Our Story, Your Success
Who We Are
Refinica is a team of healthcare experts and technology innovators dedicated to revolutionizing the way issuers and providers manage their administrative and clinical processes.
By combining advanced technology with a consultative approach, we deliver solutions that reduce complexity, ensure compliance, and drive measurable results.
Our Mission
At Refinica, we simplify healthcare administration and operations with innovative, tech-enabled solutions, empowering issuers and providers to focus on improving patient outcomes.
Our Values
Innovation
We leverage cutting-edge technology to solve complex challenges.
Integrity
Ethical practices and transparency are core values for us.
Excellence
We're committed to delivering the highest quality solutions and services.
Meet Our Founder
Brian Boyce
MHA, BSHS, CPC-I, CRC, Cert. Clinical Bioethics
CEO & President - Refinica
Brian is a healthcare executive with over 30 years of experience in areas including health administration, clinical operations, quality improvement, and physician practice management. He began focusing on population health and risk adjustment in 2008, and is well known as the original author of the CRC® curriculum and creator of the TAMPER acronym used nationally. A U.S. Air Force and Desert Storm veteran, he began his healthcare career providing clinical care in aeromedical evacuation.
He holds a Master’s in Health Administration (MHA) from The George Washington University Milken Institute School of Public Health, and a Bachelor’s in Health Sciences, with a concentration in Public Health Administration from Old Dominion University, and is certified in Clinical Bioethics from Georgetown University.
Our Teams
Executive Team
Our executive team holds over 80 years of experience in healthcare leadership activities in hospital, private practice, governmental and healthcare vendor sectors.
Medical Coding & Auditing Team
Our proprietary medical coding team members are often referred to as “coding ninjas.” They are the best in the business, have over 5 years of experience, and are carefully hand selected for their experience, accuracy, and deep knowledge in many areas of coding work.
Analytics and Development Team
Our proprietary A&D team are experienced in analytics and development for systems, products, and advanced technological endeavors.
Areas of Speciality
Population Health Consulting
From analytics to clinical profiling and suspecting, our team is well seasoned to help organizations better understand patient health data and how to use that data to improve patient outcomes.
Risk Adjustment Process & Management
We know that many leaders struggle with bridging technology and systems. We have an elite team of specialists like analysts, architects, and developers who understand risk adjustment to help. We also can assist with oversight for risk adjustment models for CMS, HHS, and Medicaid nationally.
Physician Practice Operations Efficiencies
With decades of experience in outpatient services of many specialty fields, our group can lend assistance from startups to divestitures and mentor and coach your practice leaders to develop a well oiled machine that runs itself.
Policy, Procedure, & Education
We have helped numerous clients from small to large and from private practice to ACO and issuers nationally in the creation, update, and review of policies and procedures. Many times this has also involved widespread organizational education.
Provider education issues?
Reach out to ask about our distance learning programs available for providers 24/7 to include not only risk adjustment tenants, but also clinical documentation improvement that providers find easy to adopt.
Request a ConsultationCompliance Certification
Why choose Refinica?
With a proven track record of success, Refinica delivers tech-enabled services that transform healthcare administration. We’re passionate about helping our clients.
Our approach is simple: combine deep industry knowledge with innovative solutions to help healthcare organizations achieve operational excellence, maintain compliance, and improve patient outcomes.
