Susan Prior

Principal | CHC

sprior@berrydunn.com

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.

D 203.288.6860

experience education & certifications industries services presentations & publications memberships community service events insights

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

Articles

Medicare Advantage challenges for hospitals: Five strategies for reducing revenue loss

Effective provider onboarding: Improve care, reduce turnover, and save money

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

Related Services

Consulting

Business Advisory

Credentialing Interim Assistance Overview Mergers and Acquisitions for Healthcare Physician Compensation Models Reimbursement Consulting Revenue Cycle Consulting