The state of your practice, audited and explained.
Most practices have data, not insight. By the time a denial trend, a payer change, or a coding pattern shows up in a quarterly report, it has already cost real money. Practice Analytics & Healthcare Consulting puts a named analyst on your claims, visits, and payments every month and delivers one traceable report: collections, denials, AR, payer performance, peer benchmarks, and recommendations sized in dollars. Alongside it, our CPMA-certified auditors run end-to-end practice audits covering coding, documentation, billing, compliance, and risk adjustment, and our consultants help you act on what they find. No dashboard to babysit.
Numbers you can act on, and audits that hold up. Not another dashboard to babysit.
Most practices have data, not insight, and have never had an independent audit. By the time a denial trend, payer change, or coding pattern shows up, it has already cost money.
A named analyst reads your systems every month and delivers one traceable report, while CPMA-certified auditors test coding, documentation, billing, and compliance twice a year.
Inside Practice Analytics & Healthcare Consulting
Every capability below exists because a practice asked for it. Nothing here is a roadmap item.
Monthly practice report
The month in plain language, signed by your analyst: what came in, what is aging, what was denied, and why.
Practice audits by CPMA auditors
End-to-end audits of coding, documentation, billing, compliance, and risk adjustment, with findings by provider and a corrective plan.
Denials, AR, and payer performance
Denial and recovery analysis, AR aging insights, and paid rates compared with your contracts, payer by payer.
Peer benchmarking
Your numbers placed against de-identified practices like yours: same specialty, similar payer mix, same region.
Drift and anomaly flags
Fee-schedule changes, payer behavior shifts, and coding drift flagged when they start, with the recovery already in motion.
Consulting and walkthroughs
Your analyst and consultant walk your team through what changed, why, and the next actions, sized in dollars.
Made like an audit. Read like a memo.
Every page answers one question, and every figure resolves to the claim, code, payer, and date behind it.
- 01Verify eligibility at scheduling, not check-inAvoidable eligibility misses drove most denials this month. Front-desk workflow change, no new software.
- 02Rebalance Thursday afternoon schedulingNo-shows cluster at 2–4pm Thursdays. Confirmations there first.
- 03Appeal the UHC fee-schedule variancePaid rates ran under contract on two codes. Appeal drafted, needs your sign-off.
| Provider | Focus | Finding | Action |
|---|---|---|---|
| Provider A | E/M levels | Undercoded 99213 | MDM education |
| Provider B | Modifier 25 | Unsupported | Corrective plan |
| Provider C | HCC support | Supported | Re-audit in six months |
Illustrative example · not real patient data · every figure traces to its claim
From the schedule to the signed record
Connect
BAA signed and read-only access issued. Nothing installs on your machines.
Reconcile
Your claims, remits, and deposits read and reconciled, so the baseline matches your bank.
Audit and benchmark
Your analyst builds the baseline and peer benchmarks; our CPMA auditors run the first practice audit.
Report and advise
Your first report is walked through with your team, then every month after, with audit follow-up twice a year.
Facts, not promises.
These are properties of how Practice Analytics & Healthcare Consulting is built, not projected savings. Results in your practice depend on your payers, your panel, and your documentation.
One traceable practice report a month, walked through by your analyst
End-to-end practice audits by CPMA-certified auditors
The CPMA audit program, covering both audits for each provider
Behind every number, a person who can explain it.
Analytics tells you what changed. Our consultants help you decide what to do about it.
From your systems to a signed report
Feeds from your record system, clearinghouse, and bank, assembled and signed by your analyst.
Benchmarked against practices like yours
Your numbers placed against de-identified peers with the same specialty and a similar payer mix.
Drift caught before it costs you
Fee-schedule changes, payer behavior shifts, and coding drift surface as flags, with the recovery in motion.
Reviewed with you, every cycle
A named analyst walks your team through what changed, why, and what to do next.
Compliance and payer readiness
Compliance program reviews, payer and RAC audit preparation, and corrective action plans you can track.
Workflow and front-desk consulting
Scheduling, intake, and registration fixes that stop avoidable denials at the source, no new software required.
Connected this week. Reading by next month.
Nothing to install and nothing for your staff to learn. The report arrives and your analyst walks you through it.
Connect
BAA signed and read-only credentials issued. Nothing installs on your machines.
Reconcile
Up to two years of claims, remits, and deposits read and reconciled.
Baseline and first audit
Your analyst builds the baseline and peer benchmarks; CPMA auditors run the first practice audit.
First report
Your first report and audit findings walked through with your team.
Every month, and twice a year
A report every month, and a follow-up audit six months after the first.
A good fit when…
- Practice owners and administrators who want answers, not another dashboard
- Organizations that have never had an independent coding and compliance audit
- Groups that see collections moving and cannot say why
- Practices preparing for payer, RAC, or risk adjustment audits
The questions leaders ask first.
Don’t see yours? Bring it to a working session and we’ll walk it through with your data.
No. We read from your systems over secure, read-only feeds. Your staff’s workflow does not change: the report arrives and your analyst walks you through it.
See Practice Analytics & Healthcare Consulting on your own workflow.
Tell us what your organization is fighting (open care gaps, documentation, denials, coverage) and we will walk you through the part of the platform that closes it.