures, credentialing and contracting, HR management, compliance, chart reviews, and more.
David has helped to maximize both profitability and reimbursement of physician practices, facility, and ambulatory practices. He also re‐engineered operational and human resources, addressing coding and billing issues for providers to curtail fraud, OIG, and IRS issues.
Training Sessions by David J. Zetter
CMS specifically prohibits you from using your provider’s PECOS (Provider Enrollment, Chain and Ownership System) login to manage, verify, update or authorize their Medicare enrollments. Instead, the Agency wants you to use their surrogacy system which allows you to work on your provider’s behalf using your own login. Failing to comply with these rules means that you are in violation […]
Learn MoreGetting payers to abide by their contract promises to your practice can seem almost impossible. They delay your payments, deny your claims, hold up authorizations, defer provider enrollments, etc. But it doesn’t have to be this way. Although it feels like payers hold all the cards, you can make them more closely abide by their contract. In just one hour, […]
Learn MoreGetting your providers enrolled in Medicare and making sure that their credentialing is managed accurately and on time can be a massive headache. It almost seems like Medicare makes provider enrollment and credentialing as confusing as possible with numerous deadlines, online login requirements (PECOS, NPPES), slow new provider approval, application changes (forms 855I/855R), numerous notifications, multiple account types (surrogacy, I&A), […]
Learn MoreDid you know that 89% of medical practices in the US face significant revenue loss each year due to inefficient payer contracts and credentialing issues? And when it comes to claim payment retractions, nearly 23% of practices experience ongoing challenges that directly impact their bottom line. These statistics are not just numbers. They're a wake-up call. This is where this […]
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