Get expert insight into industry trends, strategic planning, and regulatory changes. For example, gain guidance on CMS risk adjustment models updates, payment integrity strategy, and operational planning.

Improve efficiency by assessing current processes and identifying opportunities for automation. We design scalable workflows, implementation guides, and integration plans that streamline operations across the claim and revenue lifecycle.

Expert review and validation to reflect appropriate guidelines, payer policies, and regulations (e.g., edit and rule validation).

Assist with integrations between systems (e.g., claims platforms, EMRs, prepay editing tools, post-pay solutions). Support may include system mapping, vendor coordination, testing strategy, and operational alignment.

Helping teams navigate change with confidence through documentation, training, and supporting key relationships. Ensuring smooth transitions and strong partnerships with providers, vendors, and stakeholders. (e.g., HCC v28, edit logic, quick reference guides).

Helping product and engineering teams understand the why behind the software by connecting real-world, business, and operational context to product development. This approach fosters empathy, sharpens collaboration, improves analytics, and leads to smarter, more effective healthcare solutions.

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