Abhay Nayak
Executive Vice President and President, U.S. Commercial Operations
Zoetis
Behavioral health is a fast-growing area of healthcare spend, with the U.S. market projected to grow from $101.84B in 2026 to $159.35B by 2035. As utilization rises, this session will use autism treatment and ABA audit findings as a case study to explore documentation gaps, medical necessity risk, provider oversight, and how plans can strengthen payment accuracy without creating inappropriate barriers to care.
- Identify documentation and billing gaps driving improper ABA payments.
- Learn how statewide post-payment reviews can educate providers and reduce repeat errors.
- Strengthen behavioral health oversight while protecting access to early autism treatment
In partnership with AArete
Gina Hedstrom
Managing Director
AArete
Gina Hedstrom is a seasoned healthcare consultant, entrepreneur, and visionary leader with over two decades of experience transforming payer and provider operations across the U.S. As Managing Director of Payment Intelligence at AArete, she leads strategic initiatives in payment accuracy, automation, operational strategy, and healthcare data innovation.
A registered nurse with deep clinical insight, Gina founded a consulting firm and launched a healthcare AI company focused on empowering providers through smarter technology. She has served as a trusted advisor to every major health payer in the country, driving improvements in policy optimization, claims adjudication, utilization management, credentialing, and medical record audits.
Holding both an MBA and a doctoral degree in healthcare administration, Gina brings a rare blend of clinical, technical, and executive expertise to every engagement.
During her free time, she enjoys diving, boating, and water sports—activities that reflect her adventurous spirit and love of the ocean.
Kevin O'Donnell
Director of the Division of Program Integrity
D.C. Department of Health Care Finance
Kevin O’Donnell is the Director of the Division of Program Integrity for the D.C. Department of Health Care Finance, the District’s Medicaid agency. He has served in that role since November 2021. In that capacity, he oversees the Medicaid agency’s Fraud, Waste, and Abuse activities, coordinating and supervising audits and investigations of Medicaid enrolled providers. To ensure the Medicaid program is effectively rooting out FWA, Mr. O’Donnell collaborates with public and private partners, including law enforcement agencies, regulatory agencies, Managed Care Organizations, and others.
Prior to becoming the Director of the DPI, Mr. O’Donnell spent 7 years as an Attorney-Advisor in DHCF’s Office of the General Counsel, where he defended the agency in administrative appeals before the D.C. Office of Administrative Hearings. Mr. O’Donnell is a graduate of the George Washington University School of Law and a native Washingtonian.
Eric Pilon
Finance Manager – Payment Integrity Office
Blue Cross Blue Shield of North Carolina
Eric Pilon comes to us with over 15 years of experience spanning healthcare finance, revenue cycle operations, payment integrity, revenue management, billing, and collections. Currently serving as Manager of Financials and Reporting Analysis at Blue Cross NC, he leads both the financial strategy and reporting initiatives that exceeded Cost of Care goals each year he has been in his current role. Recognized for driving cost of care improvements, managing strategic vendor partnerships, and collaborating across the Blue Cross network. Holds an MBA from West Virginia University and brings a strong background in analytics, operational leadership, and healthcare reimbursement.
Traditional subrogation has long focused on recovering dollars after claims are paid. Learn how leading payers are transforming subrogation into a proactive cost containment strategy through early identification of accident-related claims, injury coverage coordination, and AI-enabled workflows that reduce unnecessary medical spend before it occurs.
Heather Henderson
Director of Recovery Operations
Katch
Heather Henderson is Director of Recovery Operations for Katch, where she leads teams and initiatives focused on healthcare payment integrity, recovery optimization, and cost containment. She holds a Master of Business Administration with a concentration in Healthcare Administration, is a Professional, Academy for Healthcare Management (PAHM), and a Hudson Certified Coach. With more than 20 years of experience in healthcare payment integrity and recovery operations, Heather has led high-performing teams across subrogation, reimbursement, coordination of benefits, and process improvement. Her expertise includes developing innovative recovery strategies, optimizing operational performance, and delivering financial value for clients. In her current role, Heather leads more than 100 managers and recovery professionals supporting payment integrity programs that impact more than 120 million health plan members nationwide. Her team recovers more than $560M on behalf of some of the nation’s largest payers. She is passionate about people leadership, professional development, and building collaborative, high-performing teams. Heather is also an advocate for leveraging analytics, automation, and artificial intelligence to transform traditional recovery operations into proactive, scalable cost-containment solutions that improve payment accuracy, reduce healthcare costs, and enhance member and provider experiences.
This panel will examine how ambulance revenue leakage occurs across the claims’ lifecycle. Panelists will discuss practical strategies for using clinical, dispatch, billing, and claims data to strengthen payment integrity, improve reimbursement accuracy, reduce administrative burden, and ensure that ambulance services are paid appropriately.
In partnership with IntegraRev
Moderator
Anthony Shimkin
CEO
IntegraRev
Anthony Shimkin, Chief Executive Officer: More than 25 years in medical technology, life sciences, and health information technology. Former Chief Executive Officer and President of AVACEN Medical, with senior roles at Cardinal Health, Quidel, and Qualcomm, and earlier as head of healthcare equity research at Wedbush. He holds a Master of Science in Executive Leadership from the University of San Diego, a Master of Business Administration from Boston University School of Management, a Master of Arts in Medical Sciences from Boston University School of Medicine, and a BA in Psychology from Boston University.
Panelists
Mark Baird
Co-Founder
IntegraRev
Mark Baird is Co-Founder, Chairman of the Board, and Treasurer of IntegraRev Inc., a healthcare revenue cycle claims integrity consulting company. He is a healthcare revenue cycle, compliance, and healthcare operations executive with more than three decades of experience in healthcare services, claims integrity, regulatory compliance, payer audit defense, quality assurance, and strategic business operations. Mark has held senior leadership roles across diverse types of healthcare organizations. Mark functioned as a subject matter expert in healthcare revenue cycle and compliance for Siemens Healthineers. He holds both a Master of Science and Bachelor of Science in Management with a concentration in Health Care Management from Purdue Global University. Through IntegraRev, Mark applies deep industry expertise to help healthcare payers and organizations identify improper payments, strengthen compliance, and improve financial performance.
Kelly Shintaku
Director at Large & External Chief Compliance Officer
IntegraRev
Kelly Shintaku, CFE, is a Certified Fraud Examiner, former federal law enforcement officer, and corporate executive with more than 25 years of experience in healthcare fraud investigations, regulatory compliance, enterprise risk management, corporate governance, and complex financial crime matters. She currently serves as President and Chief Executive Officer of Kokel, Inc., providing investigative, compliance, security, and strategic advisory services to public and private sector organizations. Her prior public service includes leading healthcare fraud investigations with the U.S. Department of Health and Human Services, Office of Inspector General, serving as a Special Agent with the United States Secret Service, and advising on policy, regulatory, legislative, and administrative matters as Special Assistant to the Director of the California Department of Motor Vehicles. Ms. Shintaku earned her Juris Doctor from Southwestern Law School and her Bachelor of Arts from the University of Southern California.
Jonique Dietzen
Director of Payment Integrity
Providence Healthcare
With over 18 years of experience in healthcare billing and finance, I am a certified professional coder dedicated to ensuring accurate claims and proper reimbursement for providers. Having worked extensively on the provider side in finance and revenue cycle, I bring wealth of knowledge to the table, particularly in processing and payment integrity.
Throughout my career, I have gained a comprehensive understanding of billing challenges from both perspectives. This unique insight drives my commitment to improving billing practices and advocating for provider education. I continue to leverage my expertise to enhance billing processes and support providers in navigating the complexities of healthcare finance.
Kelly Shintaku
Director at Large & External Chief Compliance Officer
IntegraRev
Kelly Shintaku, CFE, is a Certified Fraud Examiner, former federal law enforcement officer, and corporate executive with more than 25 years of experience in healthcare fraud investigations, regulatory compliance, enterprise risk management, corporate governance, and complex financial crime matters. She currently serves as President and Chief Executive Officer of Kokel, Inc., providing investigative, compliance, security, and strategic advisory services to public and private sector organizations. Her prior public service includes leading healthcare fraud investigations with the U.S. Department of Health and Human Services, Office of Inspector General, serving as a Special Agent with the United States Secret Service, and advising on policy, regulatory, legislative, and administrative matters as Special Assistant to the Director of the California Department of Motor Vehicles. Ms. Shintaku earned her Juris Doctor from Southwestern Law School and her Bachelor of Arts from the University of Southern California.
Mark Baird
Co-Founder
IntegraRev
Mark Baird is Co-Founder, Chairman of the Board, and Treasurer of IntegraRev Inc., a healthcare revenue cycle claims integrity consulting company. He is a healthcare revenue cycle, compliance, and healthcare operations executive with more than three decades of experience in healthcare services, claims integrity, regulatory compliance, payer audit defense, quality assurance, and strategic business operations. Mark has held senior leadership roles across diverse types of healthcare organizations. Mark functioned as a subject matter expert in healthcare revenue cycle and compliance for Siemens Healthineers. He holds both a Master of Science and Bachelor of Science in Management with a concentration in Health Care Management from Purdue Global University. Through IntegraRev, Mark applies deep industry expertise to help healthcare payers and organizations identify improper payments, strengthen compliance, and improve financial performance.
Danielle Healey
Partner
Wilmerhale
Christopher DeBaere CFA
Principal
Archway Research Group LLC
Ivan Poullaos
Partner
Winston Taylor