Revenue-cycle workflow review
Find where otherwise valuable clinical work is being lost between the visit, documentation, charge capture, claim submission, and payment.
Frontier DiabetesMedical practice consulting
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.
What I help with
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.
Find where otherwise valuable clinical work is being lost between the visit, documentation, charge capture, claim submission, and payment.
Build practical fee schedules, CPT and modifier logic, documentation rules, claim workflows, and clearinghouse or ERA processes.
Develop sustainable workflows for E/M, incident-to billing, CCM, PCM, RPM, BHI, CGM services, DSMES, and other clinical programs.
Give clinical and administrative teams clear responsibilities, usable education, and repeatable processes that can survive after the engagement ends.
Selected experience
Organizations I have consulted for include:
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.
Recommended a small change to the clinic workflow that led to a revenue increase of $30,000 to 40,000 per month.
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.
Engagements built around the problem
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.
Start a conversation
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.
Please do not send patient names, records, or protected health information through ordinary email.