Gretchen Case, MPH, CPC
Gretchen is a managing partner for The Wilshire Group, Associates, and was a founder of the firm in 2007. In her role as managing partner, Ms. Case is responsible for service line innovation, client engagement, staff recruitment and development.
Over the course of her career, Gretchen has worked with multiple academic medical centers, multi-facility health systems, and community hospitals, successfully managing several revenue cycle projects and operations. Engagements have focused on revenue recognition through chargemaster optimization projects, integrated charge capture strategies, Epic Systems installations, and hospital billing compliance and audits. Gretchen has extensive hospital revenue cycle operations experience and has helped many clients adopt more efficient work flows after EHR implementations, especially developing revenue integrity program. Additionally, Gretchen is an expert in hospital billing regulations and has assisted several clients in developing robust internal monitoring programs that mitigate compliance risks and successfully defend against denials by RACs and other audit entities.
Gretchen received her BA in Social Ethics at USC and her MPH in healthcare administration at UCLA. She participates in the local chapter of HFMA and serves on other hospital advocacy groups and has testified in front of both houses of Congress on much needed audit reform.
- BA University of Southern California
- MPH University of California at Los Angeles
- Certifications & Professional Associations
- Epic Certified, Charge Master and Charge Capture
- Certified Coder, CCS, AAPC
- HFMA, Revenue Cycle