Nancy E. Andreano, D.O.

Founder & Managing Director, Physician Advisor Consultants, LLC Healthcare Executive & Revenue Integrity Advisor

Dr. Nancy Andreano helps health systems recover millions in lost reimbursement by fixing the structural misalignment between payers and providers.

A physician executive with more than two decades of leadership inside major health systems, payers, and healthcare technology organizations, she founded Physician Advisor Consultants, LLC to partner directly with CFOs, CMOs, and Revenue Cycle leaders at community, regional, and independent health systems — going after the root causes of revenue leakage rather than its symptoms.

Her career sits at a rare intersection of clinical mastery, financial stewardship, and provider and payer-side insider knowledge. Having held executive and clinical leadership roles at Optum, Community Health Systems (CHS), Mount Carmel Health System, and Quantum Health, she brings a 360-degree view of how payers evaluate claims and how clinical care is actually documented, managed, and reimbursed — a perspective few consultants can offer from both sides of the table.

A Proven Track Record of Financial Impact

Dr. Andreano has spent her executive career converting clinical documentation, utilization management, and denial prevention into high-margin financial recovery:

High-Yield Denial Recovery

Consistently achieving a 55%–60%+ average denial overturn rate across Medicare Advantage and complex commercial payer categories.

Documented ROI

Delivering a verified 9:1 to 10:1 return on investment by optimizing clinical review processes, embedding physician advisor strategy, and aligning utilization management workflows.

Structural Denial Prevention

Designing payer-behavior-specific initiatives that stop denials before they happen, shifting organizations from reactive appeals to proactive margin protection.

What Clients Actually Experience

We show up on-site, not on a recurring Zoom call, because the misalignment we're diagnosing lives in your building, not in a shared drive. We ask your team questions your current vendors haven't asked, and we tell you directly when the problem isn't what you think it is. We don't hand over a slide deck and disappear — we stay at the table until the strategy is something your own people can run without us. We won't tell you what you want to hear about timelines or length-of-stay targets, and we won't pad an engagement to look busy. What you get instead is a partner who's sat on your side of the P&L and talks in the same terms you do.

Credentials Without the Resume

20 years inside health systems, not outside them.

At Optum, Community Health Systems, Mount Carmel Health, and Quantum.

Root cause diagnosis, not claim-by-claim triage.

Every engagement traces denials back to the payer-provider misalignment underneath it, so the fix doesn't reset with the next appeal.

Retained and recovered revenue, near-pure margin.

Because the cost of care is already sunk, what we recover together isn't just revenue — it's close to direct margin.

If This Sounds Like Your Building, Let’s Talk.

A discovery call is 30 minutes — enough time to know whether there’s a real gap here, and what closing it would actually take.

Schedule a Discovery Call