Orchestrated outcomes for operators
More Output. Faster Cash. Certainty for Medical Practices.
Systems that talk to each other. Automated work that stops needing a person. Reports you can act on without checking them twice. Desired behaviors across your business drive the consistent no-touch outcomes you need.
The missing link.
Profitable on paper. Tighter in the bank than your work deserves. Your practice has already tried the consultant, the new hire, the system switch, and the dashboards not telling the story you need.
01
The money was always there. It was just arriving late.
Same patients. Same payers. Same fee schedule. That practice did not earn a dollar more.
It collected what it had already earned, sooner, and stopped lending the difference to its payers for free.
$203,000 a month moved off the aging report.
02
Who this is for
Everyone around you is deep in one lane. Billing knows billing. The front desk knows the front desk. The system vendor knows the system. Nobody stands above the whole operation and asks why the money the work should have produced is not the money that showed up.
Your reports describe what happened without ever saying why, so every fix you have tried moved the number for a quarter and then it came back.
What you do not have is anyone with an operator's mindset. Someone who has run one, reads your data the way an owner reads it, and works backward from the outcome you wanted to the exact place it broke.
Practice owners →Everything you know about a portfolio company arrives from the people being measured. The numbers that would settle it sit inside the practice management and EHR systems those companies already run, and nobody is getting them out.
Your operating partners cannot, and the management team has no reason to. So the operating story and the P&L disagree, quarter after quarter, and nobody can tell you why.
We work inside those systems and pull the real data out, the same data the practice runs on, without asking anyone to prepare it first. You get told which companies have margin trapped in the operation rather than the market.
Private equity →You picked the system, or you inherited it, and you are running a fraction of what it can do. Some of what you want most is already in there, switched off or never wired up.
Which is why the push to switch usually comes from inside. Your team asks for something else because nobody ever showed them what this one does, and sometimes because a new system is an easier answer than a hard look.
It is rarely the software. A move costs you two years and rebuilds the same gaps on a new screen. A whole wing of this site is for you: reporting, automation, cash flow, and enterprise data.
AdvancedMD services →03
Who this is not for
Four kinds of practice should not call us. Not because we would turn the work away, but because we would not produce anything worth what it costs.
Wants the finding, not the change.
We do not leave a report. We change how the operation runs, and that means someone's Tuesday changes. If the goal is a document that proves the problem exists, a consultant will do that faster and cheaper.
Cannot authorize a change to how the practice runs.
Everything we find ends in a decision someone has to make and hold. If every change has to survive a committee, the finding will die there.
Has never measured anything and does not intend to start.
We work backward from your data. If the data does not exist and nobody wants to produce it, there is nothing to work backward from.
Is shopping for cheaper billing.
We are not a billing company and we do not want your billing work. If you need someone to submit the claims and work the queue, hire a good biller, or keep the service you have. We find why the numbers look the way they do, before the claim goes out and after it comes back, and we change the operation so the same problems stop arriving.
04
The proof is an operating record
We did not model these numbers. We produced them, inside working practices, against real payers, on the systems those practices already ran.
Every figure on this site came out of practice data, and we can show you the arithmetic behind any of it. Where a number came from one engagement, we say so. Where we have not proven something yet, we say that too.
Anyone can move a number for a quarter. What matters is that these held, because what changed was the way the work happens, not how hard someone was pushing that month.
05
We publish what we find
Most firms in this business publish opinions. We publish the findings, including the ones that are unflattering, and including the mechanism, so you can check whether the same thing is happening to you before you ever speak to us.
06
See where your practice stands
Thirty minutes. We will show you what the operating record looks like in real practices, and you will see where your own numbers sit against it. Prep nothing.
Not ready to talk? Run the Cash Scorecard instead. Three minutes, ten questions, no data required.