Each figure comes from a single engagement. Every practice is different, and yours is measured from your own reports.
See how the work is done
AliRevenue cycle consultant
I've worked inside US revenue cycle operations as a medical coder, a denials analyst, and on the technology side of claim automation. That means I don't guess where revenue is slipping — I trace it: coding accuracy, denial patterns, eligibility gaps, and the billing workflows that quietly create rework. Then I help your team fix the process behind it, not just the claim in front of you.
Every engagement starts with the problem costing you the most. Here's exactly what's included.
Same denial codes every month, appeals going out late, and no one tracking which ones actually get paid. I work the backlog and close the cause behind it.
Under-coding costs you quietly; over-coding costs you loudly. A chart-level review tells you which one is happening, and where.
The two cheapest denials to prevent and the two most often ignored. These claims were usually lost at the front desk, not in billing.
A three-provider clinic and a hospital network lose money in completely different places. Here's where I usually find it, depending on how you're set up.
Small to mid-size clinics where billing is one or two people and there's no time to work denials properly. The money is usually sitting in aged AR nobody has had a chance to touch.
Hospital networks and multi-site groups where the process exists but isn't followed the same way twice. Denials cluster by department and payer, and nobody owns the pattern across sites.
Founders building a product that touches claims, eligibility or coding, who need someone who knows how payers actually behave. I bring the RCM domain knowledge; your engineers build it.
No long discovery phase before anything useful happens. Here's what each stage involves and what you get at the end of it.
1Thirty minutes on what's not getting paid. I'll ask about your payer mix, where claims stall, and what you've already tried. If the problem isn't one I can help with, I'll tell you on this call.
2I work from your own numbers — denial reports, aged AR, and a sample of charts against submitted claims. The pattern is usually clear within the first pass: a few causes producing most of the loss.
3A ranked list of what to change, by recoverable dollars and effort. Quick wins your team can act on immediately, separated from the structural fixes that need planning. You get this in writing.
4Your team makes the changes; I stay on it — training staff, reworking SOPs, and checking the numbers monthly to confirm the fix held rather than assuming it did.
Tools I built and use in the work. Free, no signup — and the eligibility decoder never sends your data anywhere.
Practical articles on denial management, medical coding accuracy, eligibility, and revenue cycle operations — written by a working coder and denials analyst.
What people ask before they get in touch.
I audit your denial management, coding, and billing workflows, then build and implement fixes — from appealing denied claims to redesigning your entire RCM process — so more of what you bill actually gets collected.
Most clients see measurable improvement in denial rates or collections within 60–90 days of starting. The first call and the data review alone typically surface quick wins in the first two weeks.
Both. I work with solo and small practices, mid-size clinics, hospital networks, and digital health startups — the engagement scope adjusts to your size and needs.
Yes. All engagements follow HIPAA-compliant data handling practices, and a signed Business Associate Agreement (BAA) is in place before any protected health information is reviewed.
Pricing depends on the scope of your engagement — a one-time audit is priced differently than ongoing RCM management. Book a free 30-minute call and I'll give you a clear, specific quote based on your situation.
Schedule a free 30-minute call. We'll talk through your current challenges, and I'll tell you honestly whether — and how — I can help, no pressure.
Thirty minutes, your numbers, straight answers. If it's not something I can help with, I'll say so on the call and point you somewhere better.
