Crown Medical Management Group, LLC is a premier medical consulting and management group focused on providing only the highest level of expertise for the medical industry. With a combined experience of more than 100 years in medical practice management and problem solving, Crown’s senior executives stand ready to help you, the medical professional, solve all of your practice needs. Crown specializes in all aspects of physician practice management and hospital relations.
Paul Caudill, MHA
CEO
With more than 15 years experience in aggressive health care leadership roles, Paul founded a consulting firm specializing in physician practice management and physician and hospital relationships. In 2004 the firm became known as Crown Medical Management Group, LLC.
Paul’s early administrative career is in hospital administration. He has served as a hospital CEO, an Assistant Administrator and Corporate Executive Director for a nine-hospital system.
With deep ties to rural Kentucky, he has a vested interest in providing professional management and consulting services to rural providers located in all parts of the Commonwealth.
During the past three years Paul has been providing services to more than thirty Rural Health Clinics, Primary Care Centers, Federally Qualified Health Centers, and Critical Access Hospitals.
He is actively involved with Kentucky Primary Care Center. He co-founded and jointly coordinates their annual Rural Health Clinic Conference.
In addition to alternative rural practice models, Paul’s strengths include handling the financial and operational aspects of practice management, physician compensation modeling, practice structure, revenue cycle and joint ventures.
Don Fraley, MBA, FACMPE
Vice President
Senior Managing Consultant
Don serves as the Vice President and Senior Managing Consultant for Crown. He oversees the buying, selling, and merging of medical practices and handles financial planning, start-ups, and acquisitions for both private and hospital-owned practices. Don also specializes in EMR implementation, assisting in the RFP process and providing oversight during the Go Live period to ensure proper installation.
Prior to his work at Crown, Don served as a senior regional director of physicians services at a large for-profit hospital system. There he oversaw physicians services in a two-hospital network and also served a short time with Duke University Health Systems, as administrative director, to implement a cardiovascular affiliation agreement for a hospital system in Virginia. He also served as executive director of physicians services for a 400-bed tertiary care center that consisted of 15 sites and 48 providers. In addition to this executive role, he had direct reporting responsibilities for 15 clinics and outreach services, including physical rehabilitation, occupational therapy, speech, audiology, home health, and durable medical equipment.
Don is a presenter at numerous health educational forums, teach financial management, practice efficiencies, and overall practice management. He has more than 20 years experience in facility construction and holds a master electrician's license. He is board certified and fellowship trained by the world's leaders in practice management, MGMA and ACMPE. As a MGMA Fellow, he authored the published book entitled Can Hospital Owned Primary Care Clinics Turn a Profit?
Meredith P. Cate
Cost Report Specialist
Meredith started her career in the healthcare industry, working as a Senior Accountant for National Healthcare Corporation, a large chain of Skilled Nursing Facilities. She was responsible for the monthly compilation of financial statements and also performed financial and operational audits of various entities. Prior to joining Crown Medical Management Group, LLC in 2009, Meredith worked for nine years as a Senior Auditor for Riverbend Government Benefits Administrator, Medicare Fiscal Intermediary, where she specialized in Medicare cost reimbursement. She was involved in multiple stages of the Medicare cost report process, including acceptance, tentative settlement, desk review, finalization, and reopening.
As Crown's Cost Report Consultant, Meredith utilizes her financial and cost reporting background to serve our clients. Her primary role is the preparation of Medicare and Medicaid cost reports for Rural Health Clinics, Federally Qualified Health Centers, and Primary Care Centers. She also provides guidance to and evaluates clinics on an ongoing basis to ensure compliance with Medicare and Medicaid regulations.
Rebecca Fletcher, BAHA, CPC, ACS-EM, CAPPM
Revenue Cycle Management
Rebecca serves as a consultant for revenue cycle management. She is a certified administrator in physician practice management, and as a former practice administrator of a thirteen-provider group, her expertise is practice management, patient flow models, revenue cycle, auditing, coding, and reimbursement.
As a certified coding specialist and auditor, she sits on the national Advisory Board of Medical Specialty Coding for Evaluation and Management. Rebecca is responsible for all aspects of Crown’s auditing, billing, and claims management services. She performs comprehensive evaluation and management audits for practices to ensure documentation compliance.
Connie Horn
EHR / IT Project Manager
Connie brings together a unique set of specialties that are ideal for medical practice management and EMR implementation. After nine years as an associate in an accounting firm, she used her accounting background to full advantage, working for eight years as a practice administrator and consultant with specialties in EMR implementation and medical billing and coding.
Having opened new practices and implemented EMR in the practice she managed, she brings a “real world” knowledge that is irreplaceable. Experience and continuing education in patient flow management, personnel management, specialty coding, insurance claims submission, credentialing and legal requirements (such as HIPPA) give her a complete knowledge of medical practice management.
Prior to joining Crown, Connie was Chief Operations Officer of a software development and operations consulting firm. She was directly responsible for all aspects of software training and client implementation, from oversight of software documentation to training in the field. Her work required her to work with many different client operational needs, both as a consultant and as the interim manager during implementations. When in the field, she was often the primary systems trainer, as well as manager for the implementation.
Upon joining Crown, Connie spent six weeks in comprehensive training at the eClinicalWorks corporate training facility to become fluent in the latest version of their software system. Connie brings to Crown a complete knowledge and understanding of practice management and the requirements of EMR selection and implementation. Her extensive software training and implementation experience gives her a unique ability to see such implementations completed to the fullest benefit and effectiveness.
Tricia Shackelford, J.D.
General Counsel
Tricia teamed up with Crown Medical Management Group in April, 2010 as its General Counsel. She has over 10 years legal healthcare experience including: corporate formation and governance, mergers and acquisitions, reimbursement (Medicare and Medicaid), fraud and abuse (Stark, Anti-Kickback, Civil Money Penalties), medical staff issues (peer review and credentialing), HIPAA consulting, defense of professional licensure actions, certificate of need, and human resources consulting. Past clients include hospitals, ambulatory surgery centers, primary care centers, rural health clinics, medical management companies, physician group practices, solo practitioners, chiropractors, certified registered nurse anesthetists, pharmacists, physician assistants, and nurses.
Tricia received her law degree, cum laude, from the University of Miami School of Law in May, 1999, where she was the Exchequer of Phi Delta Phi and a member of the Miami Law Review. Prior to joining Crown, Tricia practiced as part of the healthcare group at Dinsmore & Shohl, LLP in Lexington, Kentucky.