MARK A. PUGH, VICE-PRESIDENT

Professional Responsibility:

Mr. Pugh has overall responsibility for SRI’s Medicare Compliance / Recoupment Program (through which SRI reviews prior-year Cost Reports for compliance and missed revenue), selected client engagements and other special projects. His clients include hospitals, nursing homes, home health agencies, home offices and other healthcare entities.

While the majority of Mr. Pugh’s time is spent overseeing the review of prior-year Cost Reports, he remains current on all Medicare regulations by performing engagements for selected clients and overseeing other special projects that fall outside typical reimbursement services. He also has substantial involvement with various state Blue Cross and Medicaid reimbursement programs. Other duties include the training of client and firm staff in various financial areas.

In 1997, Mr. Pugh established SRI’s Denver, CO office, where he is currently located.

Background and Experience:

Mr. Pugh joined Strategic Reimbursement in 1981. As Vice President, Mr. Pugh functions as engagement leader for a variety of financial consulting projects, including:

  • Preparation/Review of Medicare, Medicaid and Blue Cross Cost Reports
  • Prior-Year Medicare, Medicaid Cost Report Compliance Reviews
  • Wage Index Studies
  • Bad Debt Logs Preparation/Review
  • PRRB Appeals
  • Medicare Audit Support
  • Group Appeals

Prior to joining SRI, Mr. Pugh held several positions with Blue Cross and Blue Shield of Chicago in the Medicare audit division where his duties included functioning as an audit supervisor and assisting in the development of a uniform audit package.

Mr. Pugh has been a speaker on Medicare reimbursement and compliance issues for the American Bar Association, Healthcare Financial Management Association, SRI seminars, and presentations tailored specifically for client medical staffs, board of directors, and chain organization home office personnel.

Professional Credentials:

Mr. Pugh received a Bachelor of Science in Accountancy in 1977 and an M.B.A. in 1983, both from DePaul University. He is a Certified Public Accountant and is an Advanced Member of the Healthcare Financial Management Association.