The Consultants

Mark S. Feigal

Chief Operating Officer

7331 Petursdale Court
Boulder, CO 80301
(303) 530-4500 Office
(303) 530-3136 Fax
feigal@hdsinfo.com

Mark Feigal has been providing comprehensive business consulting services to providers of dialysis and nephrology services for over 28 years.    Currently, Mr. Feigal is a part owner and Chief Operating Officer in Healthcare Design Specialists, LLC, (HDS), an international consulting service company dedicated to the dialysis industry.   HDS is regarded as the leading consulting company for independent and hospital based dialysis providers.

Mr. Feigal entered the dialysis consulting business in the mid 1980’s when there was a need to develop prospective exception requests for outpatient dialysis providers.   His experience in developing successful exception requests evolved into many areas in financial/business consulting.   Examples include projects to compare facilities to industry standards, revenue process improvement and re-engineering; revenue enhancement; cost reduction; strategic planning; proforma and feasibility analysis; new business startups; integrated delivery system development; valuations and cost reporting.

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Carrie L. McGinnis , RN, MBA

Chief Executive Officer

2522 E. Cherrybark Lane
Springfield, MO 65804
(417) 882-3176 Office
(417) 882-3178 Fax
mcginnis@hdsinfo.com

Mrs. McGinnis’ has over thirty years experience in acute and outpatient dialysis management as well as nephrology practice management.   Currently, Ms. McGinnis is a part owner and Chief Executive Officer in Healthcare Design Specialists, LLC, (HDS), an international consulting service company dedicated to the dialysis industry.   HDS is regarded as the leading consulting company for independent and hospital based dialysis providers.

In addition to her ongoing work in ESRD provider consulting, Ms. McGinnis is an industry leader in the development and implementation of nephrologist led renal integrated delivery networks and assisted Baxter Healthcare subsidiary, Renal Management Strategies, in the development and implementation of their nation wide Renal Disease Management Program. She also has assisted hospital based and physician hospital joint venture clients in the implementation of ESRD and CKD Renal Care Coordinator programs. She was the primary author of one of the 14 applicants submitted for the 1994 Mandated HCFA ESRD Managed Care Demonstration and in 2006 assisted a major dialysis company in the submission of its’ Operational Protocols and Processes Manual for participation in the CMS Demonstration Project, Management for High Cost Beneficiaries. In 2013 she assisted the Franciscan Alliance in Indianapolis, Indiana in the implementation of the renal disease management component of its’ Pioneer Accountable Care Organization (ACO).

She has been involved in advanced continuing education programs for the experienced dialysis nurse and patient care technician and has developed and implemented formal training programs for the hemodialysis nurse and patient care technician in both the freestanding and hospital based dialysis setting.   In addition, she has developed and implemented a Dialysis Administrator Training program.

Other principle duties as an ESRD provider consultant include dialysis program overview, strategic planning, and/or business plan development, new facility start up, and nephrology practice overview and strategic planning.   She has also served in the role of Nurse Monitor and Temporary Manager for dialysis providers placed in Level 2 or Level 3 deficiency in the state of Texas since 1999. She has also assisted dialysis providers in assessing compliance to the Medicare Conditions for Coverage and in the development and implementation of a Medicare Compliance program focusing on reimbursement, clinical and technical operations.

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Cheryl L. Pezzelle, RN

Director of Reimbursement Systems

515 E. Carefree Highway #396
Phoenix, AZ 85085
(623) 742-6578 Office
(623) 742-6579 Fax
pezzelle@hdsinfo.com

Ms. Pezzelle has over thirty years in the End Stage Renal Disease field, specializing in Nephrology and Dialysis Facility Billing Management, including development of specialized accounts receivable management reports, revenue management operational efficiency, and revenue enhancement strategies.

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