With 12 years in active medical practice, and 27 years in the managed care field, few medical professionals have had the breadth of operational and policy management experience combined that Dr. Cross has had. He looks forward to sharing his insight in the world of healthcare management and clinical policy / coverage development with you as his client.
- Extensive experience in the development and implementation of clinical polices, as well as the acceptance of coding schemes and payment rules to establish and implement reimbursement rules for payers.
- Known for his oversight of the Clinical Policy Bulletins at Aetna and his working knowledge of using vendors to implement coding/payment rules into various claim systems, working to bring clinical integrity and consistency to these reimbursement tools that are crucial to managing medical cost.
- Broad experience in managing medical programs, and outsourcing internationally, which contribute to managing medical and administrative costs.