Every engagement begins with a defined scope and a published price. We work with independent and small-chain operators across hospice, post-acute, and physician practice — at price points that reflect boutique advisory, not BigLaw hourly.
E/M leveling, AWV documentation gaps, MDM scoring, modifier and NCCI edit risk, payer-specific patterns. Grounded in operator-level coding review experience across a multi-provider RCM operation. Three fixed tiers — scope drives the price.
Proprietary analysis of your CPT utilization profile against OIG 2026 Work Plan priorities and published specialty benchmarks. Surfaces overcoding risk, undercoding patterns, high-risk modifier combinations, and provider-level outliers — before auditors find them.
Cross-reference your provider roster against Medicare PECOS, GA Medicaid, NPPES, CAQH, and major commercial payers. Certificate-style deliverable flags discrepancies, effective-date mismatches, and silent terminations before they cost you out-of-network claims.
Five-layer OIG LEIE screening against 83,000+ records — NPI exact match, SSN/DOB cross-reference, Soundex/Metaphone phonetic matching, Levenshtein fuzzy logic, and entity-level matching. Branded compliance certificate on every engagement.
Structured pre-enforcement compliance review for hospices in active Provisional Period of Enhanced Oversight. Every claim in PPEO is subject to 100% prepayment review — documentation and workflow gaps that would have been recoupment risk six months later are denials-before-payment today.
A hospice exceeding its aggregate cap owes CMS retroactively — and most administrators don't see it coming because cap math is non-intuitive and the Medicare Cost Report doesn't reveal it until months after the cap year ends.
An ADR lands on Tuesday. 45 days to respond. Every associated claim is frozen. A bad response means denial; a good one means payment. We assemble the complete packet, draft the response narrative around your specific denial driver, and track the appeal through determination.
F880 (infection prevention) and F689 (accidents and supervision) are the two highest-volume SNF citation tags — and both survived the February 2026 Staffing Rule rescission. A 1-star or 2-star SNF with recurring citations has both survey and Five-Star payment exposure.
Ongoing compliance coverage for independent hospices, SNFs, and HHAs that need continuous regulatory watch without a full-time compliance officer. Every subscriber retained into Year 2 is pure compounding MRR — and a stronger compliance program.
The eight services above are the most frequently requested and the highest-priority offerings for Year 1. The full 35-SKU catalog — including AWV compliance audits, HOPE readiness, hospice mock survey, HHA PDGM and OASIS-E2 review, SLP KX documentation audit, HIPAA risk assessment, OIG compliance program review, and AI governance assessment — is available as a leave-behind after a qualified discovery call.
If your situation doesn't fit cleanly into the eight above, schedule a call. We can almost certainly scope something from the full catalog that does.