Meet the Team

Kristy Pyles

Kristy has over 20 years’ experience in law enforcement, where she has worked as a corrections officer, a patrol officer, and as an investigator. Her most recent assignments were investigating home health care and pharmacy fraud. Based on her experience, Kristy was then asked to lead a new initiative in Ohio to prevent fraud, waste, and abuse. Kristy spent several years designing and implementing an Electronic Visit Verification (EVV) solution for Ohio, during which time she built and managed the EVV Operations Unit. Not only that, but her EVV Solution was the first in the United States to achieve CMS certification using the recent Outcomes Based Approach.

Kristy is passionate about people getting the home health care service they need, and decided she could make a bigger impact by moving into the private industry. Today, Kristy works with clients on claims integrity, CMS certifications, preparing Requests for Proposals (RFP), EVV implementations, best practices, and documentation quality assurance.

Kristy has a wide range of knowledge, commitment to success, and passion for her work. Get in touch to see how Kristy can help you.

Tom Pyles

Tom is an accomplished and decorated leader with decades of experience to benefit your needs. He has a Bachelor’s Degree in Business Administration, Master’s Degree in Criminal Justice, and is a Certified Fraud Examiner.

Tom has conducted 100’s of preemployment interviews, handled complex human resource matters, and conducted critical internal investigations. Tom is skilled and resourceful at advising on personnel and staffing matters, keeping your organization agile and successful.

Tom has over three decades of law enforcement and investigative experience with a specialty in healthcare fraud, waste, and abuse identification and mitigation. Having been a supervisor at a state Medicaid Fraud Control unit, he led a team of both fraud and patient abuse investigators. He served as a pharmacy investigator with a multibillion-dollar health plan and as Chief of Investigations with a state board of pharmacy which conducted both criminal and administrative investigations and prosecutions.

Tom is a university instructor and excels in developing training materials. He can help you develop and implement a virtual, in-person, or hybrid onboarding program for new employees. Tom can develop in-service training and documentation for your staff and providers to improve client service, reduce liability, and develop a culture of compliance.

Tom is versed in claims and procedure code reviews as part of an effective program integrity and compliance strategy. Tom and the team at IYC Consulting can work with your organization to perform a holistic review of your business to help reduce liability and enhance profitability.

Contact us to see the many innovative solutions IYC has for any size organization.

Karen Erickson

Karen is a software and client services executive with more than 30 years’ experience of successful customer delivery across diverse industries, with an emphasis in the healthcare and financial sectors. She prides herself on having a strong track record of matrix-managing cross-functional teams that collaborate as a cohesive unit to accomplish business goals. She’s effective in leading the evolution of technical and non-technical solutions, from conception to implementation. Karen has experience with constantly balancing the needs of the market, the customer, the team, and the project. She possesses a unique combination of business and technical expertise, a demonstrated history of business knowledge, and the ability to meet financial and date driven commitments.

Karen loves partnering with clients that utilize her diverse skillset involving:

• Assisting clients in multiple industries with large and small-scale software or service implementation, including project management leadership activities that ensure success;
• Supporting stakeholder engagement, client and account management, outreach and training program design, and other project or program-related goals;
• Providing clients with best practice review and evaluation for all aspects of existing or upcoming programs;
• Developing detailed process and procedure supporting materials, and ensuring highly skilled client and staff on-boarding;
• Performing quality reviews, evaluating policy and procedure work group results, and developing methodologies to drive utilization of programs;
• Working with clients on contract management needs, such as vendor management, invoice processes, RFP development and review, and negotiation tactics; and
• Partnering with clients to develop detailed operationalization plans for new program or policy launches.

Karen is a qualified and driven professional with a reputation for positive client feedback. Let us know how Karen can help you.