Practice Management Consulting Services for U.S. Healthcare Providers

Workflow optimization is an operational assessment of how a patient moves from scheduling and front desk check-in through charge capture and claim submission. RevalonMD maps your scheduling, patient access, and documentation handoffs, then removes the process bottlenecks that throttle productivity and capacity. Because the same team also runs your billing, every workflow change is measured against its downstream effect on clean-claim and denial-prevention rates — not redesigned on a whiteboard and handed off. The result is higher provider utilization and faster cash flow without adding staff.

A fee schedule analysis compares your CPT-based payer reimbursement rates against the CMS Medicare Physician Fee Schedule benchmark and MGMA specialty benchmarks to find where you are systematically underpaid. Even a 10–15% gap below Medicare across high-volume E&M codes compounds into tens of thousands of dollars in annual revenue loss for a multi-provider group. RevalonMD performs the line-level financial analysis, quantifies the gap by payer, and builds the evidence file that supports renegotiation — then the billing team applies the corrected rates the moment a contract is amended.

Payer contract negotiation targets the commercial agreements that quietly cap your revenue — especially auto-renewal clauses that lock in rates from years ago. RevalonMD reviews each payer contract against fair market value and your specialty's benchmark reimbursement, identifies the clauses worth reopening, and supports the contract negotiation with payer-specific data rather than a generic ask. Improving your payer mix and base rates is one of the highest-return moves a practice can make, because the gain recurs on every claim for the life of the contract instead of one time.

OIG compliance program design builds the seven-element framework the Office of Inspector General recommends in its General Compliance Program Guidance (November 2023). RevalonMD drafts the written policies and procedures, defines the compliance officer role, structures training and education, and stands up the auditing and monitoring cadence that protects revenue integrity and reduces legal exposure. Coding compliance audits are run by the same AAPC/AHIMA-certified coders who handle your day-to-day coding, so a finding in the audit becomes a corrected process rather than a report that sits in a drawer.

KPI reporting tracks the metrics that reveal revenue cycle health: overhead ratio, days in accounts receivable, net collection rate, first-pass acceptance rate, cost to collect, revenue per provider, and payer-specific denial rates. RevalonMD delivers a monthly dashboard that benchmarks each metric against MGMA 2025 specialty data, so you see whether a number is good for your field rather than guessing. Reporting is only useful if it drives action — every metric on the dashboard ties to a specific lever the consulting and billing teams can pull, from denial prevention to contract renegotiation.

Staffing and RCM org design corrects the imbalances that drive both burnout and revenue leakage. RevalonMD benchmarks your billing-staff-to-provider ratio against the MGMA benchmark of roughly 2.7 billing FTEs per physician, evaluates whether front desk and patient access roles are sized to your volume, and recommends where to outsource versus retain. Chronic billing staff turnover is one of the most expensive hidden costs in an independent practice; a sound org design — or moving the function to a certified outsourced team — stabilizes cash flow and removes single-person dependency from your revenue cycle.

Practice benchmarking measures your operational and financial performance against MGMA DataDive 2025 specialty figures so you know whether your overhead ratio, revenue per provider, and cost to collect are competitive for your field. Generic consulting compares you to a national average; RevalonMD benchmarks you against your specialty, because a 60% overhead ratio means something very different in primary care than in a procedure-heavy field. The gap analysis that comes out of benchmarking is the starting point for every other consulting engagement — it tells you which lever to pull first and what the upside is worth.

Technology selection — including EHR selection and practice management system evaluation — is one of the costliest decisions a practice makes, and one of the easiest to get wrong without revenue cycle input. RevalonMD evaluates candidate systems for how cleanly they support charge capture, coding, claim submission, and reporting, not just clinical features. Because RevalonMD is EHR-agnostic and works inside whatever you choose, the recommendation is unbiased — there is no software being sold. The goal is a system that lowers your cost to collect and improves data quality, not a longer feature list.