Healthcare consulting: systems, finance, operations, and revenue cycle.
Practical advice from an operator who has been a hospital and division CFO and has led multi-hospital system conversions, for health systems, physician groups, health plans, and the firms that invest in them.
What we help with
Systems strategy and technology
- Overall systems strategy and multi-year technology roadmap
- EMR, ERP, and billing system selection and conversion
- Backup and disaster recovery planning and testing
- Business continuity and downtime procedures
- Cybersecurity and HIPAA security readiness review
- Interoperability and data integration planning
- Cloud migration and hosting strategy
- IT vendor contract review and negotiation
Finance, budgeting, and planning
- Operational planning and annual budgeting
- Forecasting and variance reporting
- Cost reduction and margin improvement
- Cost accounting and decision support
- Capital planning and prioritization
- Five-year financial models and proformas
Revenue cycle
- Business office and revenue cycle review
- Denial prevention and accounts receivable recovery
- Payer contract and reimbursement audit
- Chargemaster and pricing review
- Billing system and workflow optimization
Physician groups: 2027 Medicare review
- Your claims repriced under the proposed 2027 rates
- Medicare payment accuracy and underpayment audit
- AI-assisted coding and modifier review
- Commercial contract review and denial recovery
- Written report and action plan
Transactions and due diligence
- Buy-side and sell-side due diligence
- Valuation and financial review for buyers, lenders, and boards
- Post-acquisition integration planning
- Physician practice and joint venture evaluation
Operations and strategy
- Operating model and governance design
- Service line, staffing, and productivity analysis
- Supply chain review and cost savings
- New facility and business planning
- Turnaround and performance improvement
Rural and community health clinics
- Clinic readiness and gap assessments
- Revenue cycle, qualifying-visit, and cost report review for rural health clinics
- Workflow and care delivery redesign
- Value-based care readiness and contract advice
- Technology stack and interoperability readiness
- Training and workforce development
Payers and data
- Data readiness assessment
- Dashboard and reporting design around your questions
- Quality and HEDIS reporting support
- Payment integrity and cost-management review
Fee schedule reviews are for independent physician groups and are priced separately by number of physicians, breadth of services, and number of insurance contracts. Figures are from CMS's proposed rule. The coding review is AI-assisted and is not a certified coder audit or legal advice. See what the proposed 2027 cut means for physician groups.
Our founder has led due diligence on more than 300 healthcare entities and brings four decades of experience in healthcare finance, operations, and information technology.
How we work
- Diagnose quickly. Start from your data and the people who use it.
- Recommend decisively. A clear view on what to do first, and why.
- Leave you with cloud-based analytics. Our roadmap leaves your team with analytics in the cloud that can be maintained at minimal cost, so the results last.
- Get you the answers you need. We make sure the questions that started the work are answered.
- Keep issues in view. We help you set up routine identification and reporting of issues, so they can be addressed.
- Optional ongoing support. After the engagement, we can keep monitoring and reporting issues for you. It is your choice. The aim is for it to pay for itself through the problems it helps you catch.
Consulting plus analytics
Consulting findings are easier to act on when the numbers are in front of the team every week. Where it helps, we pair advice with the OHP analytics platform: a standard set of 24 analytics modules, additional reports, and custom dashboards, with nothing for you to install. Using the platform is optional.
We are based in Hendersonville, Tennessee, near Nashville, and work with organizations anywhere in the United States, remotely and on site as needed.
Tell us what you are trying to fix.
A first call is free of obligation. We will listen, say what we think, and tell you honestly if we are not the right fit.