Topline Healthcare is a Centers for Medicare and Medicaid Services (CMS) recognized solutions and technology company with in-depth knowledge and experience in the healthcare industry today. We specialize in clinical documentation, provider education, efficient workflows, cyber-security, growth revenues and overall patient care. Our mission is to help improve healthcare systems and patient outcomes while providing simple solutions to complicated problems.
Mark Kimmel, Ph.D, Co-Founding Partner
President | Director of Development
Mark Kimmel has an extensive background in the healthcare industry with over 30 years experience ranging from ICU nursing to high-level hospital administration. With immense skills in developing strategies and processes to improve the healthcare system, Mark co-founded Topline Healthcare (TLHC) and created Codeable LanguageTM software, a tool that improves the healthcare system while benefiting both the provider and the patient. Mark led TLHC in becoming a trusted partner of CMS, and led the team with CMS that completed the first successful EMDI pilot. CMS recognizes TLHC's Codeable LanguageTM, system and processes and continues in partnership with Mark and TLHC teams in conducting and completing successful pilots. Mark's astute ability to forecast major changes in healthcare had been proven in his #1 best selling book Healthcare Provider's Ultimate Guide to Win Even when Medicare Changes the Rules (published 2013).
Susan A. Hemme, Co-Founding Partner
Executive Vice President | Director of Operations
With more than 25 years of experience in business ownership, development and project management, Susan brought her knowledge, resources and belief in the success of providers in the healthcare industry during this pivotal time of change. She has been instrumental in the co-founding and building of Topline Healthcare while assisting in the development and implementation of Topline Healthcare's CMS endorsed Codeable LanguageTM software and system. This first-of-its-kind approved CMS pilot program was successfully completed in less than a year and has become the standard in which proceeding CMS pilot projects are to follow. As an expert in the field of project management and written communication, Susan uses her skills to continue the dynamic growth of Topline Healthcare.
Jay Nussbaum is a nationally recognized business leader with a history of success in leading Fortune 500 companies. He has been on the forefront of change in technology, government and healthcare. Recently, he was co-founder and Vice Chairman of Agilex Corporation. His Board of Directors positions include Adobe Federal, Northrup Grumman, Bearing Point and Microstrategy. He has served in executive positions with Xerox, Citi Bank, BearingPoint and Oracle. During his distinguished career in corporate America, Jay was named as one of the Top 100 Executives by Federal 100, Alumni of the year at the University of Maryland, and awarded Lifetime Achievement Award at the Institute for Sales and Marketing. Jay is now bringing his knowledge and expertise to help lead critical changes in healthcare.
Reginald L. Brown
Vice President of Sales
Reginald "Reggie" Brown has over 40 years of management experience in sales and marketing in the federal, state and local governments, and healthcare markets. Prior to his current position as Vice President of Sales for Topline Healthcare, Reggie served as Director/Vice President of two Fortune 500 companies — Xerox and Oracle. In addition, Reggie was appointed to the White House and served under two presidents on the Presidents Commission on Executive Exchange as an advisor to the Secretary of Defense. Throughout his career, Reggie has served and continues to serve on several corporate boards.
Oscar Mann, M.D., F.A.C.P., F.A.C.C., F.C.C.P.
This highly accomplished award winning physician joined forces with Topline Healthcare to ensure the success of provider efficacy and clinical validity. His achievements include serving as Clinical Professor Emeritus of Medicine, Georgetown University School of Medicine, a Fellow of the American College of Physicians, a Fellow of the American College of Cardiology and a Fellow of the American College of Chest Physicians, a Co-Founder of Foxhall Internists, P.C., a Former Chair, Georgetown University Medical Alumni Board, the recipient of the Georgetown University John Carroll Award, and the Georgetown University School of Medicine Founders Gold Medal Award. Dr. Mann is a critical force in helping providers to move forward into the world of successful clinical documentation. Author: A Journey of Hope
Sandra Lefevre, R.N., B.S.N., C.C.M.
Director of Clinical Appeals
Sandra Lefevre is well established in the healthcare industry with a substantial career spanning nearly 40 years as a Registered Nurse and Certified Case Manager. Along with her strong clinical background and elite healthcare management skills, Sandra has a proven record of overturning complex high dollar government and private payer denials at all levels of appeal. In addition, Sandra aligns with Topline Healthcare in providing physician and staff education to help providers' reduce denials, increase approvals, maximize reimbursement profitability, advance Medicare compliance and improve patient care.
The TOPLINE HEALTHCARE Story
Topline Healthcare was formed to meet a large need in the healthcare industry, which is to simplify payments and empower providers to continually adapt with the ever-changing guidelines set by Centers for Medicare and Medicaid Services (CMS) . It is our goal to serve those in the medical community, from the patient to the physicians who treat those patients on a daily basis. Included in that community are hospitals and organizations such as Medicare, Medicare providers, medical professionals, coders, Clinical Documentation Improvement Specialist, Case Management, and Chief Medical Officers.
After many years of working with physicians, sharing their frustrations and understanding how physician documentation impacts the patient, colleagues and the facilities in which they work, industry expert, Mark Kimmel, Ph.D., envisioned Codeable LanguageTM — a software program that would improve physician documentation, clinical validation and patient outcomes. He began designing this program for time and money preservation, thus increasing profits while reducing AR days and minimizing RAC audits.
Kimmel then joined forces with business strategist and owner of Hemco Publishing, Susan Hemme, to help develop Codeable LanguageTM and bring this process to providers in the most expedient and efficient manner. In July of 2013, they launched Topline Healthcare's best-selling book Healthcare Provider's ULTIMATE GUIDE TO WIN, Even As Medicare Changes the Rules. As the industry leading author-expert, Kimmel revealed the impact that the changes in Medicare was having on healthcare in general and how providers can stay ahead of those changes. Kimmel also accurately predicted upcoming trends and regulations that have since come true.
Following the book's publication, Kimmel and Hemme successfully led and completed a pilot program in 2014 for CMS, which proved the efficacy and interoperability of Topline healthcare's system, processes and propriety software, Codeable LanguageTM. Under this program, Topline Healthcare’s pilot was the first of this kind to demonstrate a reduced claim submission error rate (from 54% to 1%). This resulted in Topline Healthcare becoming the first company, ever, to become CMS recognized and subsequently being listed on the CMS Interoperability Proving Ground website — HealthIT.gov .
By 2015, Kimmel and Hemme partnered with business development, sales and marketing leader, Jay Nussbaum. The addition of Nussbaum's expertise helped to ensure Topline Healthcare's successful integration into the marketplace. Together, the partners built a team of highly accomplished subject matter experts, advisors, and healthcare team leaders.
Topline Healthcare further developed the end-to-end billing solution used in the CMS pilot program by partnering with two other leading-edge system/software companies, Adobe and Infor. This innovative solution, known as H3 Solution, fulfills the current government mandate for interoperability, which helps to simplify and expedite payments to providers. In consortium with Adobe and Infor, H3 Solution was launched in October 2016 — New York [October 2016] article .
Topline Healthcare continues to work with CMS on the forefront of changes and improvements in the healthcare system. They are well positioned to offer leading-edge technology, complete services innovative solutions that not only help providers to be more efficient, productive and profitable, but also continue to improve patient outcomes and their overall health.