Cher Fieri has approximately thirty years of experience in the healthcare industry and provides accounting, economic, and operational advice to a variety of clients including providers and payers of healthcare services.
The majority of her work focuses on the submission and payment of healthcare claims. She has been involved in numerous matters related to investigations into determining how claims were documented, coded, priced, and paid.
Ms. Fieri is knowledgeable of the various coding and pricing methodologies used within the industry. She has worked on matters involving hospitals (inpatient and outpatient services), physician groups, skilled nursing facilities, durable medical equipment suppliers, pharmacy benefit management companies, and commercial and government insurers, among others. Ms. Fieri understands the risks and compliance issues associated with such matters in the heavily regulated and competitive healthcare industry.
Before joining BRG, Ms. Fieri was a director with Resolution Economics, LLC, a principal with LECG, and a senior engagement manager in the healthcare practice of Navigant Consulting. Additionally, she was employed by two Fortune 500 international healthcare organizations, at which her responsibilities included assisting territory managers with the development and pricing determinations of hospital contracts. She has extensive experience in the bid proposal process between the pharmaceutical industry and providers of healthcare services, and she has managed multi-branch home-infusion reimbursement activities, which has given her insight on a variety of payer and provider claim submission and reimbursement challenges.
Ms. Fieri has testified numerous times on matters related to documentation, coding and payment of claims, industry standards, preexisting conditions, and estimating future healthcare costs, among others. She is a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), and Certified Risk Adjustment Coder (CRC). She has a BS in economics and a master’s degree in health services administration.
Areas of Expertise
Industries
Education
Saint Joseph’s College of Maine
MA, Health Service Administration (MHSA), 2001
Illinois State University
BS, Economics, 1992