For Medical Practices
Build the operational foundation
your practice needs.
Claim denials, A/R management, prior authorizations, no-shows—we build the operational infrastructure that lets you focus on patient care.
The Reality
The Revenue Cycle Burden
The numbers behind the operational burden
What We Solve
The operational challenges
keeping your practice from thriving
Claim Denials*
Initial denial rates average 11.8% nationally, with commercial payers denying 13.9-15% and Medicare Advantage reaching 15.7%.
* Os-healthcare Denial AnalyticsPrior Authorization Burden*
Physicians process 39-45 prior auth requests weekly, consuming 12-14 hours of staff time.
* American Hospital AssociationPatient No-Shows*
No-show rates range from 18-23% nationally, costing approximately $200 per missed appointment.
* Dialog Health Access MetricsCoding Errors*
Coding errors affect up to 12% of claims according to AMA data, with annual national costs reaching $36 billion.
* American Medical AssociationEligibility Issues*
20% of claims contain eligibility errors that cause 24% of all denials.
* Healthcare Financial Management AssociationManual Processes*
Only 28% of prior authorizations use electronic transactions; the remainder rely on fax and phone calls.
* Artera No-Show ResearchHow We Help
Practical solutions designed
for medical practices
Revenue Cycle Management
End-to-end analysis of your billing, coding, and collections processes. We identify denial patterns and implement workflows that get you paid faster.
Denial Reduction Strategies
Root cause analysis of your denial patterns with targeted fixes. Front-end eligibility verification and systematic appeal workflows.
Prior Authorization Optimization
Streamlined prior auth workflows that reduce staff burden and patient wait times. Template libraries and payer-specific processes.
Scheduling Efficiency
Optimized scheduling templates that maximize provider utilization. No-show reduction strategies and same-day fill protocols.
Large ophthalmology practice reduced denial rate from 29% to 8% in six months, generating estimated annual savings of $1.2 million.
Access Healthcare documented A/R reduction of $106.9 million in 9 months, recovering $41.1 million in cash collections.
Forrester Total Economic Impact study of RCM platform documented 310% ROI. AI agents in RCM show ROI of 200-500% within 12-18 months.
Ohio OB practice achieved 76% error reduction, generating a $33,000 monthly revenue boost through process improvements.
* Industry case studies. Sources: Plutus Health, Access Healthcare, Forrester Total Economic Impact, Os-healthcare. Individual results may vary.
HIPAA Compliance & Data Security
Protecting patient information is our top priority
No PHI Required
Our assessments focus on operational processes—we never request or require access to protected health information (PHI). All recommendations are based on workflows and systems, not patient data.
Business Associate Agreement
When working with healthcare practices, we execute Business Associate Agreements (BAAs) as required by HIPAA. Your compliance requirements are our compliance requirements.
Secure Communications
All client communications use encrypted channels. We follow healthcare industry best practices for data security and never store sensitive information on unsecured systems.
Staff Training
Our consultants complete HIPAA awareness training and understand the unique compliance challenges facing medical practices. We design solutions that improve efficiency while maintaining compliance.
Ready to Optimize Your Practice?
Start with a free 30-minute assessment. We'll identify your biggest operational opportunities and outline a path to capture them.
Schedule Your Free Assessment