Board of Directors

Providing leadership, expertise, and an industry voice for the AHDAM membership.

Denise Wilson, MS, RN, RRT

President

Denise serves as the Senior Vice President at Denial Research Group – AppealMasters. Denise is also President of The Association for Healthcare Denial and Appeal Management. Denise is a Registered Respiratory Therapist, Registered Nurse, and holds a Master’s degree in Management Information Systems from the University of Illinois, Springfield.

Denise has over thirty years of experience in healthcare, including clinical management, education, compliance, and appeal writing. Denise has extensive experience as a Medical Appeals Expert and has personally managed hundreds of Medicare, Managed Medicare, and Commercial appeal cases and presented hundreds of cases at the Administrative Law Judge level.

Denise is a nationally known speaker and dynamic educator on Medicare and Commercial appeals processes, payer behaviors, standards of care, appeal template development, and building a road map to drive the payer to a decision in the provider’s favor. She has educated thousands of healthcare professionals around the country in successfully overturning medical care denials.

Brian McGraw

Treasurer

Brian is a nationally recognized speaker and sought-after expert in the areas of Revenue Risk Management, Regulatory Audit Management and Payer Compliance.  Brian pioneered the early design and development of BPM software for revenue compliance and next-generation RCM technology to improve hospital net revenue performance. Over the last twenty years, he has worked with hundreds of hospitals and many of the nation’s largest healthcare systems to improve their managed care reimbursements, denied claim recoveries, billing integrity, RAC audit management and Medicare compliance.

Larry Hegland, MD

Director

Larry is an experienced hospital and group practice administrator with 30 years of experience at several nationally known organizations.  He also has experience in provider-sponsored health plan and accountable care organization operations.  He is an Anesthesiologist, having trained at Northwestern University and possesses a management degree from Carnegie Mellon University. He is a nationally known speaker and consultant in the area of Physician Advisor services.  He is founding and current board member of the American College of Physician Advisors.  He also sponsors the RAC Relief listserv, a nationally recognized free education resource for Physician Advisors, case managers, coders and revenue cycle staff.  Larry’s particular area of interest is in Physician Advisor Program development and Physician Advisor mentoring.

Vivek Radhakrishna

Secretary

Vivek has more than 22 years of experience designing/developing software and has worked across multiple domains in his professional life, including banking, telecommunication, K-12 education and Healthcare. He has been with Intersect Healthcare for 7+ years; Vivek believes that the customer is the most valuable asset an organization can have and that all software design should be driven by a unrelenting pursuit of end user focus and experience which enables them to effectively use applications to achieve business results. As the VP of Engineering he revels in solving problems, finding creative solutions to customer needs and clearing a path for the organization to do the very best they can while constantly moving forward.

Rick Scott

Director

Rick Scott recently joined the Intersect Healthcare, Inc. (IHI) and Denial Research Group, Inc. (DRG) as Senior Vice President – Business Development.  Rick is tasked with evaluating the business to identify opportunities that will be beneficial to the organization, and ultimately deliver value to our business partners.  Rick is dedicated to building and maintaining long-term relationships that will be beneficial for both our clients and IHI/DRG.

Rick has been a business development professional for over 30 years.  He worked for five years as a Commercial Lines Underwriter at The Hartford Insurance Group, and for the past 25 years as Vice President – Business Development at BFPE International, a woman-owned, national leader in designing, providing, and installing fire protection systems and equipment.

Rick is very familiar with working with trade associations.  He was an active member of the Fire Suppression System Association (FSSA) for over 20 years (He served in all of the executive roles in the organization, including treasurer, vice president, and president).  Rick also serves on the Board of Directors for the State of Maryland Athletic Hall of Fame.