Matthew Tolf, Retired

I am a results-driven Certified Professional with 25 years of key industry experience. My expertise lies in Managed Care Contracting & Reimbursement Analytics. Payors and providers have historically been in an adversarial relationship. My objective has been to bring them together. Having worked on both teams; my insight helped providers navigate a complex reimbursement landscape and avoid costly pitfalls. Understanding post-payment claim audits, including coding validation can be tricky and requires diligence. Together, we've disputed these audits and even reviewed internal processes to help reduce them. They are now integral to your denial management workflow. Collectively; we compared payor rates and renegotiated unfavorable contracts by demonstrating value with your quality and cost metrics. As an external partner I've been able to collaborate with key stakeholders at many Chicago area hospitals and enjoyed every interaction. Let's connect at the next conference, forum or workshop!