A boutique firm for hospices, post-acute agencies, and independent practices. Fixed-fee compliance audits, specialist-level revenue cycle work, and certificate-based screening products — delivered with institutional rigor.
Revenue cycle work that closes the gap between what the practice earned and what it collected. We audit coding accuracy, analyze denial patterns, recover aged A/R, and specialize in Medicare bad debt cost-report recovery and deceased-guarantor estate work — areas most RCM firms avoid because they require specialist knowledge.
Governance, compliance, and risk work that makes the practice defensible. We audit against the OIG Work Plan, the FY 2026 hospice rule, and Palmetto GBA’s current TPE edits before regulators do. We screen for OIG exclusions, verify payer directory integrity, and — for practices using AI-enabled EHRs — map AI Governance and HTI-1 Compliance obligations. Every finding has a citation. Every recommendation has a next step.
Most engagements begin at one of three entry points: our NCCI Edit Validator (live now — check CPT code pairs in seconds), a $495 coding audit snapshot, or a hospice PPEO readiness assessment for Palmetto GBA agencies. Deeper compliance and revenue cycle work follows from what those entry points surface.
Instant PTP edit checks and MUE lookups against CMS’s National Correct Coding Initiative. Single pair, batch validation up to 25 codes, CSV export, and API access. Q2 2026 data loaded — updated every CMS quarter.
Automated monthly OIG LEIE cross-reference of your provider, staff, contractor, and vendor roster. Institutional-voice certificate delivered to your compliance binder. No PHI required.
Three tiers — Snapshot ($495, 10 charts), Standard ($1,500, 25 charts), and Comprehensive ($3,500, 50 charts). E/M leveling, AWV documentation, MDM gaps, modifier and NCCI risk. Grounded in operator-level audit experience at a multi-provider RCM operation.
Cross-reference your provider roster against payer directories, NPPES, PECOS, and CAQH. Certificate-style deliverable flags discrepancies and effective-date mismatches. Add monthly Directory Maintenance ($99–$499/mo) to catch silent terminations before they cost you out-of-network claims.
Fixed-fee readiness for hospices newly enrolled, reactivated, or under change of ownership in Georgia (or any PPEO state) since December 30, 2025. Documentation walkthrough, 10-chart audit, IDG observation, medical-director affiliation check, mock ADR packet.
12-month aggregate cap projection against the FY 2026 cap ($35,361.44), 15-chart eligibility and CTI narrative audit, FY 2026 F2F attestation flexibility review, GIP length-of-stay analysis, Addendum delivery-timing review.
Document assembly, response narrative, and appeal tracking for Palmetto JM hospices and HHAs in active ADR or TPE — including Bene Sharing, Long-LOS, RHC, GIP, and F2F denial drivers.
Last three 2567s walked tag-by-tag, POC review, mock-survey interviews with DON and business office, written remediation plan with owner and deadline. F880 and F689 focus — the citation categories still driving enforcement post-Staffing-Rule repeal.
Monthly regulatory bulletin (hospice + SNF + HHA + Palmetto + OIG Work Plan + Federal Register watch), quarterly 5-chart desk audit, annual mock survey, unlimited email Q&A with 2-business-day SLA. For single-site SNFs, solo hospices, and rural HHAs.
Additional productized offerings — AWV Compliance Audits, HOPE Readiness, HIPAA Risk Assessment, HHA PDGM & OASIS-E2 Review, SLP KX Documentation Audit, General Practice Retainers — are available in our full catalog, delivered after a qualified discovery call.
Request Full Service CatalogSample audit output — de-identified. Actual deliverable is a written report with complexity indicators on every finding.
Different provider types face different compliance and revenue cycle pressures in 2026. We work across post-acute, behavioral health, and independent practice because the underlying methodology — fixed-fee audits, honest findings, and specialist-level remediation — applies everywhere. These are the segments where we do our deepest work.
PPEO readiness for hospices newly enrolled, reactivated, or under change of ownership since December 30, 2025. FY 2026 cap projection ($35,361.44) and aggregate cap liability modeling. HOPE readiness, Addendum workflow audits, IDG observation, and Palmetto GBA ADR/TPE response for Bene Sharing, Long-LOS, RHC, and GIP edits. Georgia-anchored; virtual for Arizona, California, Nevada, Ohio, and Texas PPEO agencies.
F-tag remediation focused on F880 and F689 — the citation categories driving post-Staffing-Rule enforcement. PDPM coding integrity reviews against the 34 FY 2026 ICD-10 mapping revisions. Medicare bad debt cost-report recovery for 100+ bed facilities, where MSP and dual-eligible reconciliation typically leaves six-figure recoveries on the table.
OASIS-E2 transition readiness (effective April 1, 2026), PDGM coding and HIPPS audit, F2F encounter compliance under 42 CFR 424.22, and ADR defense workflow optimization — addressing the Reason Code 56900 auto-denials that account for roughly 46% of Palmetto GBA home health denials.
Telehealth POS and modifier compliance, rendering provider NPI integrity, SLP Part B documentation against the $2,480 KX threshold, 92500-series coding review, and the OIG Work Plan items targeting behavioral health. Fixed-fee audits sized for solo and small-group practices.
E/M leveling and AWV coding audits, denial pattern analysis by payer, Georgia DPC statute compliance, Medicare and Medicaid patient navigation, and AR aging review for practices without dedicated revenue cycle staff. Engagements sized for lean-staff operations.
If your practice doesn’t fit neatly into one of these categories, we likely still work with you. Our methodology applies broadly across independent medicine. Book a free consultation and we’ll tell you honestly whether we’re the right fit — or refer you to someone who is.
Independent medicine deserves the same operational sophistication as the health systems that tried to absorb it. You chose to practice on your own terms. Your compliance, your revenue cycle, and your documentation should work on yours too.
Most independent practices and post-acute agencies are running compliance and revenue cycle workflows that haven’t been re-examined since the last major regulatory shift. Denial patterns get normalized, audit exposure compounds, and coding drift becomes invisible. A 20-minute conversation tells you whether it’s worth investigating further.