Anesthesia Associates of Ann Arbor Newsletter
May 2, 2022


Attention all A4/Siromed Physicians! Do you have an interest in investing and retirement planning? You do not need any formal experience, just a desire and passion to participate and learn. 
Dr. Michael Dorsey is looking to transition the mantle of leadership as the Chair of the Retirement Committee. The retirement plan is an extremely important piece of compensation and benefit to the A4 community. If this sounds like an endeavor that would interest you, the requirements of the candidate are below:
  • The chair would have at least two years of experience at A4 and be a W2 employee
  • Be less than 50 years old
  • Be a physician
  • Be dedicated to A4 for at minimum several years going forward
  • Have the best interest of the participants in mind
  • Do not hold another position which may cloud that interest (Clinical leadership is fine)
Ideally, we have multiple candidates that are diverse both as a person and their primary place of practice. It is important that the chair works to establish respect and trust of the group. A critical asset is someone who can communicate efficiently and fairly with the participants when any issues may arise. This person would need to be diligent with their time as there's many items that may spring up that would have to be dealt with, such as meetings, minutes, IRS forms, end of the year calculations, etc. Attention to detail and time management is critical. Fortunately, the plan is in good shape and has been performing well. We see no major changes or transitions in the next few years, unless the government forces our hand. 
Dr. Dorsey estimates he spends on average six to eight hours per month in his role and that mostly consists of shorter tasks. It's not critical that the candidate be very knowledgeable about the workings of retirement plans as the consultants and in house people are extremely helpful. A passion to learn and a commitment to the value of the benefit is important. We have excellent consultants at TRowePrice and CapTrust whom Dr. Dorsey and the members of the committee trust that you would be working closely with. 
Dr. Dorsey is allowing plenty of time for the transition to occur, and a timeline where the new chair would sit on the committee for 2022. In 2023, they would become the chair and Dr. Dorsey would remain on the committee through at least 2023. 



Providers Joining A4
Adam Cassella, DO
Laura Clemens, MD
Christopher Hetrick, MD
Frank Zbierajewski, CRNA
Alysse Kelly, CRNA
Ibidola Owaduge, MD
Lindsey Walker, DO
Engagement Surveys
HR conducted engagement surveys to our providers and administrative staff members in March. Thank you to all that participated and took the time to send in comments. Positive comments came from flexible schedules, quality of care provided, and support by colleagues and supervisors. We do have some areas for opportunity and improvement. We are planning to follow up with short surveys that will focus on those specific areas of improvement. 
As many of you may know, May is recognized as Mental Health Awareness Month. A4 values your mental health and wants to ensure you have the resources needed. This topic touches everyone at some point in their life, whether direct or indirectly, and in many different ways.
Small changes in your life can have an enormous impact on your mental health. Stress comes in many ways and in many different sizes. Any demand on your mind or body is considered to be a stressor. When you address issues of any size, whether big or small, you are contributing to reducing your stress. Habits don't have to be big to be effective on reducing stress, small habits can have just as big of an impact. 
Try some of the following to release stress or tension in your life:
  • Meditate for 25 seconds
  • Stretch
  • Take a walk around the block
  • Read one page from a book
  • Put down your phone
  • Do one random act of kindness
As always, please refer to your ComPsych resources below or call the HR department with any questions. Remember, if you feel overwhelmed, reach out. Your Employee Assistance Program (EAP) can help. 
Below you can visit the GuidanceResources website. 
Organization Web ID: MGR311
Company Name: Siromed Physician Services, Inc.
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The Second Annual Step Challenge is well under way! Thank you to the thirty individuals from multiple sites that have signed up for this friendly, yet competitive, challenge. It is ongoing for the next six weeks and helps to promote healthy habits and exercise. 
Be on the lookout for weekly updates. 
If you have not joined the step challenge, below is an easy exercise to try and continue to promote healthy habits.
Targets: Back, Biceps, Triceps, and Shoulders. 
  1. Stand with your arms out in front of you at chest height
  2. Hold a resistance band tightly between your hands so the band is parallel to the ground
  3. Keep both arms straight, pull the band toward your chest by moving your arms outward. Initiate this motion from your mid back.
  4. Keep your spine straight as you squeeze your shoulder blades together. Pause briefly, then slowly return to the starting position.
  5. Repeat 12 to 15 times. Perform 2 to 3 sets.
Source:, Band Pull Aparts Exercise Demonstration | YouTube
We have four upcoming interviews to fill Nurse Anesthesia positions, and working on even more to fill positions. 
We are currently working with ten candidates, for upcoming visits this fall. They are 2023 physician candidates in both Cardiac and General Anesthesia. We also have two more candidates for 2022.
A direct mail marketing campaign is currently underway for our 2022 and 2023 recruitment efforts targeting practicing physicians and 2023 residents with Michigan ties. Recruitment continues an aggressive email campaign to practicing physicians, anesthesia residency and nurse anesthesia programs in the midwest.
Reminder: We are continuing to offer a referral bonus for Nurse Anesthesia opportunities if you know anyone who may be interested in joining A4. Please reach out to Cari Turman,


Laura Zanchetta HR Director
Steve LeiningerSr. HR Generalist – Onboarding, Payroll, Benefits
Karen KnappCredentialing and Compliance Manager
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


Q1 Physician hours and draw review
During the month of April, the Finance team completed a reconciliation of all physician hours and draws received through March 31, 2022. We do this to ensure draws are appropriately set. Our goal is to identify any physicians in a significant deficit or surplus situation, this is to avoid any surprises for the physician at the year end. Every physician should have received a Q1 Reconciliation Summary in late April. 
Physicians that appear to be trending in the negative may be contacted to determine if a draw adjustment is necessary or if it is a temporary situation, and is then expected to correct itself over the coming months. The temporary situations ranging from an extended vacation, LOA's, or GAS assignment in Q1. We will work with you to determine the best course of action. 
We also like to make physicians aware if they have a significant surplus, as they may want to increase their draw or take a one-time extra draw. We know many of the physicians like to get a large lump sum at the year end, but we like to keep you aware of surplus amount for tax planning purposes. 
Once when you review your Q1 Reconciliation Summary and if you have any questions, concerns, or would like to propose any changes in your draw, please reach out to:
Allison Frame: or  
Jacquie Segal:
t. rowe price Webinars
T. Rowe Price is conducting some employee education webinars. 
The topics are: Visualize Retirement, Retirement Readiness, and Social Security Simplified.
If you feel you could use some assistance in learning about these topics it would be a good idea to sign up for the webinars and get to learning more about your retirement. 
Below is a link to the direct document to sign up for the webinars. 

- MAC -

MAC has had a very busy past few months with onboarding our new client from New York, Anesthesia Group of Albany. 
MAC took over the billing for one of AGA's Trinity hospitals and started billing for them as of April 1st, 2022. We recently signed a RCM contract with another Trinity hospital in New York that is part of St. Peter's Health System. We will start billing for their employed anesthesia providers around July of 2022. 
With the addition of new business, our team has been working hard on training our new MAC staff. If you are in the office and see new faces, please stop by and say hello!
 In addition to new hire training and onboarding of our new client, we have to continue to work hard on making sure claims are billing timely and accounts are paid correctly. 
We look forward to the growth in 2022 and are excited to help other groups with their RCM needs. 


We are hosting our CRNA town hall meeting on June 5th from 5:30pm to 6:30pm. Brandy Horton will be sending out zoom information as we get closer to June 5th. 
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Compliance Hotline: 734-263-2401