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Business of medicine

Medical Practice Consulting | PPS

Operations review for established practices not hitting their margins. We look at billing, payer mix, staffing, schedule density, and contract terms.

Most established medical practices are operating below their potential margin, and most owner-physicians know it but can’t pinpoint where the leak is. The reasons compound: payer mix has drifted, fee schedules haven’t been renegotiated, the billing company has gotten lazy on denials, a single high-cost staff role is overstaffed for current volume, the schedule has 20% no-show that nobody’s solving. PPS does practice consulting engagements that look at all of it in one sweep, then recommend what to fix in what order.

What’s included

  • P&L deep dive — revenue by payer, by CPT, by provider; expense by category; trends over 24 months.
  • Payer mix and contract review — what you’re being paid, what the market pays, where the negotiation leverage is.
  • Billing audit — denial rate, first-pass acceptance, AR aging, write-off pattern.
  • Schedule analysis — no-show rate, slot utilization, provider productivity.
  • Staffing review — roles vs. volume, comparison to specialty benchmarks.
  • Prioritized recommendation set — usually 5-8 actions ranked by impact and effort. You decide which to act on.

How it works

Weeks 1-3. Document collection and data pull.

Weeks 3-6. Analysis.

Week 7. Findings presentation — usually a 90-minute call with the practice owner and CFO/practice manager.

Optional Weeks 8+. Implementation support on the items you decide to action (often handled by other PPS services like Insurance Contract Negotiations or Revenue Cycle Management).

Who this is for

  • Established practices (3+ years operating) whose margin has been trending down.
  • Practices considering a sale and wanting to understand what’s recoverable before listing.
  • Practices that just changed billing companies and want a baseline.
  • Practices that grew from 1 provider to 4+ and operations didn’t scale with the growth.

What we won’t do

We won’t write a 200-page report. The findings deck is usually 15-20 slides with the math behind each recommendation. The point is decisions, not documents.

Get started

Send us your last 12 months of revenue summaries, your payer mix, and your top 3 expense categories. We’ll quote the engagement after a 30-minute scope call.

Start a consulting scope call — or see Revenue Cycle Management if billing recovery is your specific issue.