About Us

Our approach provides you with cost-effective medical review services, designed to improve productivity and quality, as well as cash flow and the bottom line. We believe that there is significant wastage in the US healthcare system, and there are several areas that can be optimized to free up valuable clinician time that can be better utilized providing direct patient care.

  • We provide an end-to-end solution for denials; we develop appeal reports to clinically justify treatments from the evaluation of patient medical history and medical necessity, based on medical guidelines
  • We develop succinct abstracts, chronological indexing and documentation, based on a comprehensive review of the patients medical history and records

Management Team

Thrisha Kashinath (M.S. PAS, PA-C)

Founder and Director

Thrisha Kashinath (PA-C) is a certified physician assistant with over 4 years of clinical experience in pain management. She is an expert in the US workers compensation system and is a strong advocate of patient-centric healthcare. As Founder and Director at Hygiea she leads all clinical operations, strategy and recruiting at the firm.

She graduated from Marywood University’s Physician Assistant Program in 2006, where she received a Master’s of Science degree in Physician Assistant Studies. She completed her orthopedic preceptorship in Fremont, CA. She became board certified by the National Commission on Certification of Physician Assistants in 2006 and is currently licensed in California.


Ravi Ganjigatti

Sr. Advisor

Ravi Ganjigatti is a strategic management and technology consulting executive with over 13 years of experience in providing strategic advisory and complex technology enabled business transformation solutions to clients in the healthcare and lifesciences industry. As Sr. Advisor at Hygiea he advises on all aspects of strategy, marketing and services of the firm.

Prior to Hygiea, Ravi was partner at EMC Consulting where he helped setup and expand EMC’s healthcare practice. Before EMC, Ravi spent a decade at Deloitte Consulting where he led their Healthcare practice on the west coast. His clients have included large hospital systems, academic and research medical centers, integrated health systems, payers and lifesciences companies. Ravi holds a Masters degree in engineering from Drexel University, a management certification from Harvard Business School and a certificate in accelerated development from the Wharton Business School.