Everything behind the exam room.
Use any service on its own, or combine them into full practice management with one accountable executive. We work in NextGen, Nextech, AdvancedMD, athenahealth, Epic, PointClickCare and Waystar.
Revenue Cycle Management
Every claim worked, every dollar tracked. We manage the revenue cycle end to end, from prior authorization to final payment, inside your existing system, with reporting you can actually trust.
Schedule a ConversationWhat's included
- Prior authorizations, tracking and renewals
- Charge entry and claims submission
- Payment posting and reconciliation
- Accounts receivable follow-up by payer and aging bucket
- Denial management and appeals
- Patient statements and balance follow-up
- Billing assessments and clean-up projects
- Fee schedule and payer matrix analysis
What you get
- Monthly collections and accounts receivable aging report
- Denial trends with root causes and fixes
- Clear benchmarks so you know what good looks like
Credentialing & Enrollment
Providers enrolled, renewed and billing on schedule. We track every deadline so nothing lapses quietly in the background and stops your revenue.
Schedule a ConversationWhat's included
- New provider enrollment with commercial payers
- Medicare and Medicaid enrollment and revalidation
- Re-credentialing and hospital privileges
- CAQH profile maintenance
- License, DEA and board certification tracking
- Location and tax ID changes
What you get
- A credentialing calendar for every provider
- Status updates until each enrollment is approved
- Early warning before anything expires
Payer Contracting
Most firms bill the rates you have. We help you get better ones. Payer contracting is led by an executive with accountable care and payer-model experience who knows how payers think.
Schedule a ConversationWhat's included
- Contract inventory and renewal tracking
- Reimbursement benchmarking against the market
- Renegotiation strategy and payer meetings
- Value-based and alternative payment models
- Out-of-network transition analysis
- Underpayment identification and recovery
What you get
- A ranked list of contracts with the biggest upside
- A negotiation plan with target rates
- Ongoing monitoring of payer compliance
Finance & Accounting
Clean books and clear numbers. Owners always know where the practice stands, what's driving profit, and what's coming next.
Schedule a ConversationWhat's included
- Bookkeeping and month-end close
- Accounts payable and vendor management
- Monthly P&L and balance sheet review
- Budgets, forecasts and pro formas
- Profitability by provider, service line and location
- Coordination with your CPA at tax time
What you get
- A monthly owner financial package
- Variance explanations in plain language
- A budget you can actually manage to
Human Resources
Real HR, not a payroll add-on. Recruiting, onboarding, policies and compliance that protect the practice and keep good staff.
Schedule a ConversationWhat's included
- Employee handbooks, policies and job descriptions
- Employment law compliance, including Washington
- Staff recruiting: job postings, screening and interviews
- New-hire onboarding and training plans
- Offboarding
- Performance management systems
- Compensation structure and benchmarking
- Retention and culture assessments
What you get
- Current, compliant policies
- A consistent process for every hire and exit
- Clear insight into turnover and why it happens
IT & Systems
Managed by EverFern with our technology partner, Reliable Design. One point of contact for the systems your practice depends on.
Schedule a ConversationWhat's included
- Infrastructure, security and help desk support
- EHR and practice management system transitions
- Vendor selection, contracts and oversight
- HIPAA security risk alignment
- Phones, network and workstation planning
What you get
- One accountable contact for technology
- Systems that support the workflow, not the other way around
- Security reviewed, not assumed
Leadership & Strategic Advisory
Practice management keeps the business running. Leadership decides where it goes. Our founder holds a PhD in Leadership Studies and an MBA, has served as a practice CEO and COO, and teaches health care policy in an MBA program. She works with a small number of practices at a time and goes all in on each one, because when employees thrive, every other metric follows.
Schedule a Conversation
What's included
- Physician-owner and executive advising on major decisions
- Full practice assessment: management practices, workflow and efficiency, staffing and culture, finances, systems and compliance
- SWOT-style findings with a prioritized action plan
- Leadership development, coaching and mentoring for practice leaders and managers
- Building strong teams: clear roles, training and accountability
- Turnaround and financial recovery
- Acquisitions and management company transitions
- Survey readiness and regulatory compliance
Where we make the biggest difference
- Financial turnaround. We audit revenue, billing, collections and scheduling, then cut costs without cutting care.
- Operations and workflow. We find the bottlenecks and duplicate work, then rebuild workflows across clinical, front office and business teams.
- Culture. We listen first to owners, leaders and staff, then build ways for people to be heard and invested.
- Leadership training. Workshops, coaching and management development so your leaders grow with the practice.
- Compliance. We review inspection history, close the gaps and build a system for survey readiness.
Where this experience comes from
- Led more than 2,000 employees across a multi-state urgent care platform
- Managed budgets of more than $70 million across multi-site long-term care
- Rebuilt operations, systems and financial controls at a multi-site ophthalmology practice
- Centralized HR and compliance across five radiation oncology clinics
- National Baldrige quality award for long-term care leadership
What you get
- An honest picture of where the practice stands within 30 days
- A plan with owners, dates and measures
- Leaders and teams who can sustain the gains after we step back
Not sure which services you need?
Start with a conversation. We'll tell you where the biggest gains are, even if the answer is that you don't need us.
Schedule a Conversation- A conversation about how your practice runs and where it hurts.
- A look at the data if there's a fit.
- A clear recommendation on what to do first.