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
Jul 16, 2025 - 1:00 ETGetting 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, […]
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Payers don’t want you to know how much control you really have regarding your claims’ reimbursement. They don’t want you to know that by applying ERISA regulations, you can force your payers to: pay your claims more quickly, stop downcoding your office visits, overturn claims that were previously denied, expand inadequate appeal deadlines, and return recouped funds previously taken from […]
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Payers don’t want you to know how to get the most out of their contracts. In fact, they are counting on you not knowing. They make the process complex and painful – but with a few specific changes to your contract negotiation process, you can increase what you are paid, avoid dangerous contract verbiage, and know when it’s in your […]
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Don’t give up on your under-reimbursing managed care contracts due to a lack of payer response to your negotiation requests. This is actually what they want you to do. Payers are notorious for ignoring contract negotiation requests. However, it is possible to gain leverage to get them to update expired fee schedules and even change confusing termination language in your […]
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