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Lloyd Arakelian, CPA, FHFMA is a Director in the Healthcare Assurance and Advisory Practice of Freed Maxick. Lloyd joined the Firm in 2009 after 14 years with a Big Four accounting firm. He has over 35 years of experience serving the healthcare industry with 10 years of hospital experience. He specializes in delivering financial, reimbursement, operational, and planning services to a variety of healthcare organizations including hospitals, integrated delivery systems, home health agencies, and HMOs.

Lloyd has led a wide range of financial consulting engagements including financial projections, feasibility studies, strategic financial planning, financial turnarounds, mergers and acquisitions, and service line reconfiguration. He has coordinated revenue enhancement activities including strategic pricing, charge capture, inpatient and outpatient coding, managed care contracting, and physician billing options that have significantly improved clients’ bottom line performance.

Lloyd has directed numerous reimbursement engagements including Medicare and Medicaid rate appeals. His Medicare appeals experience includes graduate medical education, indirect medical education TEFRA, disproportional share, and physician billing and wage index. His New York State Medicaid appeals focused on substantially changed institutions, volume adjustments, DRG creep, capital, bad debt and charity care, and inter-governmental transfers. In the area of managed care, he has assisted hospitals with managed care negotiations and led over 30 HEDIS compliance audits and performed various HEDIS consulting engagements, increasing HMO quality measures significantly.