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You have worked
hard to move in
the right direction.
We’re here to help
you stay on course.
Physician Peer Review
Medical Staff Development, Governance,
and Alignment
Litigation and Risk Management Support
Clinical Performance Improvement
Compliance

WE GET IT. COMPLETELY.
No one appreciates the challenges associated with driving the highest levels of patient-centered care
better than NorthGauge Healthcare Advisors. We have been in your shoes. We understand the difficulty of
navigating the uncertain and often rough terrain of clinical operations. And we understand the impact of
individual, group or system failure.
Amidst some of the most complex circumstances, we have leveraged our extensive peer review and consulting
experience to advise healthcare leaders and their legal counsel in the areas of physician performance,
clinical operations, compliance, medical staff governance and operational strategy. As a result, hospitals,
health systems, clinics, law firms and consultants from coast to coast put their trust in NorthGauge.
You need a partner who is a trusted, supportive and empathetic advisor. One who delivers defensible, expert
support. Your partner is NorthGauge.
“Working with NorthGauge is, in a word, easy. They lead me through
the process, prompting me with the right questions to ensure that
I’m getting what we need from them. All of them are always so kind
and patient with us. I worked with Jon previously and, as always, the
breadth of knowledge that Jon brings to the table is invaluable and I
trust completely that we will get exactly what we’ve asked for. I highly
recommend NorthGauge.”
Evelyn Chalfant
RN, Knox Community Hospital

THE BEST CHOICE TO MEET
YOUR MANY CHALLENGES.

PHYSICIAN PEER REVIEW
For more than a decade, we have worked closely with our clients on peer review matters that range from the
clear-cut to the most complex. We have reviewed thousands of cases across all specialties and subspecialties.
We’ve applied our extensive experience to fine-tune strategies that support the unique peer review needs of
our clients.
We feel strongly that peer review should not be a mechanical process that can leave leaders scratching
their heads as to the benefit of the outcome. Instead, we take a strategic, consultative, custom approach,
intelligently applying our expertise to help you make the right decisions and deliver high integrity, defensible
peer review within financial constraints.
Our team of true peers consists of highly reputable, carefully selected physicians spanning all specialties and
subspecialties. We match each physician’s specific experience and expertise to the nuances of each review.
We then apply established, evidence-based, and widely accepted criteria to help identify improvement
opportunities while mitigating risk.
“Our engagement spanned several months and I found NorthGauge focused and able to identify
critical aspects of an issue. They didn’t ‘make work’ or try to do anything they felt we didn’t need.
Jon’s experience on the ‘inside’ of a healthcare organization was invaluable. Jon and his expert team
handled themselves extremely well and are true professionals”
Paul Kozachenko
Outside Counsel
Washington Hospital Healthcare System

NorthGauge adheres to a philosophy that peer review is not simply a report; it’s a process. That’s why we
actively manage every project and remain engaged all the way through fair hearing if necessary. We do this
with a keen focus on your success in driving the highest quality patient-centered care. Count on NorthGauge
for support with:
• Focused and Ongoing Professional Practice Evaluation
• Medical necessity determination
• Documentation and coding compliance
• Privileging decision support
• Root cause analysis
• Fair hearings
• Fraud and abuse mitigation
• New service quality monitoring
• Proctoring
• Practice acquisition due diligence
• Litigation support
MEDICAL STAFF DEVELOPMENT, GOVERNANCE AND ALIGNMENT
Call upon NorthGauge to efficiently and accurately evaluate:
• Medical staff effectiveness
• Physician performance
• Bylaws
• Employment contracts
• Physician preparedness for accountable care and emerging reimbursement models
Whether to manage a major crisis or affect systems improvement, our rigorous assessments and practical
advice have driven critical change in support of corporate objectives.

CLINICAL PERFORMANCE IMPROVEMENT
It might seem strange to hear from a consulting firm that the patient is at the center of all we do. But we’re
not most consulting firms. We never forget that the better your performance, the more favorable the impact on
the lives of your patients, which could be any one of us, our friends or family members. Whether amidst
a crisis or a proactive campaign to improve outcomes, we get to the heart of the issues quickly, and offer
practical solutions that support patient safety and clinical excellence.
COMPLIANCE
Much of what we do either directly or indirectly identifies and mitigates compliance risk. Applying our peer
review services, coding audit and advisory resources, and operational consulting expertise, we help our clients
make sure they don’t breach regulatory or accreditation standards. Whether evaluating medical necessity,
appropriateness of documentation, adherence to national or local coverage determinations, or physician
contracts, NorthGauge is a vital compliance resource.
LITIGATION AND RISK MANAGEMENT SUPPORT
Top healthcare law firms across the country rely on NorthGauge for decision support relating to physician
practice. We have assisted with litigation, federal investigations, qui tam threats, and payer disputes.
Should the case be settled? How strong is our position? Does the whistle blower’s claim have merit?
How extensive is our exposure? With assurances of credibility, defensibility and timeliness, NorthGauge
provides invaluable decision support.

WHY CHOOSE NORTHGAUGE?
1. We utilize our extensive experience of what works, what doesn’t, what is essential, and what is wasteful in
every case and every challenge. We tell our clients what they need to know, not what they want to hear.
And we constantly innovate to stay abreast of the rapidly changing healthcare environment.
2. We are cost effective. We know and appreciate your financial constraints and will always recommend
the best approach for the greatest return on resource allocations.
3. We surround ourselves with physicians who are not only highly regarded among their peers, but who come
to NorthGauge with exceptional credentials. Our physicians are proven clinical leaders who are dedicated to
excellence and have a strong desire to help our clients reach higher levels of performance.
4. We don’t waste time. We zero in on the challenge at hand and offer our best independent analysis and
advice as efficiently as possible.
5. We never forget that the patient is at the center of what our clients do, and therefore, is at the center of
what we do. At the same time, we remain sensitive to the reputations, careers and relationships that
are paramount to our clients’ success.

“I had a complex case with very esoteric issues involving disciplinary action for my client by the
Texas medical board. They had a year to prepare their case and I had ten days. One call to Jon
was all it took. Jon and his team worked very quickly and very efficiently to produce a very well
put-together report that helped to win our case. I especially liked that he had a secure server so
that we could upload various medical data for review. NorthGauge was easy to work with and
very professional and I would highly recommend them.”
Michael Silhol
Attorney
Dallas, Texas

EXECUTIVE LEADERSHIP
Jon Moses
President and Chief
Executive Officer
Mr. Moses brings more than
30 years of healthcare leadership
experience to NorthGauge.
Considered a vital strategic
partner by many chief executive
officers, chief medical officers,
quality and risk professionals, and healthcare attorneys,
Jon has extensive experience in service enhancement,
management skills training, operational assessment and
turnaround, governance education, performance improvement,
medical staff management and physician partnerships.
His strength is in his systematic and creative approach to
solving the most complex clinical and operational problems.
A former hospital CEO, Mr. Moses served in numerous hospital
executive leadership positions for a wide variety of hospitals in
Illinois and Idaho. After spending 13 years with the Provena
Health System (now Presence Health) and 5 years with the
St. Luke’s system in Idaho, Mr. Moses served as CEO of MD2,
the Nation’s first retainer-based primary care practice. Over the
past 15 years, Mr. Moses founded, developed and led two of
the nation’s most successful physician peer review companies.
During that time, he became one of the nation’s foremost
physician peer review and related strategy experts.
Robert Mordkin, MD
Chief Medical Officer
Dr. Mordkin brings
extensive clinical and
leadership skills that align
well with the needs of our
clients and NorthGauge’s
rapid growth. Currently,
Dr. Mordkin is the Chief
of Urology and the
Director of Robotic and Laparoscopic Surgery at the
Virginia Hospital Center in Arlington, VA. He is a Diplomat
of the American Board of Urology and is a Fellow of the
American College of Surgeons. He is also a member of
the American Urological Association and the Society of
Laparoendoscopic Surgeons. Dr. Mordkin is instrumental
in the expansion and management of our peer review team
while helping to unsure that NorthGauge continues to meet
the important commitments we make to our clients.

Julie Pemberton
Senior Director, Operations
Ms. Pemberton oversees all
aspects of peer review project
management and delivery,
working with clients, reviewers,
and staff to establish and meet
the highest standards on a
consistent basis. She is responsible
for the design and implementation of all new informational and
work flow processes and operational strategies.
For the past six years, she was Vice President of Peer Review
for one of the nation’s leading peer review companies,
overseeing all peer review projects and providing operational,
process, and strategic direction for the company. She brings
extensive experience as a consultant with national consulting
firms in the areas of process design and automation of
financial functions. Ms. Pemberton graduated from the
University of Missouri with a BSBA as one of the top ten
graduates from the School of Finance.
Andrea Stapleford
Senior Director,
Peer Review
Ms. Stapleford drives peer
review project design and
management for hospitals,
surgery centers, law firms
and other healthcarerelated
organizations. She
meets client-specific needs, while ensuring on-time deliverables
and on-going support as needed. Her experience makes her
appreciate that no two projects are alike, and each one must be
handled with a unique approach. Ms. Stapleford also oversees
the development and integration of all peer review-related data
systems. She is active in education, business development and
marketing activities for NorthGauge. Ms. Stapleford comes from
a 10-year career in healthcare focusing on research and
development, systems improvement, and data utilization and
integration. She graduated with a Master’s Degree from the
University of Denver, studying molecular endocrinology after
double majoring as an NCAA Division I student athlete.

PUT YOUR CONFIDENCE
AND TRUST IN NORTHGAUGE.
Count on NorthGauge for support with your clinical
performance challenges. Our strong track record is driven by
the value we consistently deliver. We’ve been there ourselves.
We understand the gravity of your decisions. Our greatest reward
is your success.
Call us today for a no obligation consultation.
720.506.1042
Visit us online
www.nghca.com
NorthGauge Healthcare Advisors
384 Inverness Parkway, Suite 260, Englewood, CO 80112