Healthcare Authorization Systems

Pre-Payment Claim Authentication,
Medication Adherence, and Wellness Support Service
About Us
Healthcare Authorization Systems (HAS) is part of ADCOMRX, a Nevada LLC that is also registered in California.  HAS will eliminate unnecessary costs in health care by streamlining processes, shifting tasks to patients when appropriate, protecting the funds that pay for health care, and improving the security of and access to patient information.    

Jim Wigney was inspired to create HAS because of the ineffectiveness of Public Law 110-28, which requires all prescriptions paid using Medicaid funds to be written on tamper-resistant paper, and because of the hundreds of billions of dollars a year that are lost to healthcare waste, fraud, and abuse.  Before founding HAS, Jim Wigney launched a small security prescription form business, Competitive PR4, www.cpr4rx.com, to satisfy a new California controlled-substance prescription law and as a way to research effective ways to prevent healthcare fraud and unnecessary costs in health care. 

 

Jim Wigney, HAS’ founder, learned about healthcare fraud and current prevention methods while employed at Electronic Data Systems (EDS), the IT firm and Medicare/Medicaid health insurance claims processor founded by Ross Perot, and at Standard Register, a healthcare industry forms printer.  Mr. Wigney has 25 years experience in the commercial printing, information technology, and business process management industries, serving in production and sales roles at Color West Lithography, DST Output, EDS, and Standard Register.

Mr. Wigney's first exposure to the enormous cost of healthcare fraud was through Malcolm Sparrow’s book, License to Steal: How Fraud Bleeds America's Health Care System, which includes the results of healthcare fraud research conducted at the request of President Bill Clinton.  While promoting attendance for a fraud prevention workshop by Frank Abagnale (the subject of “Catch Me If You Can,” the Steven Spielberg movie, starring Leonardo DiCaprio and Tom Hanks), Mr. Wigney met Alan Cates, a 26-year veteran in fraud prevention, who was appointed chief of the Medi-Cal Fraud Prevention Bureau by California Governor Gray Davis.  Mr. Cates led one of the most effective fraud prevention efforts in U.S. history.  Through Alan Cates and the Fraud Prevention Institute, Mr. Wigney met Carlo Michelotti, CEO of the California Pharmacists Association; Robert Cervantes, Asst. Superintendent, CA Dept. of Education; John Skhal, CEO of Pharmaceutical Care Network; and FBI agents Ed O’Donnell and Jim Wedick.

Lengthy discussions with these people about healthcare fraud problems led Mr. Wigney to seek ways to improve healthcare information security, to prevent healthcare fraud before it happens, and to reduce healthcare costs. 

Advisors

David Finn, CISA, CISM, is the Health Information Technology Officer for Symantec.  Prior to that role he was the Chief Information Officer and Vice President of Information Services for Texas Children’s Hospital, the largest pediatric integrated delivery system in the United States.  He also served as the Privacy and Security Officer for Texas Children’s.  Prior to that Mr. Finn spent 7 years as a healthcare consultant with IMG, Healthlink and PwC.  Serving last as the EVP of Operations for Healthlink.

Mr. Finn has 29 years’ experience in the planning, management and control of information technology and business processes.  He is focused on enabling operating efficiency and deriving business value through the optimization and control of technology.  Mr. Finn’s key skills include IT Governance and Control, Project Management, Systems Selection and Implementation, Business and IT Partnering, and IT Audit, Control and Security.

Texas Children’s Hospital won the ECRI Institute 2007 Health Devices Achievement Award, and because of Mr. Finn’s departmental support, TCH also was awarded recognition for Employee Support of the Guard and Reserve.  Mr. Finn also received the Symantec Visionary Award in 2008 for Security.  Mr. Finn has presented nationally and internationally on such topics as project management, professional leadership and staff development, and privacy and security. He has contributed to or written articles on IT Management, Disaster Recovery and Security for such as journals as CIO Digest and Baseline.

Finn holds a BA degree from the University of North Dakota and an MA from Angelo State University. In addition to the national Board of HIMSS, Mr. Finn serves on the board of Houston Healthcare for the Homeless and is a member of Information Systems Audit & Control Association, and College of Healthcare Information Management Executives.

Jim Wedick, Principal, Wedick & Associates, www.FBIexpert.com – Mr. Wedick is a decorated, 30-year veteran, retired FBI agent who specialized in white-collar crime; former leader of the country’s most productive FBI healthcare fraud prevention unit; and a private investigator and expert witness.  He has worked undercover and with criminal informants and cooperating witnesses in some of the United States’ highest-profile investigations, including internal FBI investigations through the Office of Professional Responsibility.  Mr. Wedick participated in many FBI operations, including Operations Fountain Pen, ABSCAM, SHRIMPSCAM, REZONE, PHONY PHARM, UNWHOLESUM, and BLOOD SPIN.  Mr. Wedick led the nation in convictions secured in the FBI’s Health Care Fraud Program and was responsible for the investigation at the Redding Medical Clinic regarding unnecessary heart procedures that resulted in reaching a civil settlement with Tenet Hospitals of $54 million, representing the largest recovery secured by the U.S. Department of Justice in the Medicaid Program.  He holds a bachelor's degree in business administration from Fordham University, New York City, NY. 

Dolores White
, Senior Development Advisor, Healthcare Authorization Systems – Ms. White has a broad background in industry, having held executive positions in sales, finance and administration.  She was a professor of accounting at California State University at Los Angeles and an Earhart fellow at UCLA.  Ms. White earned a bachelor’s degree in business-economics magna cum laude and a master’s degree in economics at UCLA.  She also did three years post-graduate work in finance, accounting and economics in the Anderson School of Management.
 

Page last updated 9-27-10

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