PAUL J. CROFTON, CPA

Paul joined FSS after a successful career at CMS. While there, he held positions in CMS/HCFA's Office of Direct Reimbursement (HCFA's fiscal intermediary), the Office of Research and Demonstrations, and the Office of Financial Management. He served as the Director of the Division of Hearings and Decisions (DHD) in CMS's Office of Hearings. As the Director of DHD, he was responsible for the hearing docket for PRRB appeals and for his staff working with the PRRB to issue substantive hearing and jurisdictional decisions. He was one of the co-founders of the Office of Hearing's mediation program that has been used extensively as an alternative to PRRB hearings. He has successfully mediated over 2,000 PRRB Medicare provider and Medicare Advantage appeals. He has been a frequent conference speaker regarding PRRB appeals and mediation at the American Health Lawyers Association's annual Institute for Medicare and Medicaid Payment Issues and at HFMA's west coast regional symposium. He has also spoken to the HFMA chapters in Michigan, Maine, Hawaii and Puerto Rico.

Paul is a CPA, licensed in Maryland. He received a B.S. in Accounting from the Pennsylvania State University.