Large Medical Practice Networks

Clinic-to-billing alignment that stops charge capture drift

Large medical networks often have strong central billing but weak clinic-level controls. We install charge capture discipline, coding consistency, and clinic-to-billing feedback loops so volume converts to cash with fewer surprises.

ControlsQueue disciplineEscalation pathwaysExecutive cadence
Charge captureTimely and complete
Coding consistencyVariance reduced
Clinic feedbackDownstream impact visible
Medical Practice Networks

Outpatient revenue control without adding headcount

We install controls and a weekly cadence so performance is repeatable across teams, payers, and locations — without heroics.

Discreet resolution capability: Dispute support is framed as contract adherence and payer performance management—professional, controlled, and discreet.

Where cash breaks

Typical failure modes we map in the first 10–14 days.

Signals

  • Charge capture variability across locations
  • Coding rework and delays by specialty
  • Payer edits and denials inconsistent across sites
  • Underpayments not tracked at scale
  • Manager visibility limited to lagging indicators

Root causes

  • Missing controls (no owner, no cadence)
  • Work queues misaligned to payer rules
  • Documentation + coding handoffs inconsistent
  • Appeals built ad-hoc instead of industrialized

The operating model we install

A control system: dashboards → queues → escalation → weekly exec cadence.

Interventions

  • Charge capture + coding workflow integrity by specialty
  • Payer rule enforcement and denial prevention
  • Underpayment recovery + contract variance reporting
  • Location manager scorecards with weekly cadence

What you get

  • Playbooks, templates, and manager scorecards
  • Queue design + SLA definitions per workstream
  • Payer performance reporting and variance tracking
  • Weekly leadership readout (10-slide style)

KPIs leadership can run

We choose a tight set of measures that drive behavior and closure.

Charge lag
faster posting
Denial rate
prevention wins
NCR
collections up
Underpayment recovery
variance captured