Meet Our Experts

Panacea’s consulting professionals possess extensive hands-on clinical, financial, administrative, and executive experience, so they understand how their recommendations will impact your organization’s revenues and regulatory compliance. Our consultants have developed and constructed reimbursement programs for physician groups, ambulatory centers, and hospitals throughout the United States.

Our staff is expert at providing on-site analyses and in-house education for specific reimbursement needs. We take a pragmatic approach to our work that leads to real success for our clients. We strive to work with each facility to develop programs that institute realistic goals and yield positive results in a reasonable amount of time.

Auditing and Compliance

Kathy Pride, PHIT, CPC, CCS-P

Kathy Pride, PHIT, CPC, CCS-P

Senior Vice President, Coding & Documentation

Kathy Pride, PHIT, CPC, CCS-P, is a proven leader in healthcare revenue cycle management with extensive experience in management, project implementation, coding, billing, physician documentation improvement, compliance audits, and education. She has trained and managed health information management (HIM) professionals in multiple environments and has provided compliance auditing and documentation education to hundreds of physicians and coders throughout her career.

Jeff Marjchrzak, BA, RCC, CIRCC

Jeff Marjchrzak, BA, RCC, CIRCC

Vice President

Jeff is the technical editor for Panacea‘s CPT Coding and Regulatory Compliance for Radiology; the author of the Study Guide for the Radiology Coding Certification Board Exam, Interventional Coder, Nuclear Medicine and CT/MRI Coder manuals; and a co-author of the Mammography Coder, Ultrasound Coder, Peripheral and Cardiology Coder manuals as well as both the test and study guide for AAPC’s Certified Interventional Radiology Cardiovascular Coder (CIRCC) credential. Jeff also performs a variety of IR and Cardiology services coding audits and is a nationally recognized speaker.

Becky Rodrian, CCS-P, CPC, CPEDC,CBCS, MBS, CEMC, BSN

Becky Rodrian, CCS-P, CPC, CPEDC,CBCS, MBS, CEMC, BSN

Director of Professional Services

Becky Rodrian has over 20 years of experience in coding, billing, auditing, reimbursement and collections. She has a diverse background, having performed duties in medical offices from patient care to collections. She has audited and educated physicians, physician extenders, and mid-level providers nationally, focusing on multi-specialty clinics, with an emphasis on surgical coding. Becky is a nationally recognized speaker who strives to educate all healthcare personnel with proper interpretation of guidelines and regulations set forth by the government.

Sandra Brewton, RHIT, CCS, CHCA, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer

Sandra Brewton, RHIT, CCS, CHCA, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer

Senior Healthcare Consultant

As a Senior Healthcare Consultant, Sandy provides inpatient record audits. These audits include the review and validation of MS-DRG assignment and quality of physician documentation, coder and provider education to improve documentation quality and clarify code assignment, and recommendations for medical records operations and facility staff on ICD-10-CM/PCS and CPT coding guidelines.

Joyce Johnson, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer

Joyce Johnson, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer

Senior Healthcare Consultant

As a Senior Healthcare Consultant for Panacea, Joyce has extensive experience in MS-DRG validation and ICD-10-CM/PCS coding. She evaluates coding functions specifically to improve data quality and its impact on case mix index. She identifies coding issues and provides recommendations for appropriate solution to increase accuracy and improve coding competencies. Joyce has provided coding in-service training for both new and experienced coding personnel.

Cathy Huyghe, CPC

Cathy Huyghe, CPC

Senior Healthcare Consultant

Catherine Huyghe has 30+ years of experience in the Interventional Radiology and Cardiology auditing, revenue cycle, and management industry and is a Certified Procedural Coder (CPC). In her role as consultant, Cathy performs procedure based CPT procedure and ICD-10 diagnosis coding audits of cardiology, interventional radiology, image guided invasive procedures; radiology chargemaster assessments; reviews for regulatory agency compliance; and administrative policies and procedures evaluations. She also assists in the development of compliance programs and conducts Interventional Radiology and Cardiology educational training seminars.

Donna Richmond, BA, RCC, CPC, CIRCC

Donna Richmond, BA, RCC, CPC, CIRCC

Senior Healthcare Consultant

Donna’s more than 20 years of experience in billing, coding, and compliance include positions as coding services manager for a computer-assisted coding company (directing 30+ coders and assisting clients with coding questions) and billing, coding and compliance responsibilities for a practice management / billing company. Donna is a past member of the Radiology Business Management Association (RBMA) Programs committee and chairman of the Coding sub-committee. She was the Radiology Coding Certification Board’s RBMA Liaison for two years and previously served on the Education committee. In addition to Donna’s coding hotline responsibilities for Panacea, she performs a variety of radiology and cardiology audits and contributes to several publications and webcasts.

Tina Ferguson, RN, CCDS

Tina Ferguson, RN, CCDS

Senior Healthcare Consultant

Tina has 10+ years in clinical nursing, clinical documentation improvement, and chart auditing. Tina is a registered nurse and a Certified Clinical Documentation Specialist (CCDS). In her role as Senior Healthcare Consultant, Tina performs clinical documentation improvement audits that focus on clinical documentation improvement opportunities related to severity of illness, risk of mortality, and quality.

Charlene Mangione, RN, CCDS

Charlene Mangione, RN, CCDS

Senior Healthcare Consultant

Charlene is an RN with 20+ years nursing experience; 8 years as an OR circulating nurse, 3 years as an RN case manager, and 10 years as an RN clinical documentation specialist. In her role as Senior Healthcare Consultant with Panacea, Charlene performs clinical documentation improvement audits that focus on clinical documentation improvement opportunities and she has assisted in helping create a beginner CDI orientation manual.

Barbara Oviatt, CPC, CCS-P, AHIMA-Approved ICD-10-CM/PCS Trainer

Barbara Oviatt, CPC, CCS-P, AHIMA-Approved ICD-10-CM/PCS Trainer

Senior Healthcare Consultant

Barbara Oviatt has nearly 20 years of experience in coding, auditing, and educational services. Barbara received her ICD-10-CM/PCS Trainer Certificate from the American Health Information Management Association (AHIMA) in September of 2010. She was instrumental in the development and delivery of ICD-10 educational courses and services to prepare the physician market for the implementation of ICD-10 and continues to provide training on optimizing reimbursement.

Elizabeth Hankins, CPC, CCS-P, CPMA, CPC-I

Elizabeth Hankins, CPC, CCS-P, CPMA, CPC-I

Senior Coding Compliance Auditor

Elizabeth Hankins has 10+ years of experience in medical auditing, coding, educating, and revenue cycle through positions as a coding and documentation compliance auditor/educator and coding analyst. Her work with large, multi-specialty physician practices in various facility settings includes reviewing physician documentation, providing education to providers, and auditing coding accuracy and quality assurance reviews for the facility staff auditors and coders. With a strong knowledge of coding methodologies, she has developed and delivered training materials and programs per the government guidelines for coding policies and procedures.

Clinical Revenue Integrity

Tiffani Bouchard, CCS

Tiffani Bouchard, CCS

Senior Healthcare Consultant

Tiffani has more than 25 years of experience in chargemaster management, hospital bill auditing, claims issues resolution, and coding and documentation reviews for PPS and CAH hospitals nationwide. She has extensive knowledge of CMS coding / billing guidance and regulations and provides on-site training for chargemaster staff, claims processing, and department leadership.

Financial Services

Mark Spehar


Mark Spehar


Senior Vice President, Financial Services

Mark Spehar brings 20 years of healthcare industry experience specializing in finance and reimbursement solutions, financial feasibility studies and financial projections. In addition, he has overseen budgeting, ICD-10 risk assessment and implementation, Medicare disproportionate share (DSH) reimbursement and pricing. Before serving as Panacea Senior Vice President of Financial Services, Mr. Spehar served 8 years as a Senior Manager with Deloitte supporting their Medicare DSH services. While at Deloitte, he also served as ICD-10 Divisional Director for a six-hospital health system, assisting in implementation activities within the system in accordance with the budget timelines and values defined by its Corporate ICD-10 Program Office.

John Manzi

John Manzi

Vice President, Financial Consulting Services

John is a healthcare financial advisor who excels in providing qualified and timely advice. He has over 30 years of experience in the healthcare field, primarily in financial management in hospital and consulting settings. His expertise includes Medicare Cost Report preparation and review, development of reimbursement software, charge setting enhancement tools, product line profitability management, RAC assessments and clinical compliance audits.

Henry Gutierrez

Henry Gutierrez

Vice President, Financial Consulting Services

Henry has over 20 years’ experience in Healthcare Financial Management both in the large Acute Care teaching and non-teaching hospitals, health systems and as well as critical access and small hospitals. He is experienced in Budgeting and Financial Planning, 3rd Party Regulatory Cost Reporting, Service Line Profitability, Managed Care Contracting, Net Revenue Modeling and Claims Auditing, Chargemaster Compliance / Pricing and Revenue Cycle Management. Henry has fully implemented, designed and managed Decision Support & Cost Accounting, Service Line Profitability, Contract Management and Budgeting Systems and has been Panacea’s lead on health system CDM synchronization and Hospital Zero-Base Pricing projects.

Brian Prokop

Brian Prokop

Vice President, Financial Consulting Services

Brian Prokop is a healthcare financial advisor with more than 13 years of experience serving in a variety of healthcare organizations including Academic Medical Centers, Critical Access Hospitals and Integrated Health Systems. Throughout his career, Brian has worked with dozens of healthcare organization, providing leadership and support across a continuum of revenue performance improvement initiatives including pricing strategies, financial modeling, market assessments and payer contract modeling.

Pamela J. Livingston, BS, MBA

Pamela J. Livingston, BS, MBA

Senior Healthcare Consultant, Financial Services

Pam has over 20 years’ leadership experience in healthcare financial analysis working in hospitals ranging in size from critical access to major academic medical health centers, multispecialty physician practice management and health plan financial operations. She has an extensive background in managed care contracting and provider pricing analysis. She is a critical thinker with the ability to effectively assess complex situations and identify appropriate solutions through thorough analysis.