Shawn Keough-Hartz, CHBME CEO/President

Shawn Keough-Hartz is the President and CEO of Provider Resources, Inc. (PRI) with over 28 years in the healthcare industry. Her responsibilities include driving market share, revenue, profit growth, and strategic planning. Her key qualifications include: leadership, marketing, financial and human resource planning, billing operations, and government contracting. Since the founding of PRI in 2003, she has led the company into the federal contracting arena, focusing efforts on PRI’s mission of promoting and supporting compliance, integrity, and quality in the healthcare community through education.

Her management capabilities include strategic vision, client interfaces, oversight of comprehensive systems and software conversions, and organizational restructuring with the creation of three corporations, and several mergers and acquisitions. Today, PRI has over 190 employees across thirty-three (33) states and four (5) service Divisions.

As a healthcare professional, Ms. Keough-Hartz has been an active member of the Healthcare Billing & Management Association (HBMA) and currently serves on its Board of Directors where she is actively involved in Strategic Planning. For HBMA, she has served as a member of the Business Practices, Education, Publications, Nomination, Ethics & Compliance, and Government Relations Committees. She is active with the Awards Best Practices Committee which developed and published HBMA’s first book, Collected Wisdom, for which she is a contributing author.

Ms.Keough-Hartz recognizes the value of accreditation and guides PRI’s continuation of URAC accreditation, ISO 9001:2008 registration, and CMMI-DEV implementation. It is through her passion for involvement and solid practical business experience that she assists governmental agencies, states and insurance carriers to instill integrity into the healthcare system.

William McBee, BS, CFE, LPI Vice President/Chief Compliance Officer

William McBee is a compliance professional and a retired federal Senior Special Agent, with over 40 years’ experience in the investigation and prosecution of complex fraud, including healthcare fraud, related criminal and civil offenses, and other major crimes. His experience of thorough investigations led to numerous successful prosecutions in both state and federal jurisdictions. Mr. McBee, a partner in PRI ownership, serves PRI as Chief Compliance Officer and Vice President. He also serves as the PRI Privacy Officer. A licensed private investigator, Mr. McBee has been credentialed as a Certified Fraud Examiner since 1997. He is an active member of the Association of Certified Fraud Examiners (ACFE), the National Healthcare Anti-Fraud Association (NHCAA), and the FBI National Academy Associates. He has been a frequent presenter at national compliance conferences on the successful federal investigation and prosecution of healthcare fraud.

At PRI, Mr. McBee is instrumental in building our corporate compliance program, a robust collection of compliance policies, such as conflict of interest, information technology security, risk management, quality assurance, privacy issues, and myriad corporate policies. He chairs the Compliance Committee, is an active member of the PRI Executive Team, and a member of the PRI Advisory Board of Directors.

In addition to his Bachelor of Science in Business Administration (Accounting) from the University of Tennessee, Mr. McBee is a graduate of the U.S. Treasury Department’s Federal Law Enforcement Training Center (1977) and the FBI National Academy (U.S.DOJ – 1982). Mr. McBee is a veteran of the United States Army, during which service he was assigned a combat tour of duty in the Republic of Viet-Nam (1969-1970).

Dennis Agostini, Ph.D., D.O., FACE P Chief Medical Director

Dr. Agostini has over thirty years’ experience in planning and directing various organizations’ medical policies and programs. As a Senior Associate Dean of Clinical Affairs and Postdoctoral Education, he has been responsible for strategic clinical relationships with physicians and hospital CEOs by overseeing the development of quality content for curriculum and evaluation of all clinical programs for medical students at two medical schools. In addition, he has been responsible for the development and oversight of various postdoctoral gradual medical education (GME) programs. He has written research publications appropriate to support clinical service offerings, incorporated and developed a clerkship handbook outlining clinical policies instituted at over 100 hospitals, physician offices and clinics.

His experience includes:

  • Chief Medical Director of Provider Resources, Inc. providing policy recommendations and determinations of medical necessity as it relates to quality of care in multiple specialties
  • Serving the Utilization Review Committee at Millcreek Community Hospital for over 10 years with responsibility for auditing medical necessity and standards of care for Medicare/Medicaid inpatients
  • Founding Emergency Medical Associates of Millcreek and Director of Emergency Services at Millcreek Community Hospital from 1984-1995
  • Serving on the Management Advisory Council for the Veterans Integrated Service Network Area 4
  • Serving as a medical expert with the Office of Hearings and Appeals under the Social Security Administration.
  • Serving on various Committees and Bureaus of the American Osteopathic Association and the Pennsylvania Osteopathic Medical Association
  • Member of the Evaluator Registry of the American Osteopathic Association for the Committee on College Accreditation and the Committee on Osteopathic Postdoctoral Training Institutes, serving as an evaluator for accreditation teams
  • Professor of Emergency Medicine, Lake Erie College of Osteopathic Medicine
  • Professor of Emergency Medicine and Biochemistry Campbell University School of Osteopathic Medicine
  • Life Fellow of American College of Emergency Medicine; certified by the American Osteopathic Board of Family Practice; and is an Instructor in Advanced Cardiac Life Support
  • Receiving the John and Silvia Ferretti Award for Outstanding Clinical Faculty at the Lake Erie College of Osteopathic Medicine
  • Receiving the Item Writer of the Year (2007) from the National Board of Osteopathic Medical Examiners
  • Serving as a Major in the US Army Reserves, Medical Corps, and active duty in Operation Desert Storm.