Services · Practice & Revenue Assessment
What a practice revenue assessment finds
A practice revenue assessment is a two-week review of everything between a patient encounter and money in the bank. I pull twelve months of claims, remittances, and A/R aging, compare what you billed against what your contracts entitled you to, and identify where revenue is being lost.
You receive a written report naming each leak, its annual dollar value, and what it costs to fix. $2,500 for practices under three providers, up to $5,000 for larger groups. Fixed fee, no ongoing commitment. The report is yours regardless of what you do next.
What I review
- Twelve months of claims and remittance data
- A/R aging by bucket, payer, and provider
- Denial reasons ranked by frequency and dollar value
- Contracted rates against actual payments, by CPT code
- Credentialing and enrollment status for every provider and payer
- Charge capture services delivered but never billed
- Payer mix and its trend
- Front-desk workflow: eligibility, authorization, collection at time of service
What you get
- Written findings report, typically 15–25 pages
- Every finding quantified in annual dollars
- Ranked fix list weighing effort against recovery value
- A ninety-minute working session to walk through it
What it costs
$2,500 (1–2 providers) · $3,500 (3–5) · $5,000 (6+). Fixed, quoted before work begins.
Who this is not for
Practices under roughly $400,000 in annual collections, where findings rarely justify the fee. Practices that already know the problem and just want it fixed go straight to the relevant service.
State rules
Assessment findings account for the state you bill in: Medicaid program rules, prompt-pay deadlines that affect what is recoverable, and scope-of-practice status where nurse practitioners bill. State guides →
FAQ
Questions and answers
Two weeks from data access.
Read-only access to your practice management system, twelve months of remittance files, and copies of your payer contracts. About an hour of staff time total.
No. It is a read-only review.
No. Some clients implement the findings themselves, and the report is written so they can.
A Business Associate Agreement is executed before any access. PHI is handled under HIPAA safeguards.
Start with an assessment, not a contract
Two weeks, fixed fee, $2,500 to $5,000 depending on practice size. You get a written finding: where the money is going, what each leak is worth annually, and what it costs to fix. You own that report whether or not you hire me for anything after it.
Start with an assessment