About Us

Physician-Led. Results-Driven.
Trusted Nationally.

A fast-growing, dynamic consulting firm operating on the cutting edge of healthcare change management, with a clear focus on driving additional value to hospitals.

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●  Proven Impact
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National Clients Served
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Hospital Projects Completed
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Years of Consulting Experience
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Clinical Documentation Improvement (CDI) Programs Deployed
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UM Programs Deployed
Our Mission

Restoring Clinical Authority
to the Revenue Cycle

Vision

Our goal is to lead a systemic shift from reactive denial management to proactive revenue integrity, ensuring that administrative silos and regulatory nuances never undermine the delivery of high-quality patient care. We bridge the divide between payors and providers through data-backed transparency and clinical precision.

Mission

“Our mission is to restore clinical authority to the revenue cycle. By operating as an independent, physician-led arbitrator, we provide the sub-specialty expertise and forensic rigor necessary to resolve complex Payor-provider disputes at the source, ensuring that the ‘Truth of the Patient’ is never lost in the ‘Logic of the Algorithm.’

Michael Hill, MD  ·  Founder & CEO, MHMDAA
Firm Statement

MHMDAA is a high-reliability consulting firm dedicated to restoring integrity to the healthcare reimbursement cycle. Through physician-led advocacy and augmented intelligence, MHMDAA resolves complex clinical disputes, ensuring that providers are paid for the acuity of care delivered and Payors are protected from systemic over-coding.

Dr. Michael Hill
Founder & CEO

Michael Hill, MD

Residency UCLA-Trained Emergency Physician  ·  UC Irvine School of Medicine

“In an era of friction between automated Payor denials and provider over-coding, MHMDAA serves as the essential clinical intermediary. Our physician-led framework delivers the defensible evidence required to secure compliance and revenue in 2026.”

- Michael Hill, MD  ·  Founder & CEO, MHMDAA

Dr. Hill is an accomplished healthcare executive with 30+ years of consulting experience, combining clinical care redesign, technology development, and leadership acumen. He spent 15+ years as a practicing emergency physician, directing operations and quality for a 52-hospital, 250 emergency physician group across five western states. As a Managing Director at Navigant Consulting and founder of EMPATH Consulting, he led 40+ major national hospital change management projects with revenue outcomes of $5M–$28M per engagement. Dr. Hill has worked with more than 80 Case Management Departments, including operational redesign and training of case managers and physicians on inpatient status determination, developed and deployed Clinical Documentation Improvement (CDI) training programs for physicians, coders, and utilization managers, and designed and deployed 14 utilization management programs across North America.

Dr. Hill has served as a clinical expert witness in more than 125 arbitrations, depositions, and trials, testifying on over 12,500 claims spanning medical necessity, ICD-10/DRG coding, EMTALA, pre-payment reviews, and denial management for national Payors, health systems, and provider groups before AAA, AHLA, and federal courts. His testimony has included opinions involving the 8 largest healthcare insurers in The USA.

He served as President of the California Chapter of the American College of Emergency Physicians when the landmark Bergeson Bill (AB 1862) (California’s prudent layperson, EMTALA standards, and post-stabilization legislation) was passed. He has trained 8,000+ emergency physicians and nurses through his nationally presented “High Risk Emergency Medicine” program and served as a Patient Flow Expert Advisor to the Robert Wood Johnson Foundation, The Joint Commission and the Institute for Healthcare Improvement.

ACEP National Steering CommitteePast President, CA-ACEPPresident/CEO – EMPATHIHI & Joint Commission SpeakerRWJ Patient Flow AdvisorUCSF Asst. Professor (1988–1998)Navigant Managing Director
12,500+
Claims Reviewed
125+
Lead Testifying Expert
250+
Expert Depositions
30+
Years Consulting
Mary Goodwin
Chief of Operations

Mary Goodwin, BSN, MHSA

25+ Years Healthcare Leadership  ·  Utilization Review & Case Management

“Operational excellence in healthcare is built through disciplined systems, clinical alignment, and unwavering accountability, and that is the standard we deliver for every client we serve.”

- Mary Goodwin, BSN, MHSA  ·  Chief of Operations, MHMDAA

Mary Goodwin, BSN, MHSA, is an accomplished healthcare leader and nationally recognized subject matter expert in utilization review, case management, and hospital capacity management. Her career is defined by operational excellence and data‑driven redesign, with a strong record of improving utilization management performance, optimizing patient flow, and achieving measurable gains in denial management and length‑of‑stay reduction.

Mary’s expertise spans both local hospital operations and large, multi‑facility health systems. She has developed and evaluated best practices for Utilization Management and Case Management, designed strategic models that elevate the Physician Advisor role, and led remote and onsite teams responsible for high‑reliability clinical utilization review.

Her leadership includes interim and turnaround roles, where she provides direct operational oversight, leadership development, and staffing stabilization for hospital care management departments. She has also led system‑level redesign efforts, including enterprise‑wide care coordination models and physician advisory partnerships across expansive hospital networks.

Today, Mary serves as Chief of Operations for MHMDAA, where she orchestrates the firm’s operational, clinical, and administrative functions, ensuring seamless coordination across workflows, contracts, and client communications, supporting a high‑performance infrastructure for the delivery of expert clinical reviews, medico‑legal consulting, and Payor‑provider dispute resolution.

Operational Performance Improvements
Delivered quantifiable gains in UM/CM efficiency, including faster case progression, improved review accuracy, and reduced administrative rework, resulting in up to 35% overall efficiency improvement across client teams.
Length‑of‑Stay Optimization
Directed operational redesigns that produced measurable LOS reductions, improving patient throughput, capacity management, and overall financial performance.
Denial & Appeals Outcomes
Supported clients in achieving notable reductions in preventable denials and strengthened appeal success rates through targeted workflow redesign and clinical documentation alignment.
Utilization ReviewCase ManagementCapacity ManagementDenial ManagementInterim LeadershipPhysician Advisory
Our Leadership Team

Meet Our Team Captains

Experienced clinical leaders driving excellence across every service line. Our team captains bring decades of hands-on hospital operations experience to every client engagement.

Jenna Brown
Jenna Brown
Senior Director of Clinical Review
RN, BSN

Jenna is a seasoned clinical review leader with over 15 years of nursing experience and a specialized focus on revenue cycle operations and hospital claim denials. Her background spans medical-surgical and cardiac care, informing her deep understanding of complex hospital operations and Payor policies. She excels in evaluating medical necessity determinations, inpatient admissions, and DRG disputes, applying evidence-based criteria to develop defensible findings. Her collaborative approach with utilization management and revenue cycle teams ensures rigorous adherence to regulatory and contractual reimbursement requirements.

Lynnette Carlisle
Lynnette Carlisle
Team Captain
RN, BSN

Lynnette brings extensive frontline clinical expertise from Level I and II trauma centers, critical care, and post-acute settings to MHMDAA’s client operations. Specializing in high-acuity ICU, cardiology, and neurology, she translates direct patient care experience into precise medical necessity reviews and payment integrity investigations. Lynnette has completed hundreds of clinical audits, supporting both provider and Payor positions in denial management and appeals strategy. Her deep knowledge of MDS assessments and documentation standards ensures accurate level-of-care determinations and regulatory compliance throughout the patient stay.

Dee Abbaiahvari
Dee Abbaiahvari
Team Captain
RN, BSN, MS

With over 15 years of healthcare leadership experience, Dee specializes in clinical transformation and Payor-provider dispute resolution. They possess a unique expertise in clinical-technical architecture and documentation integrity, consistently achieving 100% regulatory compliance in complex clinical models. Dee applies advanced clinical analysis to high-cost denial disputes using InterQual, MCG, and CMS guidelines to optimize reimbursement outcomes. Their background in leading large multidisciplinary teams and authoring automated compliance dashboards drives data-driven, defensible results for executive stakeholders.

Mindy Geesaman
Mindy Geesaman
Team Captain
MSN, RN, CCM

Mindy is a Certified Case Manager with two decades of clinical experience across acute medical-surgical, pediatric, and neonatal intensive care units. She specializes in complex case management and interdisciplinary coordination, conducting over 500 clinical reviews annually to support medical necessity appeals and utilization disputes. Mindy’s expertise includes DRG validation and the preparation of written determinations for legal proceedings and audits. By bridging clinical documentation with CMS Conditions of Participation and Payor policies, she promotes consistent guideline application and superior reimbursement outcomes.

Hospital Operations
Our Approach

How We Deliver

We use technology to enhance capabilities, increase operational transparency, and improve healthcare delivery, driving greater efficiency, accuracy, and overall system performance.

1
Assess

We perform comprehensive review of hospital strategy, operations, and revenue cycle to identify gaps and revenue opportunities.

2
Strategize

Developing targeted action plans based on root cause analysis and clinical performance data unique to your facility.

3
Implement

Deploying our nine integrated service lines with dedicated physician-led teams and technology for maximum impact.

4
Sustain

Establishing feedback loops and performance metrics for lasting financial results and continuous revenue improvement.

Our Values

What Guides Us

Integrity Has No Preferred Client

We support providers and payors alike. That dual perspective is a strategic advantage, not a conflict. Healthcare doesn’t need more partisanship—it needs objective, honest brokers. We proudly serve in that role.

The Patient Is Always the Argument

Denials arise from a mix of clinical, contractual, and operational issues. Yet behind every denial is a patient, and their documented care remains the foundation of any defensible determination.

Data-Informed

Data-informed behavior uses reliable quantitative and qualitative evidence to guide decisions while still considering context and professional judgment. Teams that routinely review outcomes, benchmarks, and trends can spot inequities, focus improvement efforts, and defend decisions transparently.

Adaptability

Adaptability is the capacity to adjust strategies, structures, and behaviors quickly in response to new information or changing conditions. Adaptive teams treat change as a continuous process, test small experiments, and scale what works instead of rigidly defending old ways of operating.

Start The Conversation With Our Experts

Partner with MHMDAA\u2019s physician-led team and take the first decisive step toward building a denial-resilient, financially sustainable hospital operation.