Provider Revenue Group

Cleaner operations.Faster revenue.Less chaos.

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

Sound familiar?

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.

High denials

Claims come back and nobody owns the pattern.

Underperforming vendors

You're paying for billing you can't see into.

Front-end revenue loss

Money leaks before a claim is ever sent.

Broken workflows

Work moves by memory and workaround, not process.

Inefficient documentation

Notes that slow coding and cost revenue.

No operational visibility

Leaders flying blind, no KPIs, no accountability.

11.8%

of claims are denied on first submission, and the rate is rising.

Kodiak Solutions, 2024
$25–$118

to rework one denied claim, and 50 to 65% never get reworked at all.

MGMA
36 vs 47

days in AR. Top practices collect in 36, the rest take 47 or more.

MGMA, 2024
THEDIAGNOSEMethod™

I diagnose the practice, then treat it.

One 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:

Pillar 01

Uncover

We find what others miss.

Read the real RCM and operations data, and surface the leaks and bottlenecks nobody has named.

Pillar 02

Clarify

We bring clarity to complexity.

Trace symptoms to root cause and define the one problem that anchors everything else.

Pillar 03

Align

We align the fix with reality.

Choose the highest-payoff solution and build it into how your practice actually runs day to day.

Pillar 04

Perform

We drive measurable results.

Track the numbers that prove it worked, sustain the gains, and refine as the practice grows.

Services

Start with a diagnosis. Take it as far as you need.

AssessFixBuildLead
AssessStart here30 days

Practice Audit & Revenue Roadmap

For practices that feel stuck but don't know why.

  • Workflow and operations assessment
  • Denial pattern review
  • Billing and vendor evaluation
  • Documentation audit
  • Revenue-leak map, front desk to billing
  • 90-day roadmap and leadership debrief
Outcome: you finally know where the money goes and what to fix first.
FixMost requested30–60 days

Revenue & RCM Optimization

For practices with chronic denials or an underperforming billing vendor.

  • Current billing model evaluation
  • Keep / change / bring-in-house recommendation
  • Deep denial analysis and prevention
  • Documentation and order-flow fixes
  • Documentation templates that support the code billed
  • Charge-capture and order-to-billing cleanup
Outcome: denials down, cleaner claims, revenue moving.
Fix60–90 days

Practice Fixer (Turnaround)

For chaotic or declining practices.

  • Operations cleanup and front-end redesign
  • Denial correction, charge capture, documentation
  • Vendor and billing evaluation
  • Staffing audit
  • Weekly accountability calls
Outcome: stability in 60 days, measurable revenue lift in 120.
Build90–120 days

Practice Builder (Startup)

For new practices, breakaways, and service-line launches.

  • End-to-end workflow design
  • EMR and vendor selection
  • Documentation templates and SOP library
  • Hiring plan and interview guides
  • Revenue readiness and order-to-billing setup
Outcome: open the doors ready to run and ready to bill.
Build30–60 days

Credentialing & Provider Enrollment

For new providers, breakaways, and groups adding clinicians who need to get enrolled, contracted, and paid.

  • Payer enrollment and re-credentialing, commercial and government
  • CAQH build and maintenance
  • Credentialing and privileging roadmap
  • Provider contract setup (W2 and 1099)
  • Revalidation and expirables calendar
  • Application tracking through approval
Outcome: providers credentialed, contracted, and billable, no revenue lost to enrollment gaps.
Lead · Signature Offering3–12 mo

Fractional Operations Leader

For practices that need leadership but not a full-time COO.

  • Weekly operational oversight
  • Revenue monitoring and a KPI dashboard
  • Vendor and EMR management
  • Team alignment and documentation optimization
  • An EOS-style accountability structure
Outcome: COO-level leadership without the COO headcount.
AI & AutomationScoped to project

AI Workflow Evaluation & Automation

For practices buried in manual work who want to know where AI actually helps, and where it doesn't.

  • Workflow evaluation to find the repetitive work worth automating
  • AI readiness and opportunity assessment
  • Tool and vendor evaluation (RCM AI, ambient scribes, automation platforms)
  • Direct the build and rollout, managing the vendor who implements it
  • Oversee integration with your EMR and billing systems
  • Staff training and adoption

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).

Outcome: the right automation in the right place, not AI for its own sake.

See exactly where your revenue is leaking.

Start with a Practice Audit

Pricing

Priced for the depth of the work, not the hour.

Final scope confirmed on a short consult. Your Practice Audit fee credits in full toward any engagement you begin within 30 days.

Defined scopeA clear deliverableAn end dateNo open-ended retainers
ServiceLengthInvestment
Practice Audit & Revenue Roadmap30 days$4,500
Revenue & RCM Optimization30–60 days$7,500
Practice Fixer (Turnaround)60–90 days$10,000
Practice Builder (Startup)90–120 days$12,000
Credentialing & Provider Enrollment30–60 days$5,000
AI Workflow Evaluation & AutomationScopedContact for price

Fractional Operations Leader, monthly retainer

CommitmentMonthly
4 hrs / week$3,500
8 hrs / week$6,500
12 hrs / week$9,000
CustomLet's talk

About Chenoa

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.

Start with a diagnosis.

A 30-day Practice Audit tells you where the money goes and what to fix first.