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Susan Prior

Principal | CHC

Susan, a Principal in BerryDunn’s Healthcare and Not-for-Profit Practice Groups, joined the firm as part of the merger with VantagePoint Healthcare Advisors in 2021. She helps clients address the demands of today's rapidly changing healthcare market, developing effective and proactive strategies designed to improve their business and help them stay competitive.

In her over-30-year career, Susan has served as a director for a nationally recognized chain of nutrition centers and in executive positions in various academic hospital systems, medical practices, and practice management companies.

Susan's diverse background positions her to effectively assist clients with strategic planning, contract negotiation, business analytics program development, and operations and revenue cycle optimization.

Susan, a Principal in BerryDunn’s Healthcare and Not-for-Profit Practice Groups, joined the firm as part of the merger with VantagePoint Healthcare Advisors in 2021. She helps clients address the demands of today's rapidly changing healthcare market, developing effective and proactive strategies designed to improve their business and help them stay competitive.

In her over-30-year career, Susan has served as a director for a nationally recognized chain of nutrition centers and in executive positions in various academic hospital systems, medical practices, and practice management companies.

Susan's diverse background positions her to effectively assist clients with strategic planning, contract negotiation, business analytics program development, and operations and revenue cycle optimization.

Susan works with a variety of clients including integrated health systems, private practices, ambulatory surgical centers, long-term acute care hospitals, and investor (PE and VC) firms. She has extensive experience assisting these organizations with strategy, operational, reimbursement, and regulatory challenges. Susan leverages her over 30 years of industry experience in operations and HCCA healthcare compliance certification to guide clients to assess risk tolerance.

Experience highlights

  • Healthcare compliance
  • Credentialing and enrollment strategy
  • Healthcare business strategy, analytics, and operations consulting
  • Healthcare pre- and post-acquisition due diligence
  • Revenue cycle analysis and redesign
  • Integration strategy
  • Physician compensation design
  • Strategic planning
  • Contract negotiation
  • Project management
  • Compliance program effectiveness review

Presentations and publications

  • Don’t Be Surprised! How Ambulatory Care Providers Can Streamline Compliance with the No Surprises Act and Its Good Faith Estimate Requirements While Increasing Patient Engagement and Maintaining Revenue Integrity, Health Care Compliance Association's Compliance Institute, 2023
  • Unknown Unknowns: How what you don’t know about provider credentialing, privileging and enrollment creates strategic and compliance risks, barriers to care, and claim denials, New England Society for Healthcare Strategy (NESHS), 2018
  • The Unknown Unknowns of Credentialing, Privileging and Enrollment, Health Care Compliance Association (HCCA) Webinar, 2018

Memberships and committees

  • Connecticut Chapter of the Health Financial Management Association (HFMA), Board Member, Past President, President-Elect 2022-2023
  • Connecticut Chapter of American College of Healthcare Executives (ACHE), Board Member and Co-Chair of the Women’s Forum
  • Healthcare Financial Management Association (HFMA) National Advisory Committee for Strategy 2016

Insights

Education

University of Connecticut

Certifications

  • CHC