mplemented A/R BRUCE W.

MCKINNON Curriculum Vitae

management
monitoring tools, Address 1611 Edgemoor Lane, Everett, Washington 98203
Phone Phone: (425) 353-5642 Bruce@BruceMcKinnon.com

EDUCATION
High School (1960); Worthington, Minnesota
College
 Undergraduate B.A. (1964); Double Major, History and Political Science
Hamline University, St. Paul, Minnesota (Pre-Law)
 Graduate M.B.A. (1979); Masters Degree in Business Administration,
University of Southern Mississippi, Hattiesburg, Mississippi
EXPERIENCE
August 1995 to October 1998 Des Moines Orthopedic Surgeons, P.C. (DMOS), was then a $30,000,000 gross ($19,000,000 net) group
CEO practice--3 podiatrists & 19 physicians: 3 general orthopedists and 16 fellowship trained specialists (2
pain management + 14 orthopedists--hand, foot & ankle, sports, trauma, spine and total joint). The
DES MOINES Group is located in a (1994) 65,000 sq. ft. clinic (40 exam, 1 MRI, 8 cast & 4 x-ray rooms + separate
ORTHOPAEDIC areas for P.T., hand therapy & same-day surgery). Group owned / 5 OR surgery center later added to the
SURGEONS, practice. DMOS ranked in 95th percentile in U.S. in production with 90 FTE’s, a $650,000 computing
investment (80+ P.C.’s in a Novell/SCO UNIX integrated, 4 server network—LAN/WAN) with electronic
P.C.
medical records, hospital MIS access and an outcome study commitment. The 3 office, 15 satellite group
( DMOS ) dominated an 80 mile drawing area (90+% of Methodist and Lutheran Hospital orthopedics) with 30+
contracts (IPA, PPO & HMO) in rapidly evolving managed care environment.
West Des Moines, Iowa
Revised Business Structure: Legal--totally revamped corporate and building partnership documents. Personnel--
Instituted new governance structure, a broader but more cost effective benefit program (health, dental, disability & life
insurance, and flex benefit plan), policy manual, team management and CQI. Finance--Led conversion of G/L, A/P and
payroll (with integrated electronic Kronos time clock and direct deposit software) to Great Plaines Dynamics software and
Medical Group Management Associations Chart of Accounts. Outsourced pension plan tracking (SmithBarney investment
mix) to Milliman & Robertson. Computing--Initiated conversion of LAN to distributed Network (Microsoft Office 97).
Led selection and implementation of Cubix NT fax communication server, Compaq Proliant 6000 (Medical Manager
billing system) and Proliant 2500 (LAN) servers plus sophisticated telephone (Corel/Tadiran) call tracking software.
Developed and instituted internet web site.

Revitalized Operations: Facilitated cross training and stabilization of high turnover billing department. Deployed new
fee schedule, CPT/ICD-9 coding guides and A/R management monitoring tools (reduced A/R turnover ratio to 1.8
months). Revamped MIS file structures and expanded EDI links. Implemented comprehensive marketing plan that
included a highly successful workers comp outreach program targeting employers and insurance networks. Negotiated
high returns on managed care contracts (based on RBRVS). Cut costs and deployed budget. Facilitated selection
negotiated purchase and directed installation of MRI. Directed recruitment of 5 orthopedic surgeons and 3 podiatrists.
Prepared Board agendas and minutes. Moved to Seattle to raise adopted children in multi-cultural environment. Later
began career in real estate.

   
November 1991 to July 1995
The Denver Orthopedic Specialists, P.C. (DOS): Orchestrated a 40+ M.D., multispecialty, full-asset
ADMINISTRATOR merged (effective 1/1/94), geographically distributed (10 offices, 10 hospitals) group practice.
Denver Orthopedic Clinic, P.C. (DOC), Denver’s oldest & largest orthopedic group (upper extremity,
DENVER ORTHOPEDIC
total joint, sports medicine, spine, tumor and pediatrics). DOS was heavily entrenched in outcome
SPECIALISTS, P.C. studies with involvement in 17 ongoing protocols plus SF-36/HSQ. DOC drew patients from 3 states,
( DOS ) served 3 major hospitals and 2 satellites in the 5th highest penetrated managed care (discount FFS, risk
& capitation payments) market in U.S. (MSO’s, PHO’s, IPA's & Groups Without Walls).
Formerly-
ADMINISTRATOR Revised accounting systems: Converted G/L and A/P to Computer Associates’ ACCPAC+ software utilizing Medical
and CEO
Group Management Association’s chart of accounts. Installed new financial & budget reporting system and physician &
P.A. income distribution formulas (70/30 split of net receipts) using 12-month rolling average.
Enhanced computing system: Upgraded operating systems--UNIX (added LAN emulation package to extend A/R
DENVER system to 20 work stations) and Novell. Replaced 8 - 80286 computers with 50--80486 and Pentium PC's used in finance,
ORTHOPEDIC research, medical records and transcription. Converted to Microsoft Windows environment (Windows for Work Groups,
CLINIC, P.C. Word, Excel, Access, Outlook & Power Point).
( DOC ) Expanded practice base: Negotiated higher managed care reimbursement rates with many major insurance networks
(e.g., Kaiser Permanente, FHP, Sloans Lake PPO, United Healthcare, HMO Colorado). Designed floor plan for new
18,500 square-foot office which included areas for research, PT, cast plus 3 x-ray rooms and 26 exam rooms. Negotiated
Denver, Colorado financing and designed and marketed 2--1600+ square-foot satellite offices. Recruited physician + 3 P.A.’s. Initiated
and crafted full-asset merger of 6 orthopedic groups. Implemented new benefit program {health, dental, life, disability,
professional and general liability, cafeteria, 401(k) & money purchase pension plans} and group purchasing plan.
Managed Operations: Personnel--Initiated performance evaluations, cross-training and “bottom-up” team management.
Reorganized operations. Procedures—Implemented pre-registration, insurance verification, pre-surgical deposits,
“payment-for-today’s services”, and electronic data integration (EDI). Reduced A/R turnover ratio to below 1.8 months.
Prepared Board agendas and minutes. Accepted position with DMOS (see above).
Page 2: Curriculum Vitae for Bruce W. McKinnon

February 1989 to November 1991 Washington Sports Medicine, P.C. (WSM) was Seattle’s largest private, multi-disciplined sports medicine
ADMINISTRATOR practice (sports fellowship trained orthopedic, pediatric & family medicine M.D.'s and dieticians). WSM
and CEO also served as team physicians for the University of Washington Husky athletic programs.

Transitioned and reorganized group. Negotiated practice disconnect from existing hospital (toxic)
WASHINGTON ownership. Secured practice set-up bank financing: Converted GL and A/P to Computer Associates’
ACCPAC+ accounting system software.
SPORTS
MEDICINE, Facilitated formation of professional corporation and building partnership. Instituted new income and
P.C. expense allocation formula. Developed and deployed strategic plan. Recruited 3 physicians.
( WSM )
Directed Operations: Revised billing and collection procedures, improved cash flow, reduced contractual
Kirkland, Washington adjustments. Increased return on managed care contracts. Directed budget management. Prepared Board
agendas and minutes. Offered position with DOC (see previous page).
(Seattle area)
   

March 1977 to January 1989 Founder of medical practice consulting and computing firm. Set up 44 practices. Recruited 10
PRESIDENT physicians. Designed 9 freestanding clinics (supervised construction on 3 new buildings). Set-up and
and CEO managed 120 M.D.' IPA. Designed and sold computer software and hardware systems for physicians’
offices--12 installations, 9 different specialties.
SUPER The City of Hattiesburg (city population 48,000, metro area population 135,000) was ranked 43rd in 2008
SYSTEMS by Forbes in the Magazine’s publication entitled “Best Small Places for Business & Careers”.
CORPORATION
(SSC)
Management and Strategic Planning Consultant to specialist and primary care physicians: Set-up
Hattiesburg, Mississippi medical practices. Services included: (1) group practice development --“turn key” set-ups, mergers,
acquisitions, multi-site facility strategies and benefit plans; (2) physician contract preparation and
negotiation--partnership and employment agreements and income distribution formulas; (3) guide to
organizations addressing IPA/PPO/managed care issues; and (4) computer system selection.

Conducted practice management evaluations: (1) Analyzed office functions, physician and employee
productivity, personnel management, computer systems, fee structure, income distribution formulas,
practice expansion plans, managed care contract strategies, (2) presented findings and recommendations,
and (3) provided summary analysis.

Streamlined operations: (1) developed client systems to maximize reimbursement and monitor
performance; (2) designed forms--patient brochures, charge tickets listing procedures and diagnoses based
on CPT and ICD-9-CM, management reports, collection systems, medical and ancillary record content,
etc.; (3) trained personnel; and (4) implemented new policies and procedures.

Designed Medical Clinic Facilities: (1) designed 9 physician offices and prepared site and to-scale floor
plan blueprints including: (a) two-story, 6,000 square-foot OB-GYN office* with lab & ultrasound; (b)
two-story, 10,000 square-foot pediatric office* with lab and & x-ray; (c) two-story 7,500 square-foot
dermatology office* with a lab & minor surgery suites; (d) 4,000 square-foot ENT office with x-ray &
allergy testing; (e) 2,500 square-foot ophthalmology office* with optical lab; (f) two-story 5,200 square-
foot dental office with 5 operatories & x-ray; (g) 3,500 square-foot OB-GYN satellite office*; (h) two-
story 8,000 square-foot family practice office with lab, x-ray & EKG/treadmill lab; and a (i) 3,000 square-
foot plastic surgery office with a surgery suite*; (2) negotiated construction and permanent financing bank
loans; (3) negotiated construction and structural / façade architectural contracts; and (4) supervised
construction on 6 building projects* without presence of architect.

Designed software and sold computer systems (1981-1986): Formed computer firm and hardware
dealership (OEM/VAR). Developed multi-user, multi-specialty computerized billing system (software
package) for medical groups. Directed daily operations and marketing. Demonstrated, sold and installed 12
computer systems ($50,000+ / installation). Trained personnel and provided technical support and on-
going software maintenance.

A separate consulting assignment ultimately led to Seattle position (see above).

Page 3: Curriculum Vitae for Bruce W. McKinnon

March 1977 to August 1979 Forrest General is a 512 bed hospital and trauma center (which included lithotripsy, open-heart surgery,
ADMINISTRATIVE MRI, and freestanding psychiatric and 23 hour surgery centers) located in a two-college community of
now 50,000 with 2 hospitals (750 beds), a drawing area of 400,000 and 500+ board certified physicians.
ASSISTANT and
CONSULTANT Hattiesburg was ranked 1st in 1992 for Livability by the US Conference of Mayors.
Administrative Assistant / Consultant (part time) while attending graduate school: Assigned special
FOREST projects in collections, materials management, cart logistics, organizational development and unit dose.
GENERAL Designed microfilm MIS and an inventory control system for orthopedic implants in the O.R. Developed
HOSPITAL plan for reorganizing O.R. and patient discharge program. Served as consultant reporting directly to CEO
(FGH) and Executive V.P. Started private consulting business (see Super Systems Corp, previous page).
Hattiesburg, Mississippi
   
March 1972 to March 1977
ADMINISTRATOR The Hattiesburg Clinic (HCPA) was a 30 physician, 120 employees, multispecialty group practice in a 150
physician community. Hattiesburg was ranked #1 in healthcare and #6 in quality of life for cities under
HATTIESBURG 100,000 in population (small city Places Rated Book, 1977). Today, Hattiesburg is a 500+ physician
community. HCPA (main clinic-250,000 square feet) consists of 250+ physicians, 1,880 employees, 19
CLINIC, P.A.
family practice satellites and 12 “Free-standing” dialysis centers—and is now one of top 100 private
( HCPA ) medical groups in size in U.S. The Milken Institute ranked Hattiesburg 31st (of 179 in 2007 and of 124 in
2008) of the top best performing metropolitan areas in the U.S. in which to live.
Hattiesburg, Mississippi
Managed 30 physician group: Practice consisted of surgery (general, thoracic, vascular, cardiovascular),
neurosurgery, orthopedics, ENT, OB-GYN, pulmonology, nephrology, cardiology, gastroenterology,
rheumatology, hematology, oncology, internal medicine, neurology and family practice. Ancillary
departments included P.T., dietary, EEG/EMG, EKG/treadmill, pulmonary functions, dialysis, and
contracted pathology and radiology.

Directed operations: Designed personnel policies and all systems for appointments, registration, medical
records, insurance, billing, collections, inventory control and maintenance. First Administrator in U.S. to
computerize the 1974 California Relative Value Study (CRVS).

Served as “clerk-of-works” on five-story clinic construction program (90,000 square feet). Recruited 13
physicians (practice grew from 17 to 30 M.D.’s). Coordinated activities of 3 organizations (including P.A.,
equipment leasing company, and building corporation). Prepared Board agendas and minutes.

Author: Designed the Superbill and wrote the 1974 Medical Group Management Association, 54 page
publication entitled The Superbill--A Uniform Billing and/or Claims System. Accepted part time position
with Forrest General Hospital (above) in order to attend graduate school.

   

June 1969 to February 1972

ASSISTANT The Medical Education and Research Foundation (MERF, 501-C3 corporation) was a 3 year old 250+
DIRECTOR physician academic faculty group practice located at St. Paul-Ramsey Hospital (now Regions Hospital),
then a 550 bed, University of Minnesota affiliated teaching hospital. Subsequently, MERF was
restructured into (1) Ramsey Clinics, later Health Partners Medical Group and (2) HealthPartners
MEDICAL Institute for Medical Education -- which later became Minneapolis and St. Paul’s second largest group
EDUCATION practice. The Regions Hospital network, together with HealthPartners Medical Group, are now part of
AND RESEARCH HealthPartners Insurance Plans, the largest consumer governed, not-for-profit managed care (with
FOUNDATION HMO & POS options), Integrated Services Network (ISN) in the nation -- 660 MD’s / 35 sub-specialties
(MERF or and 1.2 million members in Minnesota and Wisconsin.
Ramsey Clinics)
US News and World Report / NCQA ranked the HealthParners Plan (2006-2009) as one of the best in
the U.S (33rd in 2008-2009). JD Powers and Associates ranked the Plan #1 in member satisfaction
St. Paul, Minnesota (Minnesota & Wisconsin, 2008).

Managed 80 employee, physician' billing office for academic plan: Reorganized, designed and equipped
new business office – revised operations plan.. Directed operations. Devised computer charge tickets for
20+ medical and surgical departments based on 1969 California Relative Value Study (CRVS), first U.S. and
Minnesota computerized adaptation. Responsible for systems work on new computer system designed for
billing, insurance and collections.

Key player in the development of what became the first managed care (capitated) contract in Minnesota
between a fee - for - service group (Ramsey M.D.'s) and a fully capitated system (at that time called Group
Health of St. Paul)----before Paul M. Ellwood, M.D., founder of Interstudy and the Outcomes Institute
(Minnesota), coined the term “HMO.” Offered position with Hattiesburg Clinic (see above).
 Page 4: Curriculum Vitae for Bruce W. McKinnon

July 1964 to June 1969 Travelers Insurance was then the largest multiple-line insurance company in the U.S. and ONE of 66
(2) MEDICARE Part B original companies to be awarded a contract to process Part B Medicare (physician’s charges) claims in
SUPERVISOR U.S. (then, a 120 employee office) at program’s inception in July, 1966.
(1) CLAIMS Supervised 30 employee Medicare Part B physician claim processing unit (March 1967 to June 1969):
ADJUSTER Duties included policy formulation, writing training manuals and teaching ICD-8 & 1964 CRVS procedure
coding for data entry. Formulated reimbursement factors between hospital-based physicians and hospitals.
TRAVELERS Performed studies on physicians’ fees and utilization. Offered position with MERF (see previous page).
INSURANCE Multiple-line Adjuster (July 1964 to March 1967): Initial position was as a property and casualty
COMPANY insurance claim investigator and examiner (e.g., life, long term disability, general and professional liability,
automobile, homeowners, worker’s compensation, boiler & machinery). Prepared claims for arbitration and
Minneapolis, Minnesota subrogation and interrogatories for defense counsel. Collected monies on fidelity, surety and uninsured
motorist’s claims. Promoted to Supervisor in Medicare Claims (see above).

PROFESSIONAL      

ORGANIZATIONS
Honorary Life Member (Distinguished): MGMA / Medical Group Management Association
 MEMBERSHIPS
Former Vice Chairman of the National Procedures Committee; CMPE/ Member of the American College of
Medical Practice Executives.
Former Member: Minnesota (Chairman, Third Party Billing and Procedures Committee), Mississippi
(founding member), Washington, Colorado & Iowa State M.G.M.A.; The M.G.M.A. Orthopedic Practice
Assembly; the Iowa Bones Society; and Group Health Association of America, Inc. Served on clinic
accreditation team with American Group Practice Association. Colorado CHMIS (Community Health
Management Information System) planning project, database and networks Task Force participant.
     
PUBLICATIONS
 BOOKS McKinnon, Bruce W., et al. The Superbill–A Uniform Billing and/or Claims System. Denver, Colorado,
Medical Group Management Association, 1974.

 PERIODICALS McKinnon, Bruce W., “The Superbill,” 20 (1) 21-25, Nov./Dec. 1972, Medical Group Management
(Journal of the M.G.M.A.).

McKinnon, Bruce W., “At Issue–The Superbill Revisited–Chapter II,” 20 (3) 25-26, March/April 1973,
Medical Group Management (Journal of the M.G.M.A.).

McKinnon, Bruce W., “The Hattiesburg Clinic,” 22 (4) 24-25, May/June 1975, Medical Group
Management (Journal of the M.G.M.A.).
 PAPERS AND
PRESENTATIONS “The Superbill,” February 1972, A.M.A. Ad Hoc Committee on the Standard Insurance Claim Form,
Chicago, Illinois.

“The Superbill,” September 1974, 48th Annual Conference of Medical Group Management Association,
Washington, D.C.

“The Superbill.” November 1974, 1st Conference of Mississippi Medical Group Management Association,
Jackson, Mississippi.

“Insurance Claim Processing,” April 1975, educational institute entitled “Principles of Clinic
Management,” Medical Group Management Association, New Orleans, Louisiana.

“The Superbill,” June 1975, 29th Annual Conference of the Southern Section of Medical Group
Management Association, San Antonio, Texas.

“The Superbill,” September 1975, meeting of the Southeastern U.S. Clients of Medical Computer Systems,
Inc., Dallas, Texas.

“Insurance Claim Processing and the Superbill,” November 1975, 49th Annual Conference of Medical
Group Management Association, Honolulu, Hawaii.

“The Superbill–Alternatives I and II,” December 1975, special meeting of the Medical Administrators of
Texas, Houston, Texas.
PERSONAL DATA
 ACTIVITIES Participated seven years in high school (6th in State as a senior) and college debate & public speaking -- member of the
National Forensic League (red ruby pin, over 1,500 NFL points) and Phi Kappa Delta, a national honorary forensic
fraternity. Active in high school and college sports (lettered 4 years for Hamline University Tennis Team—Conference
champions 3 of 4 years).

REFERENCES Available Upon Request