Denial Research Group

What differentiates DRG from the rest is our proprietary tech-enabled identification, automation, and prioritization tools. Combined with our clinical and revenue cycle experts, we aim to be the business partner that transforms our clients from Denial MANAGEMENT to Denial PREVENTION.

 

Meet the Team:

 

Ryan O’Hara: Managing Principal

    • Revenue Cycle operations
    • Client delivery (Proposal and client management)
    • Strategy
    • Finance

Reggie Allen: Principal

    • UR and CM operations
    • Clinical throughput
    • EMR integrity
    • Strategy

Kendall Smith, MD:

    • Physician Advisor mentorship
    • Documentation
    • Audit, denial, and appeal management
    • Insurance rights
Reggie Allen | Chief of Clinical/Business Operations
Reggie is a results-driven leader who emphasizes operational transformation by integrating clinical and financial care aspects. He has designed and implemented an enterprise-wide Clinical Appeals Unit and CDI program.
Ryan O’Hara | Managing Principal, Denial Research Group
Ryan is an accomplished healthcare executive with a wealth of experience in revenue cycle operations. He demonstrates a deep understanding of the complexities of healthcare financial management.
Kendall Smith, MD | Chief Medical Advisor
Kendall Smith | Chief Medical Officer & Chief Physician Advisor
Kendall has been deeply involved in denial and appeals management throughout his career. He has designed and implemented a number of CDI programs, including those at the Cleveland Clinic in Florida and the MedStar Washington Hospital Center.

The Denial Research Group focuses on key areas for transformation compared to leading processes of the front-end, middle, and back-end issues:

  • Assessments (CURRENT STATE/FUTURE STATE)
  • Process Transformation (APPEALS)
  • Clinical Transformation (PREVENTION)
  • Community/Mentorship
  • Reimbursement “Sprints”/ “Quick wins”

Trusted Partners

PayerWatch has increased revenue for over 500 hospitals.

PayerWatch Partner: Mercy Health System
PayerWatch Partner: Christus Health
PayerWatch Partner: Valley Health System
PayerWatch Partner: Adventist Health System
PayerWatch Partner: Dignity Health

PayerWatch's industry-leading Veracity software and AppealMasters’ infrastructure is HITRUST CSF Certified.