30 years fixing how provider practices run and get paid.
Operations · Revenue Cycle · AI & Automation
You're not hiring a consultant. You're hiring someone who knows how provider practices actually run.
Who this is for
I work with the practices most consultants overlook.
The problem
Most practices don't need a full-time COO. They need someone who can fix operational bottlenecks, improve revenue flow, and get the team aligned without adding more staff.
Claims come back and nobody owns the pattern.
You're paying for billing you can't see into.
Money leaks before a claim is ever sent.
Work moves by memory and workaround, not process.
Notes that slow coding and cost revenue.
Leaders flying blind, no KPIs, no accountability.
of claims are denied on first submission, and the rate is rising.
Kodiak Solutions, 2024to rework one denied claim, and 50 to 65% never get reworked at all.
MGMAdays in AR. Top practices collect in 36, the rest take 47 or more.
MGMA, 2024One method that takes a practice from a hidden problem to a measurable result, worked across revenue cycle and operations at the same time.
Four moves. Two tracks. Every stage runs on both Revenue Cycle (RCM) and Operations together:
We find what others miss.
Read the real RCM and operations data, and surface the leaks and bottlenecks nobody has named.
We bring clarity to complexity.
Trace symptoms to root cause and define the one problem that anchors everything else.
We align the fix with reality.
Choose the highest-payoff solution and build it into how your practice actually runs day to day.
We drive measurable results.
Track the numbers that prove it worked, sustain the gains, and refine as the practice grows.
Services
For practices that feel stuck but don't know why.
For practices with chronic denials or an underperforming billing vendor.
For chaotic or declining practices.
For new practices, breakaways, and service-line launches.
For new providers, breakaways, and groups adding clinicians who need to get enrolled, contracted, and paid.
For practices that need leadership but not a full-time COO.
For practices buried in manual work who want to know where AI actually helps, and where it doesn't.
80% of health systems are already moving on AI for revenue cycle (HFMA/AKASA). Only 14% of providers use it to cut denials, but 69% of those who do say it worked (Experian, 2025).
See exactly where your revenue is leaking.
Start with a Practice AuditPricing
Final scope confirmed on a short consult. Your Practice Audit fee credits in full toward any engagement you begin within 30 days.
| Service | Length | Investment |
|---|---|---|
| Practice Audit & Revenue Roadmap | 30 days | $4,500 |
| Revenue & RCM Optimization | 30–60 days | $7,500 |
| Practice Fixer (Turnaround) | 60–90 days | $10,000 |
| Practice Builder (Startup) | 90–120 days | $12,000 |
| Credentialing & Provider Enrollment | 30–60 days | $5,000 |
| AI Workflow Evaluation & Automation | Scoped | Contact for price |
Fractional Operations Leader, monthly retainer
| Commitment | Monthly |
|---|---|
| 4 hrs / week | $3,500 |
| 8 hrs / week | $6,500 |
| 12 hrs / week | $9,000 |
| Custom | Let's talk |
About Chenoa
30 years in healthcare operations, revenue cycle, and labs. I build, rebuild, and optimize provider practices so revenue flows and teams can breathe again. My background spans operations, RCM, and program management. I also help practices evaluate, select, and direct AI and automation, cutting the manual load without buying into the hype.
I help practices run without chaos. I step in as a fractional operations leader to fix workflows, accelerate revenue, and clean up the operational bottlenecks that drain clinicians.
A 30-day Practice Audit tells you where the money goes and what to fix first.