Tonya Phelps

Tonya Phelps is a seasoned expert in health policy and reimbursement. Prior to co-founding The Certus Group, LLC Ms. Phelps worked for over thirteen years in numerous specialty areas of the healthcare industry. She has experience in electronic medical claims interchange, physician office management, consulting and the development and implementation of coverage and reimbursement strategies for emerging medical technology within the pharmaceutical, biotechnology and medical device industries.

Throughout her career in healthcare, Ms. Phelps has developed an intimate understanding of third party payer coverage policy processes, coding systems, and reimbursement methods for numerous medical therapies. She has successfully executed strategies at the local and national levels to ensure appropriate payment for new medical therapies, including working with the American Medical Association and specialty medical societies to develop CPT codes and relative values for new procedures and services. She has worked both nationally and locally with senior policy personnel within private and government third-party payers, including senior officials at the Centers for Medicare and Medicaid Services (CMS).

Ms. Phelps is a member of the Healthcare Financial Management Association (HFMA) and has participated on reimbursement panels at medical device industry meetings. Currently, she is forming a networking group of reimbursement professionals in California. Ms. Phelps earned a Bachelor of Arts degree in Health Policy Administration with a double minor in Psychology and Business Administration from the University of Michigan.