Key Takeaways A rejection stops a claim before payer review; a denial means the payer reviewed it and declined to pay. Hard denials are not recoverable; soft denials can be corrected, resubmitted, or appealed — and the distinction should drive triage decisions. Medicare Part A and B redeterminations must be filed within 120 days of […]
Roey Hine
Senior Vice President of Practice Management
Roey Hine is Senior Vice President of Practice Management at PGM Billing, bringing more than 25 years of experience in physician and laboratory billing. She specializes in developing and implementing the policies, procedures, and system frameworks that help practices maximize reimbursement while maintaining compliance with federal and payer regulations.
Roey’s expertise spans insurance claims management, provider credentialing, and fee schedule analysis. She is PGM’s lead authority on laboratory billing, with deep knowledge of the compliance and reimbursement challenges that distinguish lab from physician practice billing.
She holds a Bachelor of Science in Business Administration and is a member of the Practice Managers Section of the Medical Society of New Jersey.