CONSULTING · HEALTHCARE OPERATIONS

Practice Consulting

Practice consulting is our core service line and the one where our operator experience shows up most clearly. We own and run a multi-location network of musculoskeletal and regenerative medicine clinics — managing payer contracts, revenue cycle, compliance, staffing, and technology on a live P&L every week. Every consulting engagement draws directly from that operational playbook.

Engagements are structured as 90-day projects with a named deliverable, not open-ended retainers. You get a scoped outcome — a renegotiated payer contract, a denial-recovery project, a compliance remediation — with a clear handoff at the end.

Engagement types

Payer Contracting & Credentialing

Contract audits, fee schedule renegotiation, new payer enrollment, out-of-network strategy, and credentialing management. We review your current contracted rates against Medicare benchmarks and regional market data, identify renegotiation opportunities, and execute the process with payer representatives. For practices adding providers or locations, we handle the full credentialing lifecycle — application submission, follow-up, and CAQH profile management.

Deliverable: A contracted-rates matrix with gap analysis, a renegotiation playbook with payer-specific talking points, and credentialing status tracker.

Revenue Cycle Optimization

End-to-end revenue cycle assessment: charge capture, coding accuracy (E/M documentation review, modifier usage), claim submission workflows, denials analysis, appeals strategy, and collections. We identify where revenue is leaking — unbilled charges, coding downcodes, preventable denials, slow A/R — and build the workflows to close those gaps. For practices on Tebra, AdvancedMD, or similar platforms, we configure the EHR-side automation to prevent recurrence.

Deliverable: A 30-day denial-recovery project with quantified recovery targets, plus an ongoing scorecard your team can maintain independently.

Compliance & Risk Management

HIPAA privacy and security compliance, OSHA workplace safety, CMS LCD/NCD alignment for covered services, documentation audits, and incident-response planning. We build compliance programs that satisfy audit requirements without paralyzing your clinical workflow. For practices offering services like PRP, viscosupplementation, or DME, we review documentation practices against local coverage determinations to reduce audit exposure.

Deliverable: A remediated compliance binder, staff training plan with attestation tracking, and an annual audit calendar.

Practice Growth & New Service Lines

New service line feasibility analysis, second-location planning, referral pipeline design, and patient volume modeling. We evaluate whether a new service line (regenerative medicine, imaging, DME dispensing, telehealth) makes financial sense given your payer mix, geography, and operational capacity — then build the launch plan if the numbers support it.

Deliverable: A go/no-go memo with financial model, break-even analysis, and a 90-day launch plan covering credentialing, marketing, and operations.

Operational Efficiency & Workflow Design

Front-desk workflows, scheduling optimization, patient intake automation, staff utilization analysis, and KPI dashboard design. For multi-provider practices, we map the patient journey from scheduling through follow-up and identify bottlenecks that reduce throughput or patient satisfaction. We implement fixes in your existing technology stack — Tebra, GoHighLevel, Google Workspace — rather than recommending platform migrations.

Deliverable: A documented workflow with staff assignments, technology configuration changes, and a 30/60/90-day measurement plan.

Practice Startup Advisory

For physicians launching a new practice or transitioning from employed to independent: entity formation guidance, EHR selection, payer enrollment strategy, initial marketing plan, and equipment procurement. We help you avoid the most expensive mistakes — wrong EHR, underpriced fee schedule, missing payer contracts — by applying lessons from our own clinic network buildouts.

Deliverable: A practice launch checklist with timeline, vendor recommendations, startup budget model, and first-year financial projections.

What we don’t do

We are not a general management-consulting firm. If your practice needs an executive coach, a physician dyad mediator, or an MBA-style strategy retainer, we are not the right fit. Our engagements produce files, reports, and operational changes — not ongoing advisory relationships. We also do not provide legal, tax, or investment advice; when those disciplines are needed, we refer to qualified professionals.

How engagements work

Discovery call (15 min, free): You describe what’s not working or what you want to build. We tell you whether it fits one of our engagement types and what the deliverable would be.

Scope document (1 week): We send a written scope with timeline, deliverables, fixed fee, and assumptions. No hourly billing, no scope creep.

Execution (60–90 days): We do the work — payer calls, data analysis, workflow builds, staff training — with weekly check-ins and a shared project tracker.

Handoff: Final deliverables transferred, staff trained, documentation complete. If follow-on work is needed (capital for equipment, marketing for patient acquisition), we can scope that separately.