Meet Our Team

Sr. Director of Finance and Regulatory

Mark Carpenter

Mark is the Director of Finance and Regulatory at Third Party Reimbursement Solutions, LLC (TPR) and is based out of TPR’s Charlotte office.

Mark joined TPR as an Associate and has been serving client needs since 2009. He rapidly expanded his regulatory knowledge in Medicare and Medicaid Reimbursement. 

Mark specializes in wage index reviews and Medicare / Medicaid Cost Report compilations, completing over 500 wage index projects and over 120 cost reports in his career; assisting clients through Historical Wage Index and cost report Benchmarking Analysis projects, as well as Graduate Medical Education and Indirect Medical Education Reviews and Medicare / Medicaid Bad Debt projects, Geographic Reclassifications, Medicaid DSH audits, Nursing and Allied Health Assessments, S-10 Assessments, and Third Party Reserves.

Professional Affiliations and Achievements:

• HFMA Member (2009-Present) – North Carolina, South Carolina, Metro NY, Central Pennsylvania, Northeast Pennsylvania

Director of Finance and Regulatory

Loren Dyer

Loren is a Director of Finance and Regulatory for Third Party Reimbursement and is based Valdosta Georgia.

Mr. Dyer has assisted clients in various aspects of their overall reimbursement as a trusted advisor to ensure the correct reimbursement for Medicare disproportionate share (DSH), Rehab low-income pool or (LIP) payments, bad debts, allied health, meaningful use payments, wage index, and multiple other aspects of cost reporting to ensure accurate payment. In addition, Mr. Dyer has provided interim staffing services, Medicare and Medicaid audit assistance, cost reporting services, and liaison services between the State and the Medicare Area Contractor (MAC) to ensure client desired outcomes. 

Before joining TPR, Loren most recently served as Director of Revenue & Reimbursement at Tampa General Hospital (TGH) in Tampa, Florida for eight (8) years.

Mr. Dyer’s experience includes eight (8) years at TGH, two (2) years as Manager of Reimbursement at the Moses Cone Health System in Greensboro, North Carolina, five (5) years at Memorial Health University Medical Center in Savannah, Georgia as Manager of Reimbursement, three (3) years as Manager of Reimbursement at Integrated Health Services Inc. Home Health, two (2) years as Auditor at Aetna Life and Casualty – Medicare Fiscal Audit Intermediary, and two (2) years at Ernst & Young – Certified Public Accountants. During these 35 years Mr. Dyer has focused on healthcare Medicare and Medicaid Reimbursement and Finance primarily focused on Hospital Medicare Reimbursement.

Director of Finance and Regulatory

Travis Justice

Travis is a Director of Regulatory and Finance at Third Party Reimbursement Solutions, LLC and is based out of the Charlotte, NC office.

Travis has over twenty six years of healthcare finance experience specializes in assisting hospitals and healthcare systems in reimbursement and regulatory issues impacting healthcare. His experience includes but is not limited to wage index/ occupational mix analysis, Medicare Disproportionate Share, Medicare Bad Debts assessments, Third Party Due Diligence, Post-Acute Care Transfer Assessments, Medicare and Medicaid Cost Report Review.

Prior to joining TPR, Travis spent twelve and half years with a “Big Four” firm where he directed engagements around the country for hospitals and healthcare systems with regulatory issues. Prior to his experience with the “Big Four”, Travis spent four years with a major not-for-profit healthcare system in the Carolinas working in Corporate Accounting and Reimbursement departments.

Travis graduated from Western Carolina University, with a Bachelor’s Degree in Accounting.

Director of Finance and Regulatory issues

Dave Andrzejewski

Dave is a Director of Finance and Regulatory issues at Third Party Reimbursement Solutions, LLC (TPR) and is based out of St. Louis, Mo.  

Dave has over 30 years of healthcare finance experience, specializing in Area Wage Index and Graduate Medical Education reimbursement issues.  Prior to joining TPR Dave worked for 20 years with Ernst & Young and Crowe LLP, providing and directing reimbursement engagements throughout the country.  His primary responsibilities were leading and managing their wage index programs.  While with Crowe LLP, Dave developed the Wage Index Navigator (WIN) software which was utilized by over 100 hospitals in the nation.  He has provided training at corporate conferences and national webinars on Area Wage Index.  Previously, Dave worked with BJC Health Care in St. Louis, primarily managing the system’s GME reimbursement encompassing over 750 FTEs and 75 ACGME accredited programs. 

Dave’s education is from the University of Missouri – St. Louis with a Bachelor’s Degree in Accounting.  He has been accredited as a Certified Healthcare Finance Professional (CHFP) for many years.

Director of Finance and Regulatory

Ann Showers

Ann is a Director of Finance and Regulatory at Third Party Reimbursement, Solutions, LLC (TPR) and is based out of Iowa City, Iowa.

Ann joined TPR in June of 2022 and has over 10 years in healthcare reimbursement and over 20 years accounting and financial reporting, budgeting, and strategic planning experience. Prior to joining TPR, she was the Senior Director of Revenue & Reimbursement for University of Iowa Health Care and was responsible for all third-party regulatory issues, revenue integrity and the hospital and physician chargemasters. 

Ann specializes in Medicare Cost Report reviews, including Transplant, Graduate Medical Education, Nursing and Allied Health, Medicare Bad Debt, Medicare Disproportionate Share (DSH), and Third-Party Reserves assessments.  She is also experienced with Medicaid Cost Reports, Medicaid DSH audits and Medicaid financing.

Ann graduated from The University of Iowa with a Bachelor of Business Administration degree in Accounting.  Ann is a Certified Public Accountant licensed in the State of Iowa.  She also holds a Certified Health Financial Professional Certification with HFMA and a Certified Professional Coder (CPC-A) certification with the AAPC.

Senior Manager of healthcare regulatory consulting

Kevin Brady

Kevin is a Senior Manager in the healthcare regulatory consulting practice at Third Party Reimbursement Solutions (TPR) based in New York, New York.

With over 35 years of experience in the healthcare industry, Kevin focuses primarily on the regulatory environment, assisting large healthcare systems, Academic Medical Centers with Medicare and Medicaid reimbursement services and other related consulting projects. Specific client services include Medicare and Medicaid Cost Reporting, Wage Index Assessments, Third Party Accounting, and Medicare Bad Debts.

Prior to joining TPR, Kevin spent the previous 3 years at Deloitte LLP as a manager in their healthcare consulting practice. In addition, Kevin also was a manager at Ernst & Young LLP for 10 years as a manager in their healthcare consulting practice. He also worked as an auditor in audit and reimbursement for a Medicare Fiscal Intermediary (Empire Blue Cross and Blue Shield).

Kevin has a B.S. Degree in Accounting from State University of New York at Plattsburgh and an M.B.A. from Fordham University.

Senior Associate

Blaine Nichols

Blaine Nichols is a Senior Associate at Third Party Reimbursement Solutions, LLC and is based in Charlotte, NC. Blaine joined TPR in 2012 as an intern and successfully balanced both school and work. He completed his Business Administration degree from the University of North Carolina at Greensboro.

Over the past decade, Blaine has assisted in the completion of DSH surveys, DSH projects, Wage Index Reviews, Medicare Appeals, and HIPAA/SOC compliancy.

Senior Manager of Finance & Regulatory

Jaclyn Reinoso

Jaclyn Reinoso has recently joined the team at Third Party Reimbursement (“TPR”) Solutions, LLC in 2024 as a Senior Manager - Finance & Regulatory.  Prior to joining TPR, Jaclyn was the Administrative Director of Graduate Medical Education at Mather Hospital Northwell Health, Port Jefferson, NY for over 6 years.  

In 2005, Jaclyn received her Bachelor of Arts degree at SUNY Cortland.  In 2009, she received her degree in Master of Business Administration in Health Care Management from Dowling College-Oakdale, NY.  Jaclyn has over 15 years of exeperience in graduate medical education leadership.  Prior to her joining Mather Hospital Northwell Health, she was the Director of Graduate Medical Education at NewYork-Presybterian Queens for 8 years.   

Jaclyn brings comprehensive knowledge and practical experience in healthcare graduate medical education leadership and administration.  She has a strong background in graduate medical education compliance, oversight, accreditation, agreements, new teaching programs, site reviews, contract negotiations, recruitment, credentialing, budgeting and management.   

Jaclyn currenty resides with her daughter in Long Island, NY where she grew up.  She enjoys the seasonal changes on Long Island.  She spends most of her time cheering on her daughter whether it is on the field at a lacrosse tournament or on a stage at a dance competition.   

Senior Manager of Finance and Regulatory

Jennifer Nencetty

Jennifer Nencetty is a Senior Manager at Third Party Reimbursement (“TPR”) Solutions, LLC. Prior to joining TPR, Jennifer worked at Stony Brook University Hospital as the Assistant Director of Reimbursement. At Stony Brook she coordinated all reimbursement issues for the hospital and its two affiliates. Jennifer is based out of our TPR Melbourne Beach, Florida office.

Jennifer has over 35 years of health care experience with an extensive background in federal and state regulatory issues for Hospitals and Health Systems. Jennifer has worked at several large teaching hospitals in both New York State and North Carolina as well as for the MAC as a Medicare auditor.

Jennifer has presented at the Metropolitan New York HFMA meeting as a Medicare Cost Report presenter. She reviews and prepares Medicare and Medicaid cost reports, completes all audit requests for the NYSICR audits and Medicare audits, and reviews files for appeals & re-opening requests. Jennifer also acts as the liaison between hospitals and both Medicare and KPMG in the resolution of audit issues during entrance and exit conferences. 

Senior Manager of Finance & Regulatory

Paul Hannah

Paul is a Senior Manager in the healthcare regulatory consulting practice at Third Party Reimbursement Solutions (TPR) based in Atlanta, Georgia.

With over 30 years of experience in the healthcare industry, Paul focuses primarily in the regulatory environment, assisting large healthcare systems, Academic Medical Centers, Critical Assess Hospitals with Medicare and Medicaid reimbursement services and other related consulting projects. Specific client services includes Medicare and Medicaid Cost Reporting, Wage Index Assessments, Third Party Accounting, Medicare Bad Debts.

Prior to joining TPR, Paul spent the previous 6 years at Crowe LLP, 7 years working at Dixon Hughes (Forvis) as a manager in their healthcare consulting practice. Paul has also been employed with Ernst and Young and KPMG as members of the of their national health care consulting practices. Paul was employed by Augusta University Health in Augusta, Georgia as a Manager of Reimbursement. He also worked as an auditor in audit and reimbursement for a Medicare Fiscal Intermediary (Blue Cross and Blue Shield of Chicago).

Paul’s education includes Bachelors of Business Administration, Accounting from Loyola University in Chicago, Illinois and Certified Healthcare Finance Professional (CHFP)

Manager of Finance and Regulatory

Thomas Morse

Mr. Morse is a Manager of Finance and Regulatory and he works out of the Philadelphia, PA office. Prior to joining TPR, he worked for Holy Redeemer Health System, North Philadelphia Health System and Wills Eye Hospital.  In addition, Mr. Morse worked for both large and small Nursing Home Chains and Management Companies.  He has over 30 years of Reimbursement experience in Pennsylvania which includes working with Hospitals, Long Term Care Hospitals, Nursing Facilities, Home Health Agencies and Federally Qualified Health Centers. He has worked with Reimbursement and Finance Staff, General Counsel, Patient Accounting, Charge Master, Corporate Compliance, Information Systems, Operations and Clinical Staff.  Mr. Morse has a B.S. Degree in Accounting from Penn State University and holds the CMA and FHFMA designations.