Meet our Leadership Team
Our team from Intersect Healthcare and AppealMasters, the appeal service group of the Intersect Healthcare family, bring rich expertise to hospitals and the appeals community.
Brian McGraw | President & CEO
Brian is the President & CEO of Intersect Healthcare and the Denial Research Group (AppealMasters), each firm a national leader in their respective categories for Appeal Support services and next-generation Denial/Appeal Management. The denial technology and revenue recovery methods he designed are currently used by over 300 hospitals and health systems nationwide. As a fierce advocate for hospitals and physicians in their right to be fully paid, he consults with and educates revenue cycle and compliance leaders throughout the U.S. on government and commercial claim dispute resolution management.
He 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.
Rick Scott | Senior VP, Business Development
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 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.
Denise Wilson, MS, RN, RRT | Senior Vice President, Clinical Appeal Services
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.
Kendall Smith, MD | Chief Physician Advisor
Dr. Kendall Smith is a Senior Fellow in Hospital Medicine (SFHM) and currently acts as Chief Physician Advisor for AppealMasters, a leading appeal educator and appeal services firm for hospitals and health systems. He’s been deeply involved in denial and appeals management throughout his hospitalist career, working collaboratively with UR/Case Management departments as well as Managed Care and Hospital C-Suite executives.
His familiarity with managed care denials led him to design and implement a number of CDI programs, including those at the Cleveland Clinic in Florida and the MedStar Washington Hospital Center. He has served as a physician leader on hospital revenue cycle management teams while also serving as a the Physician Advisor for Clinical Resource Management. Dr. Smith is also an AHIMA ICD-CM/PCS approved trainer/ambassador.
Julie Raynor |VP, Administration
Tracey A. Tomak, RHIA, PMP |Senior Director, Project Management & Client Engagement
Tracey Tomak is a Registered Health Information Administrator and Project Management Professional with over 20 years of experience in revenue cycle with a focus on hospital coding, charge capture, and denials management.
In her current role as Director, Project Management and Client Engagement, Tracey is responsible for coordinating project implementation of Intersect Healthcare’s Veracity software. Tracey works directly with clients to ensure that they are fully utilizing the Veracity software in order to effectively manage commercial and government audits and denials.
Tracey is an active member of IHIMA, serving as the Nominating Committee Chair for the 2018-19 year. Tracey is a regular guest speaker, lecturer, and author on revenue topics such as the Medicare Two-Midnight Rule, RAC and other audit activity, roles within the revenue cycle for health information management professionals, APCs, denial prevention methodology and clinical documentation improvement trends.
Karla Hiravi RN, BSN | Director of Clinical Audits and Appeals
Karla is the Director of Clinical Audits and Appeals at AppealMasters, the appeal service group of the Intersect Healthcare family. Karla has a wealth of experience from her 30+ years as a registered nurse that allowed her to experience first hand the impact that denials have on our nation’s hospitals.
Prior to her present role, she held numerous positions in the healthcare industry. Some of the highlights in her career included working as a Clinical Documentation Specialist, managing a highly successful Clinical Documentation Improvement Department, building a Medical Oncology Research Program, and building a multimillion dollar Denials and Appeals Program.
Karla is passionate about making sure that our hospitals are paid for the work that they do. To that end, she has written hundreds, if not thousands, of appeals and presented dozens of cases at the hearing level. In her current role, she works as an educator and enjoys teaching how to write winning appeals. She is responsible for the quality of appeals produced by AppealMasters, and is often a co-presenter for AppealMaster’s webinars that reach a national audience. Karla is a current member of ACMA and AHIMA.
Wendy M. Towner |Senior Director, Technical Support & SDLC
Wendy began her career at IHI as Director of Client Support & Services in 2009 following twenty five years of experience in the healthcare and managed care industries including project management, EDI knowledge and decades of leadership in relevant systems and IT service environments.
Wendy is currently responsible for the technical product and quality management of IT support and VERACITY product services. Working with developers, she has visibility over projects at all checkpoints and maintains project deliverables to ensure success at every intersection. With more than 20 years of experience as an industry executive – with focus in system/business analysis and design, integration/regression testing and product development – Wendy effectively translates customer needs and market opportunities into successful business strategies. Wendy manages the day-to-day resolution of internal and client support requests.
Prior to IHI, she held a number of management positions in various healthcare companies including a Chicago-based PPO Network, a national government healthcare audit contractor, a Third Party Administrator and a healthcare software revenue recovery company. Wendy also led a development team which patented the first automated claims repricing system.
Vivek Radhakrishna | Vice President, Engineering
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.