Services
Four pillars, one connected strategy, and the CMS programs that fund the work
Quality, risk capture, complex care and value-based performance, built on documentation and an EHR that capture the work. We design, launch and run the CMS programs behind them, inside your practice and your existing EHR.
Consulting services
Consulting services
Each pillar stands on its own; together they compound into durable value-based performance.
- 01
Practice Transformation & Quality Improvement
HEDIS and Star measures, care gap closure, AWV campaigns and care team redesign.
Learn more - 02
Risk Adjustment & Coding Optimization
CMS-HCC V28 risk capture: prospective review, retrospective audits and provider education.
Learn more - 03
CDI Review & Coding
Clinical documentation integrity reviews, coding accuracy audits and query workflows.
Learn more - 04
Complex Care & High-Utilizer Management
Post-discharge outreach, TCM, readmission and avoidable ED reduction.
Learn more - 05
ACO & Value-Based Performance Enablement
Tie quality, risk and utilization work to Stars, withholds and shared savings.
Learn more - 06
EHR Enhancement & Optimization
Templates, macros, alerts, order sets, education and registry reports that capture the work.
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CMS program design
CMS program design
We design, launch and run these Medicare programs inside the practice: eligibility and consent, workflows and staffing, documentation, billing rules and the audit file.
Advanced Primary Care Management (APCM)
G0556–G0558 monthly care management, levels by complexity.
Learn moreChronic & Principal Care Management (CCM / PCM)
Care plans, monthly time-based care management and documentation.
Learn moreTransitional Care Management (TCM)
Two-business-day contact and 7/14-day face-to-face after discharge.
Learn moreAnnual Wellness Visits (AWV)
Visit design, campaigns and the risk and quality capture an AWV enables.
Learn moreRemote Monitoring (RPM, RTM + CGM)
Device programs for hypertension, heart failure and diabetes.
Learn moreBehavioral Health Integration (BHI / CoCM)
Screening, warm handoffs and collaborative care billing.
Learn moreMIPS & Quality Payment Program
Measure selection, data completeness and submission readiness.
Learn moreACO Programs (MSSP, ACO REACH, LEAD)
Quality reporting, benchmarks and participant readiness.
Learn moreNursing Home & Post-Acute Quality
Five-Star quality measures, QRP, SNF VBP and hospitalization reduction.
Learn more
How we work
Access. Design. Execute. Monitor.
The four disciplines in our approach, and the operating rhythm behind every engagement.
- 01
Access
Connect and diagnose through data
We build shared insight from your quality, risk and utilization data, and target the highest-impact gaps first.
- 02
Design
Align people, then redesign workflows
Structured, trust-building conversations with your practice reveal operational breakdowns and guide targeted redesign.
- 03
Execute
Pilot, shadow and hardwire reliability
We drive workflow redesign with your team, then pilot and shadow it in real conditions to validate feasibility and strengthen adoption.
- 04
Monitor
Measure, report and loop back
KPI tracking and provider-level reporting close the loop, feeding results back into the data for sustained improvement.
A continuous loop:DataConversationsWorkflow assessmentRedesignPilotReliabilityback to Data
Working terms
The same commitments apply to every engagement, whatever its size.
- A Business Associate Agreement is executed before we see any protected health information.
- Programs are built inside the EHR you already use; no new platform for your staff to log into.
- A pilot comes before scale, with a go / no-go decision you make on the pilot's results.
- You remain the billing party at all times; we do not submit claims.
- Legal and billing-compliance questions are identified in writing and referred to your healthcare counsel.
Engagement levels
Start small, or hand us the program
Every engagement starts with a conversation. From there, choose the level of support that fits your team. Scope is agreed in writing before work begins.
- 1
Consultation
A private 60-minute consultation on your panel, payers, contracts and EHR, and where the work is.
- 2
Assessment & roadmap
A baseline audit of your data, workflows and documentation, and a tailored roadmap with priorities and targets.
- 3
Design & implementation project
A defined project to design and launch a program or workflow, with a pilot and a go / no-go decision before scale.
- 4
Ongoing support / retainer
Monthly oversight after launch: KPI review, audits, education and course corrections while your team runs the work.
- 5
Managed program operations
We operate the program day to day with your staff, under your billing and compliance responsibility.
Insights
Read before you call
CY 2027 Medicare Advantage & Value-Based Care FAQ
What CMS changed for 2027 in MA payment, risk adjustment and RADV, the Physician Fee Schedule, MSSP and the LEAD Model, answered for primary care providers, ACO executives and payors. As of October 13, 2026.
Learn moreCY 2027 Star Ratings, HEDIS & Quality FAQ
The 2027 to 2029 Star Ratings measure sets and weights, draft cut-point movement, the cancelled Health Equity Index reward and the HEDIS MY2026 and MY2027 changes. As of September 20, 2026.
Learn more
Ready to simplify the complex?
Not sure where to start?
Book a consultation, share your data and goals, and get a tailored roadmap.