2025 Revenue Integrity Symposium

2025 Revenue Integrity Symposium

September 25 – 26, 2025  |  Westminster (Denver), CO

The 2025 Revenue Integrity Symposium is your destination for the most essential revenue cycle and revenue integrity education and networking! Join us September 25–26, 2025, in Westminster (Denver), Colorado, for two impactful days that will give you the resources you need to make a difference.

The Revenue Integrity Symposium brings together your most forward-thinking revenue cycle peers and industry-leading experts for an event that is unlike any other. We bring revenue cycle leaders together to learn, engage professionally and personally, and share best practices and knowledge that you can put to work immediately. We provide unbeatable educational opportunities across three tracks—including a track dedicated to denials prevention and management—and a critical space to create deeper, more energizing connections through meaningful networking. So pack your passion for learning and your commitment to your career and help us reach new heights!

The 2025 conference brings you industry-leading speakers across three tracks, providing opportunities for all in revenue cycle, revenue integrity, compliance, and clinical documentation integrity. When you attend the 2025 Revenue Integrity Symposium, you'll:

• Learn from industry experts and thought leaders
• Earn valuable CEUs
• Gain actionable insights and strategies that empower you to make a real difference at your organization
• Connect to other driven, passionate revenue cycle professionals

You'll also get access to an app that includes all session materials, a session planner, and peer networking tools.

The Revenue Integrity Symposium, as always, provides breakfast, lunch, and networking breaks with snacks and beverages, as well as a networking reception, all included with registration.

Highlights for 2025

• Addressing charging and charge capture issues
• Avoiding and managing payer denials
• Creating effective workflow and program structures
• Data analytics and KPIs
• Ensuring compliance with the latest billing, coding, and reimbursement rules
• Maintaining your chargemaster
• Responding to payer audits

2025 Revenue Integrity Symposium

Pre-Conference

Medicare Boot Camp®—Denials and Appeals Version
September 23 – 24, 2025

15% off discount will appear in your cart when you purchase with the Revenue Integrity Symposium!

Reduce claim denials and win appeals

Get expert guidance on preventing denials and focusing appeal efforts for success. Reimbursement models continue to evolve, and uncertainty persists regarding healthcare laws and CMS policy. Both of these factors mean that organizations cannot afford to write off appealable denials that are winnable, lest they face insolvency or be forced to close their doors. Organizations need sound, practical information on overturning denials. Medicare Boot Camp®—Denials and Appeals Version is your key to proven strategies for success and will answer your questions on denials management and appeal processes.

This Boot Camp teaches you about the latest claim audit and appeal issues based on official guidance and regulations. You’ll leave the class armed with a thorough understanding of the audit and appeal process and ready to put your new knowledge into action for tangible results.

You will leave this program knowing how to:

• Prepare for CMS audits
• Navigate the appeal process through and beyond the Administrative Law Judge level
• Research denials and upcoming audit focus areas
• Implement policies to support efficient appeals and identify appropriate denials to appeal

You will leave this Boot Camp with an understanding of:

• Navigating regulations and CMS policies in order to comply and increase CMS reimbursement from the get-go
• The different types of audits and how you can prepare your organization for them
• The audit, denial, and appeal process and what to look out for
• How you should respond to audits
• How to increase your organization’s favorable appeal decisions

More information here.

2025 Revenue Integrity Symposium

Main Conference Day 1—Thursday, September 25, 2025

7:00 a.m. – 7:45 a.m.
Registration & Buffet Breakfast (Exhibit Hall)

8:00 a.m. – 8:30 a.m.
Opening Remarks From NAHRI

8:30 a.m. – 9:30 a.m.
Keynote Session: Learn to Love the Turbulence
Amelia Rose Earhart
It would be great if all our goals could be reached without any disruption, but the reality is reaching new heights requires us to get comfortable with the possibility of turbulence. Preparedness and understanding are the strongest antidotes to turbulence. Professional speaker, pilot, author, and artist Amelia Rose Earhart learned these lessons while preparing to circumnavigate the globe. In 2014, she completed her goal: circumnavigating the globe along a 28,000 nautical mile route, all in a single-engine aircraft.

This modern-day Amelia Earhart says the most important lesson she learned during her journey is that to truly succeed, and also grow along the way, we need to learn to love life’s turbulence by staying agile amidst the storms that inevitably pop up along each of our paths. Earhart shares what it takes to create a solid flight plan to reach any goal, identify and assess risk, and formulate backup plans to prepare for disruption, adversity, and challenges.

9:45 a.m. – 10:45 a.m.
Breakout Sessions

Managing Your CDM: Start Now to Have the Best New Year Ever!
Peggi Ann Amstutz, MBA, CCS, CCS-P, CPC-I, CRCR, revenue integrity advisor, Panacea Healthcare Solutions, St. Paul, Minnesota; Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, president/CEO, SLG, Inc., Raleigh, North Carolina; and Kay Larsen, CHRI, charge assurance associate, Adventist Health Glendale, Glendale, California
Do you have responsibility for managing your charge description master (CDM)? Who is entering charges? Have you started thinking about the changes for 2026? It's not too early to begin! Join us to get an inside look at best-practice strategies for maintaining an up-to-date and accurate CDM—from both the facility and pro fee perspectives—and employing a team approach where possible. This session will use case studies and real-life examples to explain the roles of the key players in the process and create an environment for success on topics such as advanced care planning, telehealth, magnetic resonance safety, and infusion administration issues. Attendees will take away key tips for promoting collaboration among CDM professionals, financial leadership, and consulting experts, as well as for addressing CDM challenges and promoting revenue integrity in Outpatient Prospective Payment System facilities, critical access hospitals, and office settings.

Beyond the Build: How Our Revenue Integrity Department Evolved Through Our EHR Implementation
Rachel Pugliano, CHC, CRCR, RHIT, director, healthcare, Eide Bailly, LLP, Minneapolis, Minnesota, and Tim Schwasinger, CRCE, director, revenue integrity, Avera Health, Sioux Falls, South Dakota
It's one thing to build and create a revenue integrity department from the ground up. It’s quite another to do this shortly before a new EHR implementation. This session will focus on sharing the insights and outcomes, as well as the challenges and opportunities, that came from this build and implementation experience. Whether you have a well-defined revenue integrity department or are in the midst of building one, the experiences shared can resonate with any model or size of organization.

Ensuring Appropriate Reimbursement and Preventing Denials: The Role of CDI in Office Visit and Ancillary Service Documentation
Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS, director, CDI education, HCPro, Chicago, Illinois
In today's healthcare environment, ensuring appropriate reimbursement while minimizing denials is essential for the financial health of healthcare organizations. This session will explore the critical role of clinical documentation integrity (CDI) in enhancing office visit and ancillary service documentation to secure proper reimbursement and compliance. Attendees will learn how CDI professionals can partner with clinicians to improve the documentation of office visits and ancillary services, such as lab tests, imaging, and therapeutic procedures, to support accurate coding and medical necessity. By ensuring that documentation fully reflects the care provided, healthcare organizations can reduce the risk of denials and revenue leakage, ultimately achieving appropriate reimbursement for services rendered.

10:45 a.m. – 11:30 a.m.
Networking & Refreshment Break (Exhibit Hall)

11:30 a.m. – 12:30 p.m.
Breakout Sessions

Revenue Integrity Key Metrics and Reporting
Salisha Hamid, MBA, CPA, CRCR, senior manager, revenue integrity, Mayo Clinic, Jacksonville, Florida; Kelli Howard, MS, CRCR, senior manager, revenue integrity, Mayo Clinic, Phoenix, Arizona; and Howard Kung, CPA, MBA, FHFMA, CHRI, senior director, revenue integrity, Mayo Clinic, Rochester, Minnesota
In this session, leaders from Mayo Clinic will share how they identified and defined core revenue integrity functions and aligned metrics with them. They'll share practical information on methods and tools to gauge performance and success and how they used metrics to lead a best-in-class revenue integrity program.

Navigating the Current Audit Landscape
Amy Inch, CPC, CPMA, COTA, Medicare regulatory specialist, HCPro, Chicago, Illinois
Gain insights into CMS’ and the Office of Inspector General’s (OIG) audit targets and learn how to put this knowledge to work at your organization. This session will review the current OIG and CMS audit landscape and discuss major audit targets, tips for successfully managing audits, and avoiding compliance pitfalls that could put revenue at risk.

Defending Against the UPICs: Redetermination to ALJ Case Study
Shelly L. Harris, RHIA, CCS, CHC, CHPC, director, legal, monitorships, and investigations, BDO USA, Friendship, New York, and Courtney G. Tito, Esq., partner, Buchanan, Ingersoll & Rooney, P.C.
From the initial letter through the entire appeal process and related internal investigation, learn how to navigate CMS denials and turn them into favorable decisions while protecting your reimbursement. In this session, the speakers will walk participants through real-life complex Unified Program Integrity Contractor (UPIC) investigations and payment suspensions that resulted in overturning denials—and allowing the provider to keep the reimbursement CMS demanded in its initial overpayment request. The speakers will also share tips on developing an appeal strategy to submit appeals timely and with favorable outcomes.

12:30 p.m. – 1:15 p.m.
Networking Lunch—provided (Exhibit Hall)

1:15 p.m. – 1:45 p.m.
TBD
TBD
TBD

2:00 p.m. – 3:00 p.m.
Breakout Sessions 

Building Strong Relationships Between Revenue Integrity and Compliance
Sandra Giangreco Brown, MHA, BS, NREMT, CHRI, RHIT, CCS, CCS-P, CHC, CPC, CPCO, COC, COBGC, PCS, VP of revenue integrity and education, Spire Orthopedic Partners, Stamford, Connecticut, and Diane Weiss, RCMS, CPC, CPB, CHRI, vice president of revenue integrity and education, RestorixHealth, Metairie, Louisiana
Practices and hospital departments focus on capturing revenue, but being able to capture compliant charges is equally as important. A positive, solid relationship between compliance and revenue integrity can be instrumental in having a proactive approach with chargemaster management. Communication and cohesive relationships can help prevent coding errors and potential paybacks in the future. This session will discuss methods for strengthening the compliance and revenue integrity partnership to support coding and billing, reducing compliance risks that may lead to denials, and resources for facilitating compliant charge capture and appropriate clinical documentation to support the services billed.

Implementing a Multi-disciplinary Approach to Ensuring Appropriate Status and Billing of Elective Procedures
Anuja Mohla, DO, MBA, FACP, ACPA-C, CHCQM-PHYADV, medical director, revenue integrity, ChristianaCare, Newark, Delaware
CMS regulation mandates that elective procedure patients cannot be billed observation services for routine postoperative recovery. However, like most health systems, ChristianaCare only had two types of status orders available for providers: inpatient or observation. This created inconsistencies between front-end status orders and back-end billing. As part of a large multidisciplinary project, ChristianaCare created a new, compliant order status of extended recovery for patients requiring overnight monitoring after outpatient elective surgery, leading to a more than 80% drop in utilization of observation orders post-procedure for routine monitoring, thus reducing the burden on the revenue integrity team to correct outgoing billing in only six months. Additional procedure areas were integrated to further diminish the inappropriate use of observation status for elective procedures and bolster compliance with CMS’ regulations. This session will dive into the project, explaining the processes and results, and how ChristianaCare streamlined procedural workflows by leveraging existing software systems, resources expertise, and knowledge.

Status Check: Rethinking Patient Status Corrections
Kimberly A. Hoy, JD, CPC, senior regulatory specialist, HCPro, Chicago, Illinois
Post-discharge self-denials are more efficient for the utilization review department but are complicated for the revenue integrity team. This session will discuss the new Medicare Change of Status Notice form complicating the condition code 44 process and how to implement a compliant post-discharge self-denial process, while minimizing the impact on the revenue cycle. Included are tips and tricks to reduce the number of claims submitted, maintain reimbursement, and streamline revenue cycle processes for post-discharge denials.

3:00 p.m. – 3:30 p.m.
Networking & Refreshment Break (Exhibit Hall)

3:30 p.m. – 4:30 p.m.
Breakout Sessions

Outpatient Infusion Health Check
Gary Bernklow, senior product director, medaptus, Boston, Massachusetts
Is your outpatient infusion center maximizing its infusion revenue potential? Many large infusion centers, particularly in oncology, emergency, and observation departments, lose hundreds of thousands—if not millions—of dollars annually due to underbilled infusions. The complexity of infusion coding and gaps in clinical documentation often lead to significant revenue leakage. This session will discuss the impact of accurate, automated infusion coding on revenue capture. Attendees will learn how to identify missed infusion revenue, address gaps in documentation, and improve coding efficiency through a streamlined revenue health check process. Attendees will also get insights from real-world success stories, including how one cancer center recovered $3 million in under-reported revenue.

Shining the Revenue Integrity Spotlight on Cunning Third-Party Payers: The Growing Problem of Surrogacy Payers and Health Share Programs
Edward S. Fabi, JD, assistant general counsel, Sutter Health, Sacramento, California, and George Hollcraft, revenue cycle liaison/chargemaster specialist, Sutter Health, Sacramento, California
Rising medical costs, increasing insurance premiums, aggressive medical debt collections, and healthcare-induced bankruptcies have culminated to create an environment where aggression toward healthcare executives is cheered and disorienting healthcare payments are submitted. While insurance is always a tricky thing, surrogacy insurance is even trickier. Between the surrogate’s health insurance, the intended parents’ health insurance, and even surrogacy insurance, attempting to bill and receive payment from all, some, or none is a revenue cycle team’s nightmare. Health sharing programs, another nontraditional payer, have been around for at least 25 years; however, as these plans grow in number and their memberships increase in size and popularity, their payment strategies can cause confusion and potentially millions in lost revenue. This session will elevate awareness of concerns and potential strategies and tactics when interacting with these entities. The speakers will address the spectrum of nontraditional third-party payer requests, but will focus on the actions and responsibilities for the revenue cycle team to bill and receive appropriate payment for services rendered.

A Clinical Approach to Combating Medical Necessity Denials
Noelle Flaherty, PhD, RN, CPHQ, CCM, director, integrated case management, CalvertHealth Medical Center, Prince Frederick, Maryland, and Teri Rice, RN, MSN, MHA, MBA, CHC, regulatory specialist, HCPro, Chicago, Illinois
In this session, the speakers will define medical necessity and discuss the different types of medical necessity denials. They will discuss how to develop and leverage a robust physician advisor program to handle peer-to-peer reviews while the patient is in the hospital. This session will provide attendees with strategies to build a peer-to-peer and denials prevention program.

4:30 p.m. – 5:45 p.m.
Networking Reception (Exhibit Hall)

Main Conference Day 2—Friday, September 26, 2025

7:00 a.m. – 7:45 a.m.
Buffet Breakfast (Exhibit Hall)

8:00 a.m. – 9:00 a.m.
General Session: The Beat Never Stops: Keeping Abreast of Ever-Changing Codes and Edits
Kimberly A. Hoy, JD, CPC, senior regulatory specialist, HCPro, Chicago, Illinois
Medicare is not just annual final rules: Updates come fast and furious throughout the year. How do you not only keep up but take advantage of all the Medicare information coming out to enhance your revenue integrity efforts? This session will demonstrate how to analyze the quarterly releases from Medicare to keep your chargemaster up to date, avoid billing delays, and find rebilling opportunities. Decode CMS jargon in the quarterly Integrated Outpatient Code Editor Specifications, Outpatient Prospective Payment System transmittals, and other quarterly and periodic update resources.

9:15 a.m. – 10:15 a.m.
Breakout Sessions

Reliable Revenue: A Strategic Approach to Clinically Integrated Revenue Practice Teams
Tresa Binek, PharmD, MS, MBA, director, clinical revenue practice and revenue guardian, Intermountain Health, Salt Lake City, Utah, and Ashley Lutz, BSN, MSN, CRCR, manager, revenue practice, Intermountain Health, Salt Lake City, Utah
This presentation explores the essential link required to ensure reliable revenue contributed by hospital departments. It emphasizes the strategic leadership of Intermountain Health’s revenue practice teams and their integration with the organization’s clinical operational teams. The speakers will discuss the primary objectives of their revenue practice team—integrating charge capture and leveraging smart edits and automation—and how those practices help minimize revenue leakage.

Putting Payer-Negotiated Rate Data to Work for You
Laurie Bouzarelos, MHA, CPC, FACHE, CEO, Provider Solutions Consulting, Centennial, Colorado
This session explores strategic opportunities for revenue cycle professionals to access and apply payer-negotiated rate data available through the Transparency in Coverage final rule. Attendees will understand what information is available to healthcare professionals, identify strategies to benchmark managed care contracts, gain insights to inform data-driven payer negotiations, and understand ancillary applications that maximize revenue cycle performance. Integrating case examples, the speaker will demonstrate practical applications of the payer-negotiated rate data set.

NCCI Edits: Beyond Coding—Implications for Denials Management
Amy Inch, CPC, CPMA, COTA, Medicare regulatory specialist, HCPro, Chicago, Illinois
While the National Correct Coding Initiative (NCCI) is essentially a coding concept, it does have significant implications for billing and denials management. This session will explore the purpose of the NCCI edits as well as the application of the editing adjudication requirements to the billing process. The session will also delve into the impacts of NCCI edits on denials management processes.

10:15 a.m. – 10:45 a.m.
Networking & Refreshment Break (Exhibit Hall)

10:45 a.m. – 11:45 a.m.
Breakout Sessions

Key Performance Indicators: Everything You Are Told Is Wrong
Ronald Hirsch, MD, FACP, CHRI, ACPA-C, CHCQM-PHYADV, vice president, R1 RCM, Murray, Utah
Almost every hospital has a list of key performance indicators (KPI) that are constantly tracked and trended. Executives come back from conferences and want to know why their facility is not at the national benchmark and how they can get there. But there is hidden danger in those benchmarks and KPIs. Before budgeting for an improvement in a KPI, you need to understand the KPI’s derivation and if it applies to you. In this session, the common KPIs such as length of stay, case-mix index, denials percentage, and overturn rate will be analyzed and alternative measures proposed to ensure compliance and financial success.

Driving Internal Audit Efficiency: Best Practices From the Trenches
Christy Jackson, CPC, CPC-I, CCVTC, CEMC, supervisor, coding compliance and healthcare auditing, University Hospital Health System, Cleveland, Ohio, and Garnette McLaughlin, RHIA, CCS, CDIP, CHDA, CHPS, CICA, HCISPP, revenue integrity operations program manager, MRO, Norristown, Pennsylvania
Ensuring internal audits are efficient and effective is more important than ever in today’s rapidly changing reimbursement landscape. This valuable session will explore best practices for boosting internal audit efficiency in healthcare organizations. Attendees will examine a real-world case study, discussing both the challenges faced and process changes made to improve accuracy, productivity, and compliance. Beyond streamlining internal audit workflows, the session will also identify which new assistive technologies are available to support internal audit teams with questions to ask during the selection process and optimal deployment strategies. The role of data analytics to advance revenue integrity will also be demonstrated using sample reports and dashboards. Attendees will take home practical strategies to optimize their own internal audit processes while ensuring compliance and reducing administrative burdens overall.

Who, What, Why, and How! Cooper University’s Physician Advisor Program
Deepa Velayadikot, MD, CHCQM-PHYADV, medical director of care coordination, regional medical director of hospital medicine, Cooper University HealthCare, Camden, New Jersey
This session will discuss a successful physician advisor program with a focus on denials management and throughput management, including observation services, through the experience of Cooper University HealthCare. Attendees will gain practical insights into how to develop a formal, structured physician advisor program and how to define and create a physician advisor dashboard with relevant metrics. They’ll also get tips on how to develop and optimize physician advisor workflows in the EHR.

11:45 a.m. – 12:50 p.m.
Networking Lunch (provided) & Exhibit Hall Finale (Exhibit Hall)

12:50 p.m. – 1:50 p.m.
Breakout Sessions

Optimizing Hospital Pricing Strategies: Balancing Transparency, Reimbursement, and Family-Owed Costs in an Ever-Changing Market
Luis Aguilar, pricing analyst, Children’s Hospital Colorado, Aurora, Colorado and Gregg Fanselau, MBA, reimbursement consultant, advanced, Children’s Hospital Colorado, Aurora, Colorado
In this session, participants will learn how Children’s Hospital Colorado (CHCO) establishes pricing for chargeable services, coordinates annual price updates, and develops a comprehensive pricing strategy aligned with organizational goals. They will understand the importance of accurate cost data, including both direct and indirect costs, and how CHCO uses a structured methodology that factors in costs, competitor data, reimbursement, and margins to determine final prices. Additionally, participants will explore how CHCO analyzes charge data to minimize family responsibility, reduce complaints, and make informed decisions about price changes.

High- and Low-Tech Solutions to Augment Provider Workflows, Monitor Performance, and Communicate Financial KPIs
Vaughn Matacale, MD, CCDS, director, physician advisor program, ECU Health, Greenville, North Carolina
This session will share lessons learned over a multiyear course of a clinical documentation integrity (CDI) initiative across a nine-hospital health system using a multimodal approach—including the use of a natural language processing software solution, rule-based dynamic note templates, home-grown reporting tools, and targeted education based on utilization and opportunities for improved comorbidity capture—to improve case-mix index and outcome measures. Attendees will walk away with generalizable knowledge that can be used to inform similar efforts at large health systems. Critically, attendees will be able to recognize the opportunity for both low- and high-tech clinical documentation tools and automated data reporting.

Hospital Payer Denials: Challenges and Strategies for Improvement and Success
Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, HIM coding and CDI consultant, Health Information Partners, Inc., Grass Valley, California, and Laura J. Werner, DC, RN, BA, BSN, MSN-Ed, CDIP, CCS, payer denials specialist, Health Information Partners, Inc., Grass Valley, California
This session will discuss the state of clinical and coding payer denials and best practices for appealing them. Robust tracking of key data elements can aid in identifying important strategies for improvement and success. Denials specialists need to understand the key diagnostic documentation areas for improvement that can impact and improve the revenue cycle output. Understanding key strategies for addressing denials are vital in today’s healthcare.

2:00 p.m. – 3:00 p.m.
Breakout Sessions

Standing Up a Revenue Integrity Program: The Best Job Ever!
Carrie Wise, MS, RN, CCDS, CDIP, director of revenue integrity, Denver Health, Denver, Colorado
This session will review specific steps in developing a new revenue integrity program. The speaker will discuss defining foundational elements of revenue integrity work, change management theory, team development, establishing collaborative partnerships, and strategic planning. This session will be valuable to new leaders interested in learning to empower teams, increase engagement, and support a culture shift across their teams.

Innovations in Healthcare Reimbursement: What's Next?
Taylor Brown, CRCR, revenue integrity director, Crisp Regional Hospital, Cordele, Georgia
In the ever-evolving landscape of healthcare, maintaining robust revenue integrity is crucial for the financial health of any organization. In this session, the speaker will delve into the latest strategies and best practices for ensuring accurate and compliant revenue capture. Attendees will gain insights into innovative approaches to reimbursement, effective compliance measures, and the role of data analytics in enhancing revenue integrity. Through real-world case studies and expert-led discussion, participants will learn how to navigate common challenges, implement effective solutions, and future-proof their revenue integrity processes. This session is designed for healthcare professionals seeking to optimize their revenue cycle operations and stay ahead of industry trends.

Denials Tips and Tricks: Clean Claims out the Door!
Michelle Knuckles, RHIA, CDIP, manager, coding and CDI, inpatient HB, University of Utah Health, Salt Lake City, Utah, and Nancy Blattberg-Smith, MPH, RHIA, CDIP, CCS, manager, data integrity, University of Utah Health, Salt Lake City, Utah
This session describes the University of Utah Health’s denials management journey over the last 10 years. The speakers will share strategies and lessons learned that have helped them implement front-end improvements to eliminate rework on the back end and meet the highest industry standards.

3:00 p.m.
Conference Concludes

— Agenda subject to change —

2025 Revenue Integrity Symposium

Speakers

Luis Aguilar is a skilled professional with extensive experience in pricing and analytics, having worked in both the healthcare and retail sectors. He provided pricing and analytical support to more than 20 hospitals within the Baylor Scott & White Health system in Dallas, Texas, and Children’s Hospital Colorado in Aurora, Colorado. He also served as senior pricing analyst for Rent-A-Center, where he focused on pricing strategies for the company's operations in Mexico and Canada. His expertise in pricing analysis and international markets enhances his ability to deliver valuable insights and drive business success.

Peggi Ann Amstutz, MBA, CCS, CCS-P, CPC-I, CRCR, has more than 30 years of experience in the healthcare revenue cycle industry, providing leadership to consulting projects from both the provider and consulting sides. She is known in the industry for her revenue cycle and charge description master project management skills and is adept in compliance, coding, and revenue integrity–oriented focused engagements. Her educational skills include coaching hospital teams, developing educational content, and presenting seminars from basic coding to revenue integrity to compliance. Amstutz speaks at her local AAPC and AHIMA chapter events and serves as an instructor in the medical insurance billing program at California State University Dominguez Hills, College of Continuing and Professional Education.

Gary Bernklow is the director of product management at medaptus in Boston, Massachusetts. He has more than 30 years of experience within the revenue cycle, medical coding, and software spaces, including 10 years leading revenue cycle and billing operations at Massachusetts General Hospital. His experience has given him a deep knowledge of charge management. His depth of knowledge enables him to be a subject matter expert for revenue cycle workflows. He also acts as a consultant for application configuration, workflow design, and custom reporting requests. He has been a part of enterprise rollouts at M.D. Anderson Cancer Center, Dana-Farber Cancer Institute, Lahey Clinic, Banner Health, Beth Israel Lahey Health, Dallas Children’s Hospital, and Phoenix Children’s Hospital.  In his spare time, he enjoys hiking and backpacking.

Tresa Binek, PharmD, MS, MBA, is a pharmacist by training, and now a passionate leader in revenue integrity. She serves as the director of clinical revenue practice and revenue guardian at Intermountain Health in Salt Lake City, Utah. Areas of oversight include the revenue practice teams for multiple service lines, including OR, ED, CV/IR, pharmacy, medical oncology, radiation oncology, women’s health services, and infusion. Her team’s mission is to partner with revenue cycle and clinical operations to ensure consistent and compliant charge capture practices, integrated into the clinical workflows, as well as the minimization of revenue leakage through charge reconciliation accountability, smart charge edits, and claim edits.

Nancy Blattberg-Smith, MPH, RHIA, CDIP, CCS, is the HIM data integrity manager with University of Utah Health, where she manages a team of 10 inpatient coding auditors and 11 analysts who specialize in provider management and chart completion. She has enjoyed an international career that began with ICD-10 coding in Australia and the United Kingdom. She returned to the United States in 2011 and rounded off her experience by becoming proficient in ICD-9 coding and the United States groupers, including MS-DRGs and all-payer systems. Her interests lie in education, DRG algorithms and construction, and achieving exceptional quality coded data.

Laurie Bouzarelos, MHA, CPC, FACHE, is the founder of Provider Solutions Consulting, a healthcare consulting firm offering expertise, leadership, and data-driven strategies to improve the viability of physician-owned private practices. Her client work focuses on improving payer contracts, identifying revenue cycle shortfalls, and implementing workflow and software solutions to maximize revenue for small and mid-market healthcare businesses. She has over 25 years of diverse experience, including managed care contracting in both the physician practice and hospital settings, planning and business development, revenue cycle optimization, chart review, and physician coding education.

Taylor Brown, CRCR, is the revenue integrity director at Crisp Regional Hospital, where they oversee the hospital's revenue integrity initiatives, ensuring accurate and compliant revenue capture. With extensive experience in the healthcare industry, Brown previously worked at FinThrive, utilizing all their products to enhance revenue cycle management. Prior to that, they served as a revenue cycle supervisor for four years, where they honed their skills in managing and optimizing revenue processes. Brown’s expertise in revenue integrity and their commitment to excellence make them a valuable asset to any healthcare organization.

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, has over 40 years of experience in HIM coding, CDI, and compliance. She is the past-president and director of the California Health Information Association (CHIA), has been an HIM volunteer on local, state, and national levels, and served on and led many CHIA, AHIMA, HFMA, and ACDIS workgroups and committees. Bryant served two years on the AHA Coding Clinic® Editorial Advisory Board. She is a sought-after advisor, mentor, national educator, speaker, and author on clinical coding compliance and ethics, reimbursement, CDI, physician querying, and coding regulations (ICD-10-CM/PCS, CPT®, MS-DRGs, and HCCs). In the past six years she has been an expert witness and consultant for clinical coding, documentation, denials, charging, and MS-DRGs. Currently, she works part time as an independent HIM coding and CDI compliance consultant.

Amelia Rose Earhart is a boundary-pushing around-the-world pilot who knows exactly what it takes to venture into uncharted territory with confidence. With the odds stacked against her, Earhart trained not only to become a pilot, but to become the type of pilot to honor the person she was named after, Amelia Mary Earhart, by piloting a single-engine airplane (Pilatus PC-12 NG) 28,000 nautical miles around the globe. Today, Earhart is a full-time speaker, podcast host, and artist who incorporates the lessons of her 2014 global flight into every aspect of her professional and personal life.

Edward S. Fabi, JD, is the registered in-house counsel for Sutter Health, the largest nonprofit healthcare organization in northern California. His primary practice areas of patient-centered health law revolve around bioethics, patient billing and bankruptcy, regulatory compliance, medical research, and patient consent. Fabi is also a retired lieutenant colonel for the United States Air Force Judge Advocate General’s Corps; he specialized primarily in defending federal civil litigation against the United States across the globe, where he defended over $1 billion in medical malpractice cases. He has been an instructor of courses or at conferences for the International Association for Healthcare Security and Safety, the American Society for Healthcare Risk Management, the American Case Management Association, the California Hospital Association, and the California Society for Healthcare Risk Managers. In 2018, he was selected as one of the top five speakers out of 175 at the National Annual Conference of the Emergency Nurses Association.

Gregg Fanselau, MBA, has over 30 years of experience in a range of healthcare business settings. During the past 21 years he has worked extensively in revenue integrity and pricing with both a small community hospital and a large academic medical center. In recent years he has also taken on both state and federal price transparency responsibilities. He currently works for Children's Hospital Colorado as a member of the revenue integrity team in the role of reimbursement consultant, advanced.

Noelle Flaherty, PhD, RN, CPHQ, CCM, is the director of integrated case management at CalvertHealth Medical Center. She has been a nurse for 29 years, and has experience in a variety of healthcare settings, including case management, utilization review, clinical documentation integrity, managed care, and quality improvement.

Sandra Giangreco Brown, MHA, BS, NREMT, CHRI, RHIT, CCS, CCS-P, CHC, CPC, CPCO, COC, COBGC, PCS, joined Spire Orthopedic Partners as the vice president of revenue integrity and education, where she manages the audits and education for the providers and staff on any coding, billing, and policy changes. She works collaboratively with the revenue integrity department, compliance, and legal to identify areas of additional revenue opportunities, assist with compliance matters, and support providers and staff with coding education needs. She has more than 36 years of experience in healthcare and medical records management, coding, auditing, and compliance in the hospital, outpatient, and physician settings. She gives regional and national presentations for groups such as AHIMA, WHIMA, CHIMA, NCHIMA, HCCA, AAPC, and MGMA, and teaches courses for the AAPC in her spare time. For the past five years she has volunteered with Project C.U.R.E. and continues to lead clinic team trips in Cote d'Ivoire.

Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, is president/CEO and principal consultant for SLG, Inc., in Raleigh, North Carolina. She is a nationally known speaker and author on the chargemaster, outpatient facility coding, and billing compliance and has more than 35 years’ experience in the healthcare industry. Goodman has held leadership roles in a number of professional organizations on the local, state, and national levels—including the NAHRI Advisory Board. She also serves as an alternate adjunct instructor for HCPro’s Revenue Integrity and Chargemaster Boot Camp and as a frequent presenter at NAHRI-sponsored events.

Salisha Hamid, MBA, CPA, CRCR, is a senior manager for the Florida-based Mayo Clinic revenue integrity team. She has been with Mayo Clinic for 19 years and held multiple positions in finance. Her career began in plant, property, and equipment accounting in 2005 and transitioned to financial planning and analysis in 2006. From 2006 to 2019 she worked as an analyst supporting clinical practices, progressing from analyst I to senior financial analyst. In May 2019 she joined the Florida revenue integrity team as a manager. During her role in revenue integrity, she has led the team to recover more than $5 million in additional net revenue, develop additional reporting tools, and streamline revenue integrity processes. In addition, she has helped stand up the advanced care at home billing model for revenue cycle. She holds a bachelor’s degree in accounting and an MBA from the University of North Florida. She is also an active CPA in the state of Florida.

Shelly L. Harris, RHIA, CCS, CHC, CHPC, is a director in the legal, monitorships, and investigations group at BDO USA. Her specialties include regulatory compliance, litigation support, and recoupment defense. Her clients include providers, payers, and law firms. She has served as a corporate compliance officer, privacy officer, and HIM director, and she has experience in inpatient, outpatient, long-term care, home care, and hospice, as well as DMEPOS, emergency, and physician practice settings covering professional and facility, patient status, and MS/APR-DRG, APC, and HCC reimbursement. Prior to joining Stout, Harris managed the government audit program in the Office of Healthcare Compliance and Privacy at the University of California San Francisco. There, she conducted research, responses, and root cause analyses related to government audit inquiries, including redetermination, reconsideration, and Administrative Law Judge appeals, for Medicare Part A, Part B, and DMEPOS audits encompassing RAs, MAC, SMRC, BFCC-QIO, OIG, DOJ, Medicare Advantage, Targeted Probe and Educate, UPIC, PERM, and CERT.

Ronald Hirsch, MD, FACP, CHRI, ACPA-C, CHCQM-PHYADV, is a vice president of the regulations and education group at R1 RCM Inc. He is on the editorial board of RACmonitor.com. He is the co-author of The Hospital Guide to Contemporary Utilization Review, with the third edition published in 2021. He is a NAHRI Advisory Board member.

George Hollcraft has spent the last 23 years at Sutter Health in various roles in hospital revenue and reimbursement activities. Prior to his present role as the Sutter Bay revenue cycle liaison, he managed charity care, community benefits, self pay collections, call center, and billing subpoenas with the Sutter West Bay business office. As the Sutter Bay revenue cycle liaison, he works closely with both affiliate and system leaders to ensure that charges, claims, and reimbursement meet billing compliance. One of his greatest work passions has been to help create system processes to safeguard reimbursement, which ensures that hospitals are better able to meet future goals.

Kelli Howard, MS, CRCR, is a senior manager of revenue integrity at Mayo Clinic.

Kimberly A. Hoy, JD, CPC, is the director of Medicare and compliance for HCPro. She is a lead regulatory specialist and lead instructor for HCPro’s Medicare Boot Camp®—Hospital Version and Medicare Boot Camp—Utilization Review Version. She is also an instructor for HCPro’s Medicare Boot Camp—Critical Access Hospital Version. Hoy is a former hospital compliance officer and in-house legal counsel, and has 10 years of experience teaching, speaking, and writing about Medicare coverage, payment, and coding regulations and requirements.

Amy Inch, CPC, CPMA, COTA, is an instructor of HCPro’s Medicare Boot Camp—Physician Services Version as well as the Medicare Boot Camp—Denials and Appeals Version. She has over 25 years of experience in healthcare, primarily in the roles of senior and lead investigator as well as lead investigations trainer with a Medicare Unified Program Integrity Contractor. Inch has conducted extensive policy research and data analysis in the development of successful investigations. She has also created and delivered education on a variety of Medicare and Medicaid topics to investigators, analysts, medical reviewers, and law enforcement.

Christy Jackson, CPC, CPC-I, CCVTC, CEMC, is the supervisor of coding compliance and healthcare auditing at University Hospital Health System. She has 22 years of experience in coding compliance, education, and auditing, with a new focus on optimizing auditing practices using technology. She has led the integration of auditing technology into daily workflows, helping her team streamline processes and increase productivity as well as efficiency while maintaining regulatory compliance. Her expertise in coding compliance has allowed her to drive improvements in auditing efficiency and data analysis across her organization.

Michelle Knuckles, RHIA, CDIP, is the manager of inpatient coding and clinical documentation integrity (CCDI) at the University of Utah Health, where she has enjoyed 36 years serving in various roles within HIM. For the last 16 years, she has fostered an integrated and collaborative partnership between inpatient clinical documentation integrity nurses, coders, quality and patient safety, and inpatient rehab coordinators, while maintaining and exceeding thresholds with KPIs in both financial and quality initiatives. One of these accolades includes the Vizient Quality & Accountability Scorecard, for which Utah Health has ranked as a top performer for 14 years. She is a member of the ACDIS Leadership Council and a CCDI preceptor for Weber State University, providing biannual presentations to AAS students in the HIT program, and is passionate about the multispecialty approach to clinical documentation integrity and code assignment.

Howard Kung, CPA, MBA, FHFMA, CHRI, has more than 20 years of experience in revenue cycle, charge capture, healthcare finance, and reimbursement. Kung is currently the senior director of revenue integrity at Mayo Clinic. He holds a Bachelor of Arts in Economics from UCLA and an MBA from Loyola Marymount University.

Kay Larsen, CHRI, is a charge assurance associate at Adventist Health Glendale in California. She has more than 20 years’ experience in healthcare revenue integrity, many of those as a chargemaster coordinator. Larsen’s favorite part of her job is working with departments to maximize revenue through education and charge review. She also enjoys networking with her peers both internally and externally, sharing ideas and best practices. Larsen has presented at the last five Revenue Integrity Symposiums, written articles for the NAHRI Journal, and presented during several NAHRI podcasts. She is a NAHRI Advisory Board member.

Ashley Lutz, BSN, MSN, CRCR, has an 18-year career in nursing, during which she has demonstrated exceptional expertise across various medical settings, from the emergency room to the operating room. Most recently, she has excelled as the director of the cardiovascular service line, overseeing the cath lab and interventional radiology. Lutz transitioned to the revenue practice team, driven by her passion for bridging the clinical and financial worlds. In her current role, she leads a team of analysts dedicated to eliminating revenue leakage and optimizing charging processes through automation. Her extensive clinical knowledge has been invaluable in the revenue practice arena, making her a key resource for her team and the organization. Her commitment to excellence and her ability to integrate clinical insights with financial strategies have made her an essential partner on the revenue integrity team.

Vaughn Matacale, MD, CCDS, is a physician specializing in hospital medicine who began training and working in the physician advisor (PA) role in 2007. In 2013 he took a full-time role as a physician advisor for the ECU Health system in eastern North Carolina. With him serving as the director, the PA team has grown to 10 full-time physicians and three PAs who conduct post-discharge pre-bill reviews, are responsible for utilization review (UR) services, handle appeals, and provide support and education for coding, CDI, UR teams, and medical staff throughout the health system. Matacale's team maintains supportive and active relationships with quality, finance, informatics, UR, contracting, and outpatient coding. In addition, he has over 20 years’ experience in UR consulting. Currently he chairs the system Patient Safety Indicator Committee and holds a position on the Hospital Patient Safety and Quality Improvement Committee. He served five years on the ACDIS Advisory Board, has been a member of the Physician Advisor Exchange and Physician Advisor Mastermind, and now serves on ACDIS’ Physician Advisor Committee.

Garnette McLaughlin, RHIA, CCS, CDIP, CHDA, CHPS, CICA, HCISPP, transitioned into the HIM field in 2011, bringing a strong background in IT and management. Her career includes extensive experience in inpatient coding, clinical documentation improvement, denials/audits/appeals management, reporting and analytics, compliance, software design, and information security. She is currently a revenue integrity operations program manager at MRO, where she helps healthcare clients successfully implement and use internal and external audit software. Her in-depth knowledge of healthcare revenue integrity, paired with her technical expertise, enables her to drive efficient audit processes through software solutions that enhance operational performance and compliance.

Anuja Mohla, DO, MBA, FACP, ACPA-C, CHCQM-PHYADV, is the medical director of revenue integrity and a hospitalist at ChristianaCare in Newark, Delaware. She is board certified in internal medicine and a hospitalist. A graduate of the Philadelphia College of Osteopathic Medicine, Mohla went on to complete her internal medicine residency at UMDNJ, New Jersey Medical School. She serves on the board of American College of Physician Advisors (ACPA) as the chair of the ACPA Observation Committee. She is a frequent speaker at the national level on the topics of observation services, denial management, appeals, and regulatory requirements. She is also an author of award-winning children's books.

Rachel Pugliano, CHC, CRCR, RHIT, assists clients with the improvement of their revenue cycle functions as well as maintaining compliance with government regulations. Her specific expertise is in the mid-cycle of the revenue cycle, which includes coding, documentation improvement, revenue integrity, and charge capture. Her background includes compliance/risk assessments, compliance reviews for coding, billing, and charge capture processes, as well as overall work plan development.

Teri Rice, RN, MSN, MHA, MBA, CHC, is the lead instructor for HCPro’s Medicare Boot Camp®—Critical Access Hospital Version and Rural Health Clinic Version and an instructor for the Medicare Boot Camp—Utilization Review Version. She is a regulatory specialist for HCPro’s Medicare Propel Advisory Services, providing guidance on coverage, billing, and reimbursement. A nurse with extensive experience in compliance, Rice has assisted an acute care hospital with documentation integrity, internal auditing, charge capturing, and education; played an active role in software implementation, process improvement, and establishment of workgroups; and co-designed physical therapy software to promote compliance with federal Medicare regulations. She has assisted with EHR rule-based functionality for accurate charge capture and presented department-specific educational programs on documentation, charging practices, and Medicare regulations. Rice has developed policies and procedures focused on Medicare regulations to promote compliance. She has collaborated on compliance work plans, internal organizational risk assessments, and root cause analysis.

Tim Schwasinger, CRCE, has been involved with revenue cycle and collections for 39 years. For the past 37 years he has served in various leadership positions within the revenue cycle at Avera Health. He obtained his bachelor’s degree from National College in Rapid City, South Dakota, and his MBA with an MIS emphasis from the University of South Dakota in Vermillion. He previously served a two-year term as the president of the Rushmore chapter of the American Association of Healthcare Administration Management, 12 years as treasurer for the United Methodist Church in Vermillion, and nine years as vice president of the Vermillion School Board; currently, he is in his third year as chair of the supervisory committee for Explorer’s Credit Union in Yankton, South Dakota. He has been the revenue integrity director with Avera Health for over two years, since the inception of the department.

Courtney G. Tito, Esq., is a shareholder with Buchanan, Ingersoll & Rooney, P.C. She is board certified in health law by the Florida Bar. Tito counsels clients in federal and commercial payer audits, disputes, and investigations. She also counsels clients regarding revocations and payment suspensions and in responding to federal subpoenas and civil investigative demands. She counsels clients in regulatory and compliance matters at both federal and state levels. She represents a variety of provider types, including laboratories, pathologists, physicians, and physician groups. She also regularly speaks on regulatory, audit, and payer disputes.

Deepa Velayadikot, MD, CHCQM-PHYADV, is the medical director of care coordination and regional medical director of hospital medicine for Cooper University Hospital, which is the leading academic health system and the only level 1 trauma center in south New Jersey. She is board certified in internal medicine, a hospitalist physician, and a physician advisor. She oversees Cooper’s physician advisor program, which she developed, consolidated, and expanded to multiple hospital systems. She is also assistant professor of clinical medicine at Cooper Medical School of Rowan University and director of educational programs, including care coordination clerkship, utilization management, and observation services elective.

Diane Weiss, RCMS, CPC, CPB, CHRI, is the vice president of revenue integrity and education with RestorixHealth, where she oversees several internal auditing processes and monitors all external payer audit activity and programs. Weiss also oversees the coding team and provides reimbursement and denials management for the organization’s professional services division. She works closely with senior leadership on a national and regional basis and serves on the audit and compliance committee. Weiss provides coding, billing, and documentation education to all internal staff as well as to providers and staff in the wound care centers that RestorixHealth manages. She and her audit team participate in auditing follow-up calls with payers through the SMRC D&E process as well as all education provided through CMS’ TPE program. Previously, Weiss was the internal Medicare consultant for Ochsner Health System and a provider relations education specialist at Pinnacle Medicare Services, a Medicare contractor.

Laura J. Werner, DC, RN, BA, BSN, MSN-Ed, CDIP, CCS, is the corporate director of CDI for Community Health System in Fresno, California. Werner has vast experience building acute care and critical access programs with both inpatient and outpatient focus. Her passion is in developing programs that allow for success working on-site and/or remotely. She is a member of ACDIS and AHIMA and served on the CDI Leadership Council in 2021, 2022, and 2023 and on the Events Committee in 2023. She is also a contributing author for ACDIS and other clinical publications and is a regular speaker at CDI conferences including ACDIS, CA ACDIS, CHIA, and AHIMA.

Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS, is a clinical documentation integrity (CDI) education specialist for ACDIS at HCPro. She serves as a full-time instructor for the CDI Boot Camps and as a subject matter expert for ACDIS. Wilk is an accomplished healthcare professional with a diverse background in health information, medical coding, nursing, and CDI. With a strong passion for making a difference, Wilk has dedicated her career to improving the quality and integrity of clinical documentation within the healthcare environment for improved patient care. Having received a master’s degree from Penn State University in leadership and a BSN from Drexel University, she acquired the necessary skills and knowledge to establish CDI programs, direct CDI departments from community hospitals to quaternary large academic medical systems, and educate throughout the CDI profession. Over the years, Wilk has worked on numerous projects aimed at advancing CDI education, growth, and awareness.

Carrie Wise, MS, RN, CCDS, CDIP, is a registered nurse of 19 years and currently the director for revenue integrity for Denver Health. She has transitioned her more than 12 years of CDI leadership experience to revenue integrity with a unique opportunity to integrate her clinical expertise into revenue cycle processes and denials management. With her master’s in organizational leadership, her passion is developing high-performing teams and new programs. She served as a CDI leader for both SCL Health (now Intermountain Health) and Children’s Hospital Colorado. Her teams were recognized as recipients of the Solventum annual awards for Data Analytics (2022) and CDI Operational Excellence (2023). She is a current member of the ACDIS and NAHRI Leadership Councils, participated in the 2021 ACDIS Mastermind group, and has presented in multiple forums for ACDIS, AHIMA, and HFMA over the years.

2025 Revenue Integrity Symposium

Location

The Westin Westminster
10600 Westminster Boulevard
Westminster, CO 80020

Room rate: $229.00/night
Hotel cut-off date: Tuesday, September 2, 2025
Reservation Phone #: 303-410-5000 and reference the ACDIS/NAHRI Event
Reservations URL: https://www.marriott.com/event-reservations/reservation-link.mi?id=1731514787113&key=GRP&guestreslink2=true

Book your group rate for 2025 NAHRI/ACDIS Event

HCPro has no affiliation with any third-party companies or travel assistance providers. Rooms should be booked directly with the event hotel using the official information provided on the website and in the brochure.

Pricing

Retail Price: $1,299.00
Early Bird Price: $1,199.00 — Early Bird Discount ends Friday, June 20, 2025

NAHRI/ACDIS Member Retail Price: $1,199.00
NAHRI/ACDIS Member Early Bird Price: $1,099.00 — Early Bird Discount ends Friday, June 20, 2025

2025 Revenue Integrity Symposium

Continuing Education

Coming Soon!

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2025 Revenue Integrity Symposium

Informational Webinar

Curious about what the 2025 Revenue Integrity Symposium has in store? Join us for our free webinar, Inside the 2025 Revenue Integrity Symposium, on Wednesday, May 21, from 1–1:30 p.m. Eastern. Get an exclusive preview of the sessions, networking opportunities, and expert insights that make RIS the must-attend event for revenue integrity professionals. Plus, discover tips for maximizing your experience and exploring Westminster, Colorado!

Register now to secure your spot.