Built from the Inside
I don't consult on healthcare operations from a slide deck. I own and operate Vitals Family Medicine & MedSpa in Allen, Texas — a practice seeing 30–40 patients per day with monthly collections of $188,000. Everything I offer, I've built and tested in a live practice environment.
When I decided our outsourced billing company wasn't performing, I didn't just switch vendors. I designed the roles, built the compensation models, created the training programs, hired the team, and brought the entire billing operation in-house. When I saw revenue leaking from underutilized chronic care management, I scaled the program from 52 claims per month toward 150+. When our merchant processing effective rate was running 4.5% against a stated 3.49%, I analyzed six months of statements and identified exactly where the gap was.
That's the difference between a consultant who studies healthcare operations and one who runs them every day.
What I Help With
- In-House Billing Buildout: Role design, compensation structures, team hiring, training programs, and process documentation to replace outsourced billing vendors.
- CCM/RPM Program Design: From enrollment strategy to device selection to staff training to claim submission — the complete buildout for Chronic Care Management and Remote Patient Monitoring.
- EHR Workflow Optimization: Deep experience with eClinicalWorks. Workflow design, clearinghouse management (Trizetto), and system configuration.
- Revenue Cycle Analysis: Merchant processing audits, collections optimization, denial management strategy, and AR recovery programs.
- Vendor Management: Contract negotiation, performance benchmarking, and vendor transition planning.
- Staffing & Hiring Systems: Structured rubrics for clinical staff evaluation, compensation modeling, and onboarding frameworks.
The Vitals Case Study
In-House Billing Team
Replaced outsourced billing vendor with a purpose-built in-house team. Designed two specialized roles (Revenue Recovery Specialist and Billing Operations Specialist), created performance-based compensation models, and built swim lane documentation for every process.
CCM Scaling
Grew Chronic Care Management from approximately 52 claims/month baseline toward 150+ claims/month. CPT 99490 averaging $47.50 collected per claim. Built staffing model with tiered compensation.
RPM Launch
Evaluated and selected RPM device vendors (Smart Meter, Withings). Negotiated BAAs and NDAs. Identified cleaner launch path with iGlucose over Dexcom (RTM-coded). Managed eCW healow RPM module integration.
Merchant Processing Audit
Analyzed six months of Global Payments statements. Identified effective rate of 4.18–4.60% against stated 3.49% flat rate. Gap driven by per-transaction fees. Developed strategies for rate reduction.
Clinical Hiring System
Designed a 100-point rubric for evaluating medical assistant candidates. Applied to 25 candidates in a structured review process. Produced clear, defensible hiring decisions.
MedSpa Launch
Developed 90-day Phase 1 marketing engine for MedSpa services. Building operational management structure for the post-revenue phase alongside existing practice operations.
Healthcare Background
My healthcare experience extends beyond Vitals. At Alliance Healthcare Services, I managed the full P&L for an $86 million region providing advanced outpatient diagnostic imaging and radiation therapy services to hospitals. At ComforCare Senior Services, I grew home care revenue by 125% and built an operational dashboard adopted across 98 franchise locations. These experiences span clinical operations, financial management, and franchise-scale systems — the full spectrum of healthcare business operations.
Engagement Model
I work with 1–3 provider independent practices on focused, fixed-scope engagements. Typical engagement: a 90-day diagnostic and implementation plan covering your specific operational gaps. I'm not looking to manage your billing — I'm looking to build the system that manages itself.
Fee: project-based, not hourly. Because the value is in the outcome, not the clock.