Anesthesia Associates of Ann Arbor Newsletter
February 2, 2022


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Providers Joining A4
Luke Bueche, CRNA
Nicole LaRocca, CRNA
Sean Logan, MD
Christina O'Brien, CRNA
Christina Woodbeck, CRNA
HR Initiatives
HR plans on conducting engagement surveys to our providers and administrative staff members in March. This will give employees an opportunity to provide feedback on job satisfaction and address any questions or concerns with A4/Siromed management. All responses will remain anonymous.
The discretionary employer contribution to your retirement plan will be funded the 2nd week in February.
As a reminder, make sure to establish an online account and enable the multi-factor authentication. Monitor your accounts and log into your account periodically. Review all security alerts and confirmation communication for suspicious activity. It is also important to add one (or more) beneficiaries to your account to ensure the money in your account goes to the people you choose. There are still participants that do not have a beneficiary on file with T. Rowe Price. Please note that a beneficiary designation for a retirement account generally overrides other instructions, including a will.
Retirement Automatic Increase service—T. Rowe Price believes that investors should save at least 15% of their pay each year (including any employer contributions) to help accumulate enough money to
sustain a long retirement—one that could last up to 30 years or more. To help you reach your 15% savings target, the A4 plan now offers the T. Rowe Price Automatic Increase service. You don’t need to do anything to begin taking advantage of this service and you should have already received a letter if your contribution is currently below 12%. Your before-tax and/or Roth contributions will automatically increase by just 1% each March, with the first increase effective with the first payroll of March 2022. Once your savings rate reaches 12%, the automatic increases will stop, and you’ll stay at that percentage unless you change the percentage or cancel the service. You’ll also receive notification each year prior to the increase. Of course, you’re always in control.
You can opt out of the service altogether or pause or cancel the service any time after it has started. 
Log in to or call 1-800-922-9945.
A4 Values Diversity in the Workplace
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We all know that it is important to embrace differences among individuals as each individual provides a unique contribution to the organization. Employees that treat each other with kindness, respect and work well together are the foundation to any successful company.
Below are some suggestions to help ensure that our workplace is inclusive, productive, and an accepting environment for everyone.
  • Awareness of self and othersWith so many personalities, cultures, and backgrounds in the workplace and in people's lives, there is potential for miscommunication. Be aware of how your words and actions may affect others. Also be aware of how others’ words and actions affect you.
  • Sensitivity and skillsCommunicate with others in a way that reflects their views as opposed to telling others how they should behave based on yours.
  • K is for knowledge. Try to learn about other cultures and from others’ experiences and values that may be different from your own. Offer to share your own knowledge about your culture and experiences with others.
The New Golden Rule is to treat others the way they would like to be treated rather than treating others the way you want to be treated.
Below are some tips to keep in mind in order to avoid misunderstandings.
Understand and respect individual differences: A good reminder that not everyone sees things the way you do. Be open-minded.
Be assertive: Don’t be afraid to let people know the way you want to be treated. If something makes you uncomfortable, speak up. Others would not know if you found something to be offensive unless you tell them.
Be thankful: If someone has the courage to tell you how they have been offended or have been uncomfortable by something you said or did, don’t get defensive. The only way you can correct the situation is through open and honest communication.
5-Week Step Challenge
Last year A4 Management, MAC & Siromed participated in a step challenge. This year we would like to extend the challenge to the whole corporation. We encourage everyone to participate in the challenge & would love to have a champion for each site that can help collect the data. If you are interested or know of someone that would be interested in being the champion, please let Laura Zanchetta know, The challenge will likely start in April. Let’s get walking…


Laura Zanchetta HR Director
Steve LeiningerSr. HR Generalist – Onboarding, Payroll, Benefits
Karen KnappCredentialing and Compliance Manager
Brandy Tyson Scheduling Coordinator
As always A4 is hiring and is looking to add new talent to the group. If you have someone that is interested in pursuing opportunities with A4, please have them contact Laura Zanchetta at


t. rowe price podcast
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regarding retirement
  • The Profit Sharing and Safe Harbor for 2021 will be processed by February 15th and will be reflected in your retirement accounts within 2 business days of us funding T.Rowe Price.
  • Effective 3/1/2021 the Auto Increases in 401k deferral will occur for those participants currently deferring less than 12% and has not actively changed your deferral percentage with in the prior 60 day grace period.  The increase will be 1% annually until you hit the 12%.  A letter reminding of this change was sent out in January, that provides instruction on opting out of the auto increase.  Participants who have a set dollar amount as their deferral will not be impacted by the Auto Increase.

- MAC -

MAC had a great year in 2021 and 2022 is looking to be even better with the possibility of some new billing contracts!
In 2021, MAC submitted close to 180,000 (MD and CRNA) claims to insurance companies and posted close to $47,000,000.00 in payments for MD and CRNA.
MIPS quality measures have been submitted on time and accepted by AQI in 2021.
We look forward to a great 2022 and continue moving forward with growth opportunities!

- IT -

Phishing is a type of social engineering attack often used to steal user data, including login credentials and credit card numbers. It occurs when an attacker, masquerading as a trusted entity, dupes a victim into opening an email, instant message, or text message.
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How to Recognize Phishing
Scammers often update their tactics, but there are some signs that will help you recognize a phishing email or text message. Phishing emails and text messages may look like they’re from a company you know or trust. They may look like they’re from a bank, a credit card company, a social networking site, an online payment website or app, or an online store. Phishing emails and text messages often tell a story to trick you into clicking on a link or opening an attachment. They may:
  • say they’ve noticed some suspicious activity or log-in attempts
  • claim there’s a problem with your account or your payment information
  • say you must confirm some personal information
  • include a fake invoice
  • want you to click on a link to make a payment
  • say you’re eligible to register for a government refund
  • offer a coupon for free stuff
Please remember to contact Centaris (CCR) at, if you experience any unusual or suspicious email activity on your A4 email!


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Compliance Hotline: 734-263-2401