Daniel Allen, RN, MBA

Founder & Principal Consultant

Daniel Allen, RN, MBA, MSHI, is the Founder & CEO of QMTRY, LLC, bringing 20+ years of clinical and healthcare IT expertise to bridge data, compliance, and outcomes. He builds audit-ready pipelines and dashboards that transform claims and EHR data into actionable insights—driving CMS Star Ratings, regulatory readiness, and enterprise-scale integrations.

Focus Areas:

  1. Healthcare data analytics (SQL, Python, Tableau, Power BI)
  2. Audit-ready ETL pipelines and reporting workflows
  3. EHR and revenue cycle integration (Epic, Cerner, Meditech, Athena)

Commitment:
Daniel is committed to delivering solutions that are transparent, measurable, and trusted—ensuring every QMTRY engagement improves compliance, strengthens outcomes, and withstands the highest levels of regulatory and audit scrutiny.

Daniel’s Experience Highlights

Dual Clinical & Technical Background:
  • RN frontline experience paired with advanced informatics and analytics.
  • Dual graduate credentials: MBA/MIS and MSHI.
  • EHR deployments (Epic): go-lives, clinician training, adoption acceleration.
  • Revenue cycle transformations: denial reduction, cleaner claims, stronger collections.
  • Data integration projects: HL7, FHIR, EDI, and payer connectivity.
  • Enterprise quality audits: HEDIS/NCQA/CMS compliance and audit-ready evidence.
Major Projects & Clients:
  • EpicCare Inpatient ClinDoc go-live at Providence (OB/GYN, Anesthesiology): clinician training, faster adoption, higher documentation quality.
  • Compliance automation + payer integration (MedPOINT, Essia Health, Healthcare Partners): stronger audit-readiness and value-based performance.
  • SQL/Python ETL + executive dashboards: quicker retrievals, fewer denials, and solid HEDIS/NCQA & CMS reporting support.
Regulatory Expertise:
  • Audit-ready evidence pipelines: standardized artifacts, versioned controls, chain-of-custody.
  • End-to-end traceability: policies → controls → procedures → metrics; fewer corrective actions.
  • CMS/HEDIS reporting: structured extracts, automated validations, reproducible workpapers.
  • HIPAA safeguards: access logging, minimum-necessary handling, PHI protection patterns.
  • DMHC readiness: mock audits, request playbooks, survey-ready packets.
Advanced Analytics:
  • Expert in SQL, Python, Tableau, and Power BI.
  • Turn raw clinical + claims data into curated, analysis-ready models.
  • Risk adjustment: HCC capture, RAF accuracy, suspecting, gap closure.
  • Value-based care: HEDIS/Stars analytics, care-gap targeting, measure trending.
  • Utilization management: cost-of-care, LOS/readmits, prior auth and denials analytics.
  • Decision support for payers, providers, and health systems: dashboards, alerts, KPIs.
Payor & Revenue Cycle Consulting:
  • Collections uplift: cleaner claims, accurate charge capture, prioritized A/R workflows.
  • Denials down: CARC/RARC analytics, root-cause playbooks, higher first-pass yield.
  • Billing alignment: current CMS & payer rules (NCD/LCD, NCCI edits, modifier logic).
  • Automation at scale: eligibility/auth checks, claim status, 835 auto-posting, smart appeals.
  • Span of care settings: ACOs, IPAs, and hospital systems; supports value-based contracts.
  • Financial + compliance gains: faster cash, fewer write-offs, audit-ready logs and controls.
Patrick Verona

VP of Contractual Affairs & Strategic Partnerships

Patrick Verona brings 10+ years of experience in healthcare contracting, compliance, and federal program delivery, with prior collaborations alongside Deloitte, Accenture, and other major contractors. At QMTRY, he leads contractual strategy, partnerships, and delivery governance to ensure engagements meet FAR, CMS, HIPAA, and NCQA standards.

Focus Areas:

  1. Federal, state, and commercial contract negotiations
  2. Strategic alliances with primes and provider networks
  3. Transparent, audit-ready contract performance

Commitment: Patrick ensures every QMTRY engagement is built on clarity, compliance, and trust, driving measurable results for government and commercial healthcare clients.

Patrick’s Experience Highlights

Contract & Compliance Leadership:
  • 10+ years managing federal, state, and commercial contracts; FAR, CMS, HIPAA, NCQA compliance with audit-ready documentation.
  • Contract governance: SOWs/SLAs, KPIs/QASP, BAAs/DUAs, change control, clear performance obligations.
  • Strategic partnerships: teaming with primes and provider networks; JV/Mentor-Protégé alignment; vendor oversight.
  • Supplier diversity & inclusion: subcontracting plans, utilization tracking, and compliance reporting.
  • Regulatory expertise: privacy/security, payer contracting and credentialing, 508 accessibility, record-retention standards.
  • Transparent delivery: risk logs, contract scorecards, and evidence libraries that withstand audits.
Strategic Partnerships:
  • Strategic alliances with primes, integrators, and provider networks—structured via NDAs/TAs/MOUs.
  • Federal & commercial market growth—positioning QMTRY on capture teams and partner panels.
  • Proposal co-development—scope/SLA alignment, FFP/T&M pricing inputs, compliance narratives.
  • Partner governance—joint pipeline reviews, KPI scorecards, clear escalation paths.
  • Supplier diversity utilization—helping primes meet small-business goals with auditable reporting.
  • Outcomes—more qualified bids, higher win rates, faster onboarding, expanded delivery footprint.
Supplier Diversity & Inclusion:
  • Certifications alignment: map DBE/SBE/MBE to prime diversity targets, NAICS, and geography.
  • Subcontracting plans: set utilization goals, document methods, and manage eSRS ISR/SSR reporting.
  • Teaming enablement: NDAs/MOUs/TAs, clear roles/scope/SLAs, pricing guardrails.
  • Capture support: prioritize set-aside and small-business participation factors to strengthen proposals.
  • Compliance & evidence: affidavits, flow-down clauses, COI checks, audit-ready documentation.
  • Performance tracking: monthly scorecards of actuals vs goals with corrective actions.
Regulatory Expertise:
  • Audit-risk reduction across CMS, HEDIS, HIPAA, and DMHC.
  • Audit-ready evidence strategy: standardized artifacts, versioned controls, chain-of-custody.
  • Streamlined reporting: structured extracts, automated validations, reproducible workpapers.
  • Policy→control→procedure→metric traceability to cut corrective actions.
  • Regulatory readiness: organized RFI logs, prebuilt response packets, clear ownership and SLAs.

Mission & Commitment

At QMTRY, LLC, (Pronounced que-metry, as in quality metrics) our mission is to empower payers, providers, and healthcare organizations with data-driven solutions that improve outcomes, strengthen compliance, and deliver measurable return on investment.

As a federally registered small business with dual clinical and technical leadership, QMTRY is committed to advancing health equity, transparency, and the highest standards of regulatory compliance. We specialize in bridging the gap between clinical operations and health IT, enabling our clients to optimize revenue cycles, achieve CMS Star Ratings improvements, and maintain audit readiness across Medicare, Medicaid, and commercial payer environments.

Our commitment is simple: deliver trusted, audit-ready, automation-driven analytics that reduce risk, enhance financial performance, and support sustainable, value-based care nationwide

Core Values

Transparency Equity Innovation Client-Centered

Diversity Values

Representation Opportunity Resilience Collaboration
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