JAMES R. QUINN - RN, BSN. LCP-C, CLCP, CPB

Jim Quinn is a registered nurse and certified experienced life care planner, having developed over 400 reports including life care plans, cost projections, rebuttals, and bill reviews.His life care planning background has had particular focus on accepted costing and coding methodologies. He has received coding training through the American Academy of Professional Coders, and his bill review practice has had primary focus in New Jersey matters, including pre and post Haines decision, as well as NJ PIP Law.

 

Jim has extensive clinical experience having cared for patients in various life stages from infant to geriatric, and from the emergency room setting to ICU to rehab and discharge home. Additionally, he has served as a consultant to workers' compensation adjusters to determine if the cost of care is reasonable and customary through site surveys, record review, and meeting with providers.

Curriculum Vitae

QUALIFICATIONS:

  • Registered Nurse with over 15 years of nursing experience.
  • Clinical specialties in adult critical care, emergency room and trauma RN background in acute care.
  • Preceptor to student nurses, graduate nurses, and experienced RNs.
  • Care provider in a long-term residential brain injury facility.
  • Certified Life Care Planner and Certified Professional Biller having developed over 500 reports including bill revies, life care plans, medical cost projections, and rebuttals.
  • Executive Board Member of the American Association of Nurse Life Care Planners, serving as Treasurer for the 2022-2024 term.
  • Life care planning and bill review expert who has educated other life care planning experts on accepted coding methodologies.

 

PROFESSIONAL EXPERIENCE

Quinn Consulting, LLC.                                                                                         January 2019 - present

Owner & Certified Life Care Planner

Langhorne, Pennsylvania

 

  • Review of past bills to determine if charges fall within UCR and are coded according to NCCI edits (National Correct Coding Initiative).
  • Develop life care plans and medical cost projections utilizing the nursing process and training as a certified life care
  • Formulate rebuttals/analyses of other life care plans and medical cost
  • Medical-legal consultant and expert witness regarding the aforementioned
  • Clinical nurse consultant for workers’ compensation pharmaceutical reviews to discuss safe, effective, and cost-efficient medication alternatives with treating healthcare
  • Clinical nurse consultant to provide facility site surveys and cost analysis to opine as to the appropriateness of care and costs for therapies and services provided to workers’ compensation clients with life-altering disabilities.
  • Fee negotiator for the aforementioned consultant roles to workers’ compensation

  

St. Mary Medical Center                                                        January 2014 – November 2019

Langhorne, Pennsylvania

Float Registered Nurse

 

  • Responsibilities included the care and management of the intensive care, emergency room, step-down, postcardiac care intervention, medical-surgical, telemetry, and progressive care
  • IV nurse expert with training in ultrasound-guided IV
  • Leadership duties included charge nurse, rapid response/code team
  • Nurse mentor and preceptor to student nurses, graduate nurses, and experienced registered
  • Facilitated annual nursing skills labs and education to help ensure adept and knowledgeable

 

Aria Health                                                                                                                 May 2015 – October 2016

Bucks County Campus, Langhorne, Pennsylvania

Emergency Room Pool Nurse

 

  • The position entailed triage of pediatric to geriatric patients with rapid assessment and appropriate
  • Coordination of complex care with health care providers and ER
  • The facilitation of patient transfers to tertiary healthcare centers for advanced treatment

 

Abington Memorial Hospital                                                                                     February 2013 – May 2014

Abington, Pennsylvania

Critical Care Registered Nurse

 

  • Duties included the management of critical patients with efficient and safe delivery of treatments including hemodynamic monitoring, continuous renal replacement therapy, and life-supporting
  • Leadership roles also included mentor and preceptor to critical care nurses, charge nurse positions and rapid response
  • The facilitation of patient transfers to tertiary healthcare centers for advanced treatment

 

Capital Health                                                                                                March 2012 – February 2013

Trenton, New Jersey

Neurological ICU & Medical/Surgical ICU Registered Nurse

 

  • Responsibilities included the care of the critical medical, surgical and neurosurgical intensive care patients, utilizing treatments in thrombectomy, brain and body tumor excision, clot-dissolving medications, and hemodynamic and neurological

 

  • Implementation of early stroke and traumatic brain injury

 

Aria Health                                                                                                     January 2010 – January 2014

Bucks County Campus, Langhorne, Pennsylvania

Critical Care Pool Registered Nurse

 

  • Care and management of critical care patients including cardiac, medical, and surgical intensive care patients.

 

Abington Memorial Hospital                                                                                     June 2008 – March 2012

Abington, Pennsylvania

Critical Care Registered Nurse

 

  • Management of critical patients with efficient and safe delivery of treatments including hemodynamic monitoring, continuous renal replacement therapy, and life-supporting
  • Leadership roles also included preceptor/mentor to critical care nurses, charge nurse positions and rapid response

 

Abington Memorial Hospital                                                                                     November 2006 – June 2008

Abington, Pennsylvania

Clinical Associate

 

  • Care of both the oncology patient and the intensive care patient in a hospital setting under the direction of registered

 

Woods Services                                                                                              November 2006 – June 2008

Langhorne, Pennsylvania

Client Care Worker

 

Responsibilities encompassed care for long-term brain-injured clients in both a long-term residential facility and a vocational setting. Meal preparation, hygiene care, transportation and home care were provided for the

EDUCATION

  • American Association of Professional Coders, Medical Billing for CPB Preparation Online Course  2021
  • American Association of Professional Coders, Certified Professional Coder Online Self Study Course  2019
  • FIG Services, Nurse Life Care Planning Certification Class, Asheville, North Carolina January 2019
  • Ohio University, Athens, Ohio: Bachelor of Science in Nursing Graduated 2018
  • Abington Memorial Hospital Dixon School of Nursing, Abington, Pennsylvania: Nursing Diploma June 2008
  • Bucks County Community College, Newtown, Pennsylvania: Nursing Prerequisites August 2006

CURRENT LICENSES

Licensed in New Jersey and Pennsylvania

Pennsylvania RN Licensure (2008 - Present) RN594556

New Jersey RN Licensure (2012 - Present) 26NR15808700

CERTIFICATIONS

CPB – Certified Professional Billing                                                                             03/23/2022 - Present

LCP-C Life Care Planning – Certified                                                                        12/22/2021 – 12/2026

CLCP - Certified Life Care Planner (Cert #: 1457)                                                               2019 - Present

NIHSS - National Institute of Health Stroke Scale Certification                                        2012 - 2021

CCRN - Acute/Critical Care Nursing Adult                                                                                    2010 - 2021

BLS - Basic Life Support                                                                                                                              2008 - 2020

ACLS - Advanced Cardiovascular Life Support                                                                            2008 - 2020

PALS – Pediatric Advanced Life Support                                                                                          2014 - 2020

CEN – Certified Emergency Nurse                                                                                                      2015 - 2019

TNCC – Trauma Nursing Core Course                                                                                              2014 - 2018

PROFESSIONAL ASSOCIATIONS

AANLCP - American Association of Nurse Life Care Planners                                     2019 - Present

AANLCP Executive Board, Treasurer 2022-2024                                                Term 2022-2024

AANLCP Journal Committee, Journal Article Reviewer                                        2019 - Present

IALCP – International Academy of Life Care Planners                                                      2019 - Present

AAPC – American Academy of Professional Coders                                                          2019 - Present

BCEN – Board of Certification for Emergency Nursing                                                                          2015

AACN – American Association of Critical-Care Nurses                               2010, 2014, 2019, 2021

PRESENTATIONS AND PUBLICATIONS

Annual Nurse Competencies St. Mary Medical Center                                                    October 2018

Cardiovascular Emergencies, Airway Management, Wound Identification, and Glucometer Management.

AWARDS

Recipient of Excellence in Collaboration and Teamwork St. Mary Medical Center, Langhorne, Pennsylvania.                                                                                                                                                                    2018