Founder & President of Recovery Audit Solutions, Inc.
Christine Castelli is the founder and President of Recovery Audit Solutions Inc., (RASI) a woman owned business. Ms. Castelli has more than 24 years of highly diverse experience in Healthcare, Information Technology, and the Legal Industries. Ms. Castelli is a recognized leader and innovator experienced in all government and commercial sectors of the healthcare field specializing in the areas of Healthcare Recovery; Medical Chart Review (Pre/Post Payment), Automated Reviews, Coordination of Benefits, Pharmacy, Credit Balance, Third Party Liability, and Subrogation.
Ms. Castelli held a leadership role as the PRGX Vice President and General Manager of Healthcare overseeing organizational development, planning, operations and administration for Medicare, Medicaid and commercial accounts for healthcare claim recovery. She also held the position of Thomson Reuters Vice President, Client Services Federal Operations with full oversight of daily operations for all federal contracts and emerging markets responsible for identifying and recovering erroneous claim payments.
She was the Connolly Healthcare Principal who was the implementation leader and point of contact responsible for the day-to-day operations of the Recovery Audit Contractor (RAC) contract for the Centers for Medicare and Medicaid (CMS) Demonstration Project and Region C Project. Ms. Castelli was responsible for the development and implementation of the Medical Chart Review Division and she was responsible for all RAC Region C Client Relations, including interface with CMS, Hospital Associations, Medical Societies, Providers, Professional Support Associations, Medicare Affiliated Contractors (MACs), Durable Medical Affiliated Contractor (DME-MAC), Zone Program Integrity Contractors (ZPICs), and the CMS Validation Contractor.
Ms. Castell was also the Director of Operations Support at Keystone Mercy Health Plan where she was responsible for the daily operations and quality improvement for Medicaid plans in seven states. Ms. Castelli also created and developed the company’s first Healthcare Recovery unit as well as their first subrogation unit.
She has also worked in the legal field overseeing recovery opportunities within the areas of subrogation, personal injury, coordination of benefits and medical cost containment issues.
Ms. Castelli is a graduate of Pierce College.
Partner & CIO of Recovery Audit Solutions, Inc.
Thieu Le is the partner and CIO of Recovery Audit Solutions, Inc. (RASI) and is directly responsible for oversight of all IT staff, data processing and technology.
Mr. Le has over two decades of experience working with Healthcare technology and has proven abilities in strategic planning, managing complex projects, team building, consolidating and improving process efficiency, as well as creating systems or solutions to adapt to business requirements.
Thieu is able to assess complex business operations and support systems, analyze and formulate strategies to control cost, maximize production and improve the bottom line. Thieu has experience managing Healthcare IT teams at all levels of the business and is learned in all major applicable languages, software systems and platforms.
Prior to Recovery Audit Solutions, Thieu worked for PRGX as Vice President of Healthcare Data Services and Solutions where he was responsible for all data processing within the Healthcare division. Mr. Le was also a Team Lead for Connolly Consulting where he was in charge of developers and business SMEs who worked to analyze business requirements and create system specifications. His team also designed and implemented an integrated claim review and adjudication system from the ground up which allowed audit teams to review and find improper healthcare reimbursements for CMS.
During his time at Keystone Mercy Health Plan Mr. Le was a Project Leader and the Architect for the Facets Upgrade Project where he led a team of programmers, system architects, network engineers, and business users to upgrade FACETS, the claim processing system.
Thieu has a B.S. in Electrical & Computer Engineering from Swarthmore College.
Dr. Huy Le, D.O.
Medical Director, Recovery Audit Solutions, Inc.
Dr. Huy Le, D.O., is the Recovery Audit Solutions, Inc. (RASI) Medical Director. He received his D.O. in 2003 and has worked in various Healthcare settings. Dr. Le has work experience as both a practicing physician and a Medical Director for a Nursing Home. Dr. Le understands Healthcare Recovery, giving him unique insight into both of those aspects of the Healthcare industry.
Dr. Le, our Medical Director, has over a decade of medical experience and brings qualified expertise in Healthcare services. Dr. Le is responsible for guidance, leadership, oversight and quality assurance efforts for all clinical policies and procedures as well as for the oversight and direction of the physician/professional review team. Dr. Le provides professional expertise and direction in the determination of medical necessity and clinical matters, as well as the clinical expertise and judgment of healthcare claims.
Dr. Le holds a B.A. in Biochemistry from Swarthmore College, a post-baccalaureate from University of Pennsylvania and received his D.O. from the Philadelphia College of Osteopathic Medicine.
Director of Operations for Recovery Audit Solutions, Inc.
Joseph Castelli is the Director of Operations for Recovery Audit Solutions, Inc. (RASI) and has over ten years of experience in the Healthcare industry. Mr. Castelli has been involved in many aspects of the Healthcare Recovery industry including systems applications, organizational development, business management, human relations, strategy, and adult learning. He was one of the founding team members of Recovery Audit Solutions.
Mr. Castelli was employed by Connolly Consulting where he worked his way from the bottom of Healthcare administration as a scanner up to becoming the head of that department. Mr. Castelli managed administrative and organizational work for both the scanning department and the auditing teams in order to make sure all systems and scanning services were appropriately functioning.
Mr. Castelli is always looking to pioneer new Adult Learning and Organizational Development ideas and seeks to synthesize them with factual examples of what has worked most successfully for organizations across time. This fusion of history with organizational development provides models that have thrived in real life scenarios rather than relying on theories and possibilities.
Mr. Castelli has a B.A in History from Lafayette College and a M.Ed in Adult and Organizational Development from Temple University.