Senior RCM expertise for the problems full-service outsourcing does not solve audits, transitions, workflow redesign, and retained advisory for physician practices.
Senior expertise. On your side of the table. Scoped to what you actually need.
AR climbing, denials repeating, collections flat and internal efforts have not moved the needle.
Changing EHR / PM, switching billing companies, or bringing billing back in-house — and you need RCM expertise on your side of the table.
A retained advisor you can call when something comes up — 15 years of hands-on RCM experience without a full-time salary.
Launching a new practice, adding a specialty or location, or rebuilding billing infrastructure from the ground up.
Every engagement starts with your goals. We stay accountable to your outcomes, take initiative without being asked, and actively work to improve your revenue performance.
Most revenue cycle problems are workflow problems wearing a billing-problem disguise. We map your existing workflow end-to-end from front desk through claim adjudication identify the breakpoints, and redesign the process so the same problems stop reappearing. The redesign is documented and trained-in, not just verbal.
EHR transitions are one of the highest-risk events for your revenue cycle. Pre-go-live data migration, fee schedule loading, payer setup, claim edit configuration most of which the EHR vendor will not handle for you. We manage the RCM side of the transition end-to-end so cash flow does not collapse on day 31.
Switching billing companies (or bringing billing back in-house) is operationally messy. Open AR gets dropped. Authorization data does not transfer. Old denials sit unworked while the new vendor onboards. We sit on your side of the table during the transition making sure nothing gets lost in the handoff and the new vendor actually delivers what they promised.
Launching a new practice means building the revenue cycle from zero credentialing, payer enrollment, EHR/PM setup, claim workflows, reporting infrastructure. We build the foundation so the first claim out the door is clean and the AR aging starts at zero, not at panic.
Standard EHR reports tell you the numbers. They do not tell you what is changing, why, or what to do about it. We build custom reporting that surfaces the patterns and trends nobody is currently seeing so you can make decisions on what is actually happening, not on a 30-day-old PDF.
Most EHR and PM systems are running out-of-the-box configurations that do not match how your practice actually bills. Modifier rules wrong. Fee schedules outdated. Claim edits missing. We audit your existing configuration and bring it into alignment with how billing should actually flow specialty-specific, payer-specific, practice-specific.
Most compliance issues are documentation issues that nobody is watching modifiers used incorrectly, services billed without supporting documentation, coding patterns that look fine in isolation but flag in aggregate. We conduct internal compliance audits that mimic what an external auditor would see so issues get fixed before they become a problem.
Consulting that fixes the problem but does not transfer the knowledge means the same problem comes back six months later. We build internal capacity documenting workflows, training your team in the new processes, and creating reference materials your staff can use after we are gone. The fix has to outlast the engagement.
If you are not sure whether your situation fits, just ask. We will tell you honestly whether we can help or point you in the right direction.
