The Lifecare team has extensive experience in Federal government contract operations with a focus on contracting with the Centers for Medicare & Medicaid Services (CMS).
- Claims Processing*
- Medical Review*
- Fraud, Waste and Abuse*
- Data Analysis*
- Background Checks*
- Cost Accounting*
Lifecare’s principals are Joseph C. Molina, LLM, JD and James C. Bordeau. Mr. Molina and, Mr. Bordeau have extensive experience in Federal government contracting and business operations with a focus on contracting with the Centers for Medicare and Medicaid Services (CMS).
Joseph C. Molina, General Partner
Mr. Molina is the founder and owner of Lifecare and has been involved in operating contracts across numerous Federal agencies. He has an in depth knowledge of Federal law, regulations, and various agency operating policies and procedures. Specific to CMS, Mr. Molina has been involved in transitions of Medicare operations to new contractors, CMS payment error rate initiatives, background investigations, joint operating agreements, Medicare documentation requirements, medical reviews and overpayment recoveries involving statistically valid random samples, law enforcement fraud referrals, and pro-active data analysis of large data sets and complex data sets.
James C. Bordeau, President
Mr. Bordeau is the President of Lifecare and has spent his entire career in Medicare program administration. He is considered an expert in Medicare Part A and Part B operations including contractor technical requirements and performance standards. He began his career at CMS where he was responsible for Medicare contractor oversight, inspections and performance evaluations and also served on various CMS Technical Advisory Groups and Steering Committees. Mr. Bordeau also managed various aspects of both Part A intermediary and Part B carrier operations at Aetna and United Healthcare. At AdvanceMed Corporation, Mr. Bordeau served as Vice President of CMS Payment Safeguard Contractor (PSC) contract operations.