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