Cher Fieri has more than twenty 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 and pharmaceutical 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 utilized within the industry. She has worked on matters involving hospitals, physician groups, nursing homes, pharmacy benefit management, 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 world of healthcare.
Prior to 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, in 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 challenges.
Ms. Fieri has testimony experience related to obtaining health insurance coverage when faced with a preexisting condition, as well as estimating future healthcare costs. She is a Certified Professional Coder, Certified Professional Coder - Outpatient, and Certified Risk Adjustment Coder.
Saint Joseph's College of Maine
MA, Health Service Administration (MHSA), 2001
Illinois State University
BS, Economics, 1992
2009 - 2010
Resolution Economics, LLC
2008 - 2009
2002 - 2008
Senior engagement manager
1996 - 2002
1994 - 1996
Baxter International: IV Systems Division
Invoice Administration/bid analyst
1992 - 1994
State departments of insurance and departments of managed healthcare have retained BRG experts to serve as interim officers and monitors for financially troubled managed health plans.
BRG experts have worked on engagements for hospitals or health providers involved in disputes over reimbursement rates for both contracted and non-contracted services.
BRG has been retained in several cases relating to payments made by health insurers to providers that are not in their provider networks (out-of-network reimbursement).
BRG experts have worked on several matters involving internal or external investigations into provider billing practices to commercial and government-sponsored programs.
News & Insights
- Corporate Compliance InsightsApril 2, 2013
- Acquiring an HSOManaged Care Law StategistOctober 2001
- Techniques for Monitoring the Solvency of a Managed Care OrganizationManaged Care Law StrategistMay 2000
- Meeting New ChallengesMedicare Compliance Advisor for Home Health AgenciesJanuary 1999
Seminars & Speaking Engagements
- Unique Issues in the Valuation of Health Care Entities2002
- Avoiding Fraud When Billing for Physician Professional Fees1999
News & Commentary
- AHLAJune 30, 2015
- Press releaseFebruary 17, 2011
- Press ReleaseJuly 13, 2010
Women Business Leaders Foundation
American Academy of Professional Coders
American Health Lawyers Association