Marnie Cabezas

Subject Matter Expert with over 30 years of national experience in medical billing, revenue cycle management, credentialing, contract negotiation, and NPI, taxonomy and entity linking across diverse healthcare sectors. Highly skilled in analyzing data at federal, regional, state, and MCO levels to identify trends, address gaps, and uncover opportunities impacting billing and reimbursement. Specialized expertise in safety-net providers, small practices, rural healthcare settings, and midwifery care, including home births and birth centers. Demonstrates proven leadership in advocacy efforts, policy influence, and operational efficiency within multi-payer environments, including Medicaid and commercial payers. Deep knowledge of perinatal and maternity care, level 2 & 3 hospital systems, and enhanced care billing for hypertension, diabetes, behavioral health, and substance use. Expert in CPT/HCPCS and ICD-10 coding, Medicaid regulations, global and fee-for-service billing models, and leveraging Medicaid claims data to capture social determinants of health. Adept at designing and deploying data analytic tools to provide actionable insights for optimizing revenue cycles, improving reimbursement opportunities, and advancing financial sustainability for healthcare providers. Proficient in developing standard operating procedures and dashboards to streamline practice management and reporting across 100+ medical practices in 30 states. Known for driving advocacy efforts to influence healthcare policies at all levels, ensuring equitable access and financial success for providers nationwide.

American Association of Birth Centers https://www.birthcenters.org/

• Expert in onboarding practices, including provider/facility credentialing, contract negotiation, and optimizing corporate structures.
• Developed SOPs for practice operations across 100+ facilities in 30 states, with detailed dashboards and revenue projections.
• Proven ability to balance budgets and ensure financial sustainability for safety-net providers.

• Skilled in Medicaid coding, billing, and claims management across fee-for-service and global payment models.
• Experience navigating regulatory changes, including ACA facility fee applications and postpartum expansions.
• Proficient in CPT/HCPCS and ICD-10 coding, leveraging data analytics to monitor performance and trends.
• Advocated for policy changes impacting midwives and birth centers, working directly with leadership, city councils, and mayors.

• Delivered over 40 presentations to national and state organizations, including the American Association of Birth Centers, Massachusetts Midwives Alliance, and Institute for Medicaid Innovation.
• Topics include billing, practice management, policy advocacy, leveraging Medicaid data for provider success, and addressing healthcare access challenges.
• Continues to speak regularly at conferences, panels, and workshops, sharing expertise on emerging trends in Medicaid policy, revenue cycle management, and healthcare innovation.
• Recent engagements include the 2024 American Association of Birth Centers Birth Institute and the 2024 Institute for Medicaid Innovation panel on leveraging midwives as high-value providers.

• Certified Professional Midwife, National Association of Registered Midwives, 2001 - 2014
• Graduate, Massachusetts Midwives Alliance Program in Midwifery Studies, 1993

• Revenue Cycle Management: 27 years of experience analyzing denials, underpayments, and lost opportunities.
• Data Analytics: Designed tools for 100+ practices to streamline reporting and financial oversight.
• Enhanced Care Billing: Specialized in screening and follow-up care billing for socioeconomic health-related needs.
• Multi-Payor Expertise: Negotiated contracts with commercial and Medicaid payors nationwide.

• Founded and operated the leading maternity-focused national medical billing service for 27 years, specializing in reproductive, family, and behavioral health providers, including birth centers, midwifery, lactation, and pediatrics.
• Built a trusted reputation nationwide, providing comprehensive revenue cycle management and consulting services to healthcare practices.
• Successfully negotiated and executed the sale of the company to Revascent, ensuring a seamless transition of operations and maintaining service excellence for clients.
• Served as subject matter expert and data specialist for a DC based analysis of Medicaid Managed Care contracts, aged receivable analysis, and collections project in collaboration with a community-based safety net clinic, free-standing birth center, urban hospital, city council, and mayor's office.
• Prepared comprehensive data reports and facilitated multi-stakeholder meetings to drive actionable outcomes and policy improvements.
• As an Executive Member of the Board of Directors at Breath of Life Birth Center, spearheaded governance and strategic planning efforts to successfully transition the center from operating under a parent nonprofit organization to achieving autonomous management, safeguarding its operations from potential closure.

• Expert in onboarding practices, including provider/facility credentialing, contract negotiation, and optimizing corporate structures.
• Developed SOPs for practice operations across 100+ facilities in 30 states, with detailed dashboards and revenue projections.
• Proven ability to balance budgets and ensure financial sustainability for safety-net providers.

• Skilled in Medicaid coding, billing, and claims management across fee-for-service and global payment models.
• Experience navigating regulatory changes, including ACA facility fee applications and postpartum expansions.
• Proficient in CPT/HCPCS and ICD-10 coding, leveraging data analytics to monitor performance and trends.
• Advocated for policy changes impacting midwives and birth centers, working directly with leadership, city councils, and mayors.

• Delivered over 40 presentations to national and state organizations, including the American Association of Birth Centers, Massachusetts Midwives Alliance, and Institute for Medicaid Innovation.
• Topics include billing, practice management, policy advocacy, leveraging Medicaid data for provider success, and addressing healthcare access challenges.
• Continues to speak regularly at conferences, panels, and workshops, sharing expertise on emerging trends in Medicaid policy, revenue cycle management, and healthcare innovation.
• Recent engagements include the 2024 American Association of Birth Centers Birth Institute and the 2024 Institute for Medicaid Innovation panel on leveraging midwives as high-value providers.

• Certified Professional Midwife, National Association of Registered Midwives, 2001 - 2014
• Graduate, Massachusetts Midwives Alliance Program in Midwifery Studies, 1993

• Revenue Cycle Management: 27 years of experience analyzing denials, underpayments, and lost opportunities.
• Data Analytics: Designed tools for 100+ practices to streamline reporting and financial oversight.
• Enhanced Care Billing: Specialized in screening and follow-up care billing for socioeconomic health-related needs.
• Multi-Payor Expertise: Negotiated contracts with commercial and Medicaid payors nationwide.