Medical practice consulting

Turn good clinical work into reliable revenue.

I help medical practices, health centers, and public health organizations build billing and revenue-cycle workflows that are clear enough to use and sturdy enough to sustain.

Make the work billable, repeatable, and easier to manage.

Most revenue-cycle problems are not one isolated coding mistake. They are gaps between clinical work, documentation, system configuration, staff responsibilities, and claim follow-through.

01

Revenue-cycle workflow review

Find where otherwise valuable clinical work is being lost between the visit, documentation, charge capture, claim submission, and payment.

02

EHR and claim configuration

Build practical fee schedules, CPT and modifier logic, documentation rules, claim workflows, and clearinghouse or ERA processes.

03

Clinical-service billing

Develop sustainable workflows for E/M, incident-to billing, CCM, PCM, RPM, BHI, CGM services, DSMES, and other clinical programs.

04

Training and implementation

Give clinical and administrative teams clear responsibilities, usable education, and repeatable processes that can survive after the engagement ends.

Consulting across community health, specialty care, and public health.

Organizations I have consulted for include:

Community healthMariposa Community Health Center

Trained clinical pharmacy staff and community health workers on clinical-service billing, then worked with billing, revenue cycle, and systems teams to establish fee schedules and efficient monthly CCM and RPM billing workflows.

Specialty practiceThe ADD Clinic of Arizona

Recommended a small change to the clinic workflow that led to a revenue increase of $30,000 to 40,000 per month.

Public healthMaricopa County Department of Public Health

Optimized immunization billing, configured eClinicalWorks to automate codes and modifiers, developed documentation and bundled-payment workflows, and helped implement the process from patient intake through claims and ERA.

Start with services you're already rendering

I do not believe every practice needs the same canned solution. We can define a focused scope around one problem, build a new workflow, or work through implementation with the people who will use it.

  • Focused review of one service line or billing problem
  • Design and implementation of a new clinical billing workflow
  • EHR, fee-schedule, documentation, and claim-process optimization
  • Staff education for clinicians, billers, medical assistants, and other auxiliary staff

Let’s look at where revenue is getting stuck.

Tell me what your practice is trying to build or fix. We can decide whether a focused review, implementation project, or staff-training engagement makes the most sense.

Devin Brimhall, PharmD, BCACP, CDCES, MHA(208) 273-0134Devin.Brimhall@FrontierDiabetes.com

Please do not send patient names, records, or protected health information through ordinary email.