Meet Our Key Consultants

Coy Clark

Coy Clark completed his nursing education in 2007 and has a developed strong knowledge of the clinical aspects of reimbursement. He has provided prior authorization, predetermination, coverage policy, appeals and patient grievance support for over three hundred hospitals, physician practices and patients across the country. Coy works directly with patients and clinical staff to develop customized documentation and establish external clinical reviews with payer medical directors to permit consideration and gain coverage and payment for new technologies not currently covered or excluded by payer policy. His clinical knowledge has permitted him the ability to work directly with payer clinical staff to change policy to support new technologies and services as appropriate.

William A. Ehmig

William Ehmig has spent more than thirty years in various aspects of Healthcare. He has sales, marketing, general management, public and professional relations, reimbursement and payer relations and government affairs experience in diagnostics, device and pharmaceutical arenas. He has served as General Manager for Amersham Canada and as Marketing Director of Diagnostics, Director of Pharmacies and Vice President of Professional Affairs for Amersham Health (GE Healthcare). He has extensive experience interfacing with professional societies, industry trade groups and governmental agencies. Bill was a founding member of MICAA (Medical Imaging Contrast Agent Association) and has actively been involved with CORAR (Coalition of Radiopharmaceuticals and Radionuclides), Society of Nuclear Medicine, American College of Nuclear Physicians, and the American Society of Nuclear Cardiologists. He has additional experience with Congressional Members and government agencies (FDA, NRC, USDOE, USDOT). He graduated from Erskine College with degrees in Business Administration and Psychology.

Kathy Francisco

Ms. Francisco has over twenty years of managerial experience focused in reimbursement, payer relations and state and federal governmental affairs. Her areas of expertise include strategic and tactical reimbursement coverage and coding, policy development and implementation, sales and marketing support and legislative policy development. Ms. Francisco has developed strategic reimbursement solutions to pharmaceutical, medical device and biotechnology firms as well as health care providers and managed care organizations nationally and internationally. She has successfully implemented Medicare policy change at a national level in less than ninety days and has built solid relationships with Medicare Medical Directors, Managed Care Organizations, medical societies and the Centers for Medicare and Medicaid Systems. Ms. Francisco has taken a very active health policy role with numerous medical societies, industry trade associations and health care coalitions and been an invited speaker at state society meetings, state conferences and national society and professional health care meetings across the country as well as several international symposiums.

Martin F. Gibson

Mr. Gibson is a management consultant with more than twenty years of experience in the financial and actuarial analysis of health care delivery systems, including capitation rating and analysis, risk and incentive plan design and analysis, contract design and analysis, and other analyses for HMO's, insurance companies, medical groups, IPAs, hospitals, state governments and corporate employers. He has been involved with financial and operations assessments of health plans and has experience in product design, pricing, claim liability studies, and financial analysis and reporting. Mr. Gibson has served as the consulting actuary to the Arizona Health Care Cost Containment System (AHCCCS), the Medicaid agency for Arizona, and has assisted various clients with the bidding processes for prepaid Medicaid programs in a number of different states. He has experience with Integrated Health Resources (IHR), an actuarial and health care management services company, Towers Perrin, one of the world's largest consulting firms and was also the chief financial officer of an Arizona Medicaid HMO, where he was responsible for financial management and other aspects of the company. Mr. Gibson received his BS in mathematical sciences from the University of Iowa. He is an Associate of the Society of Actuaries and a Member of the American Academy of Actuaries.

Amy E. Goldberg

Amy Goldberg has over fifteen years in the pharmaceutical and consulting industry. Amy started her professional career as a Pharmacist for Thayer Pharmacies. From 1992-1998, Amy held a Sales Representative position with Eli Lilly and Company, Indianapolis, IN and was a Specialty Sales Representative for Lilly for 4 years representing Prozac. Following her tenure at Lilly, Amy joined Boston Healthcare Associates as a project manager. In her role at BHA, Amy was involved in managing a wide range of consulting projects focused on reimbursement, strategic product and market planning within both the pharmaceutical and medical device industries. Amy has a strong understanding of the public and payer markets and their impact on integrated delivery systems and group purchasing organizations. Amy has extensive experience developing discussion guides and conducting interviews with providers, patients and decision makers within the payer market. Amy has excellent analytical, organizational and communication skills and takes a lead role in analyzing project information to create clear, action orientated programs. Amy has a Bachelor of Science degree from University of Connecticut and a M.B.A. from Boston College.

Heather Heinzinger

Heather Heinzinger is a member of the American Academy of Professional coders and a certified professional coder (CPC). Heather has over twelve years of reimbursement coding and claims processing experience at hospital and free standing facilities. She has been responsible for the management of claims processing, coding and collections and offers extensive knowledge of coding and managed care support. She has successfully negotiated managed care agreements for providers for over ten years. Heathers strong skill has been her ability to work with plans to turn around denied claims during the appeals process and while following the payers appeal process and timelines. Her ability to work with managed care plans to negotiate effective agreements for providers and her knowledge and experience with the payer appeals process permit Heather to offer strong support for hospitals and physicians utilizing new technologies. 

Christina Horun

Tina Horun has been actively working in the medical field for twenty years. Her career started as a critical care nurse, working in numerous hospital departments, which included Emergency, Intensive Care Unit, Cardiac Cath Lab, Operating Room and Post Anesthesia Care. Tina worked in the home healthcare field for eight years with various responsibilities including Director of an 800 employee home health staff, management of assisted living caregivers for the elderly and disabled and home health nursing. Tina assisted in the start-up of a licensed home healthcare agency, obtaining Accreditation in accordance with the Medicare and State Programs. Over the past ten years, Tina has worked in the area of health care reimbursement providing support to pharmaceutical and biotechnology companies as well as healthcare providers. She has developed contacts within managed care organizations, and with Medicare and Medicaid program directors and physicians. Tina has assisted in the revision of state local medical policies for state Medicare programs. She is an active member of the Critical Care Nurses Association.

Constance A. Mehesy

Connie Mehesy is a certified radiology coder (RCC) and has been providing patient accounts and reimbursement support for facilities for the past fifteen years. She has successfully managed Medicare and Medicaid billing and collections, developed and monitored quality assurance and compliance programs and has provided quality compliance training programs for physicians, clinical staff and reimbursement staff while in her role as Compliance manager. Connie has developed coding strategies and tactics at the facility level and has worked with manufacturers to assist with implementation of new coding strategies from product launch to new coding development. Connie offers a wealth of experience in use of the coding system prior to the development of permanent CPT codes for new technologies. She has been a member of the American Academy of Professional coders in 1994 and holds her Radiology Coding Certification since 2002. 

Melanie P. Merriman

Melanie Merriman, Ph.D., MBA is the founder of Touchstone Consulting in North Bay Village, FL, a firm that specializes in healthcare quality and outcomes management, and program evaluation. Clients include the Robert Wood Johnson Foundation, CardioContinuum (a national provider of disease management programs for congestive heart failure and coronary artery disease), the Hospice of the Florida Suncoast, Meadowcrest Hospital in New Orleans, and VITAS Healthcare Corporation, the nation's largest provider of hospice care. Prior to founding Touchstone Consulting, Dr. Merriman was Director of Quality and Compliance for VITAS Healthcare Corporation for six years. Dr. Merriman received her Ph.D. in Biology from Brandeis University in 1979, did postdoctoral training at Harvard Medical School, and served as a tenured Associate Professor at the University of Miami School of Medicine for nine years. She earned an MBA in Health Care Administration from the University of Miami School of Business in 1992. Dr Merriman is the author of over 25 original scientific publications and several literature reviews and book chapters. She lectures on outcomes measurement and management, program evaluation, quality of life assessment, hospice services, and quality of palliative care and end of life care.

Barbara Ossias

Barbara Ossias over twenty years experience in medical imaging and nuclear medicine reimbursement. In the past, she worked as a practice administrator for a large ophthalmology practice and physicians plan for a major urban children's hospital. Barbara has provided support to the pharmaceutical industry with GE/Amersham Health as a senior reimbursement specialist for the modalities of CT/CTA, MR/MRA, ultrasound and nuclear medicine. Barbara is certified as an educator by the American Society of Radiation Therapists and Society of Nuclear Medicine. She represented manufacturers in coalitions including the Medical Imaging Contrast Agent Association and Coalition of Radiopharmaceuticals and Radionuclide and has been an invited speaker at state and national association meetings across the country since 1989. Barbara has a Bachelors Degree in Business Management from Marshall University.

Thomas Overmyer

Tom has been actively involved in the commercial aspect of healthcare for thirty years. He worked in sales, sales management, and marketing at Upjohn Pharmaceuticals, before moving to Glaxo where he was responsible for, Zantac®, the first one billion dollar pharmaceutical. Additionally, he worked on prelaunch preparations and drafted the commercial launch plan for Zofran®. As Group Product Director at Bristol Myers Squibb, he was responsible for the efforts to trademark Taxol®. At Amersham Medi-Physics, Tom was responsible for the launch of Metastron®, spearheading the development of the market for I-125 Seeds in the treatment of early stage prostate cancer and overseeing a portfolio of imaging agents including the launch of Myoview®. During his international assignment in the United Kingdom, he was responsible for Global Marketing operations. His role on the Healthcare Executive was to assess the commercial value of all potential acquisitions and organic development. He has worked with pharmaceuticals, medical devices, and currently advises some of the world’s largest biotech companies on portfolio assessment issues. Tom has a BS degree in biology from Huntington College in Indiana, and MA in science education from Columbia University in New York.

Melva Palmer

Melva Palmer has over twenty years of management experience in the healthcare industry focused on billing and consulting services. Ms Palmer has successfully created and managed internal billing services for large group practice businesses. She has integrated effective strategies for charging, coding, collections and reporting that maximize revenue to these centers. She has developed a reporting system for revenue tracking, which has increased Medicare and third party payer payments, and provided for increased efficiency in over-all practice/business management. Ms. Palmer is a principal of H.P.G., LLC, a medical billing and consulting service company providing these services to providers and the expanding Ambulatory Surgery Center market. In addition, Ms Palmer is a certified professional coder (CPC) through AAPC, and is an active participant of SROA.

William Peros

William Peros, Ph.D. has more than 22 years of experience in clinical research, sales, and marketing within the pharmaceutical, biotechnology and medical device industries. Bill has extensive business development experience in the areas of reimbursement planning, pre- and post marketing clinical research studies with a special focus on supporting a product's overall market strategy and value proposition. He has extensive experience implementing Phase I through Phase IV research protocols, health outcomes and economic studies and modeling assignments by building appropriate project teams to resolve key challenges of novel healthcare technologies. Dr. Peros has implemented numerous studies that have simultaneously addressed specific product reimbursement and clinical uptake issues. Bill's strong understanding of reimbursement issues among third party payers (managed care, indemnity, Medicare and Medicaid) has resulted in improved utilization for a variety of pharmaceutical, device and diagnostic products. In addition, Bill has successfully used his understanding of managed care to plan and conduct a variety of studies within this important market segment. He has published a number of articles on this research, and has presented his research experiences at various meetings including the Drug Information Association. Bill received a BA degree in Biology from Brandeis University, and both a Masters and a Doctorate degree in microbiology from Northeastern University and Forsyth Dental Center.

Claudette Julie Soberanis

Julie Soberanis has over twenty five years of experience in reimbursement, primarily coding, billing, auditing and appeal support. She has provided support to the pharmaceutical industry with GE Healthcare as a reimbursement specialist for the modalities of CT/CTA, MR/MRA, ultrasound and nuclear medicine. Julie is certified medical coder (CPC) as authorized by the American Academy of Professional Coders. She provides support to hospitals, physicians and facilities across the country regarding appropriate and accurate reporting of medical procedures performed. Julie has successfully development coding strategies and coverage policy for new products. In addition, Julie has worked with DME Regional carriers to permit payment of FDA cleared devices distributed through a pharmaceutical distribution network. She has worked directly with managed care and commercial plans to implement coverage policy for new technologies and drugs. In addition, she has developed strong relationships with payers, Medicare carrier and fiscal intermediaries, and the AMA to work through coding issues for new technologies. 

Matt Wandoloski

Mr. Wandoloski has twenty-three years of executive leadership with national and statewide-managed care organizations. His expertise includes developing and executing strategies in the areas of pricing, marketing and sales with a focus on profitable growth. Additionally, he is an experienced change agent in buy-sell and consolidation environments. He served as CEO for UnitedHealthcare of Southern Arizona, the largest health plan in the State of Arizona and one of the top managed care organizations nationwide. Mr. Wandoloski has also had extensive experience and responsibility for gross underwriting gains for health plans such as Intergroup of Arizona and Blue Cross and Blue Shield of Arizona and New York, which resulted in underwriting profitability. He also has had significant experience in PHO and MSO integration arenas for a three-hospital system and medical group, and was able to successfully negotiate non-risk agreements. Mr. Wandoloski holds a B.S. degree from Southampton College as well as an MBA in Finance from C.W. Post College.