Owner/Managing Partner
CurrentWith over 30 years of healthcare expertise and nearly 20 years of hands-on Epic and consulting experience, I am a nationally recognized leader in revenue cycle management and revenue integrity. As Founder and Managing Partner of The Wilshire Group, I’ve advised prestigious academic medical centers, multi-facility health systems, and community hospitals, consistently driving operational excellence and financial success through complex revenue cycle transformations.A pioneer in revenue integrity, I specialize in optimizing revenue recognition through chargemaster optimization, integrated charge capture strategies, and Epic Systems installations. My work aligns hospital billing compliance with regulatory standards, reducing risks and audit vulnerabilities. Certified in Epic chargemaster and charge capture functionality, I design and implement high-performing, compliant revenue integrity programs.At Cedars-Sinai Health System, I developed and led the Revenue Integrity Program, implementing cutting-edge charge capture methodologies and building internal monitoring frameworks that proactively mitigated risks of revenue leakage and payer denials. My leadership safeguarded revenue streams and positioned clients to defend against complex audits, including RAC reviews.Post-EHR implementation, I help clients streamline workflows, achieving efficiency gains and long-term sustainability. My engagements consistently enhance compliance, improve cash flow, and fortify defense strategies against denials. My innovative approach ensures organizations maximize reimbursement potential while maintaining the highest standards of compliance.As a thought leader in revenue cycle management, I frequently contribute to discussions on best practices in revenue integrity, regulatory compliance, and Epic system optimizations, empowering healthcare organizations to achieve financial integrity in a complex regulatory landscape.
