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Results & Experience

Leadership experience. Practical results. M&R brings together revenue cycle, coding and compliance expertise with healthcare operations, growth and executive leadership. Our combined experience helps healthcare organizations connect financial findings with the operational changes needed to address them. Complementary leadership strengths Melissa Pizor — Revenue cycle, coding and compliance Melissa brings executive revenue cycle leadership, coding and documentation auditing, payer-policy interpretation, provider education and compliance strategy. Her MBA and CPC, COC, CPMA and CPCO credentials support an approach that connects reimbursement accuracy, financial performance and preventive controls. Jeffery Walburger — Healthcare operations, growth and executive leadership Jeffery brings multi-site healthcare operations experience and works with executive teams on financial performance, operational consistency and the patient experience. His experience connects growth objectives with standardized operating practices, productivity and accountability across clinical locations. His credentials include FACMPE, CRCR and CRHCP. Together, we connect the financial and operational picture Our collective strengths span reimbursement, coding and documentation, payer requirements, staffing, workflows and leadership accountability. We translate findings into practical recommendations, clear priorities and implementation steps that teams can use. Verified prior leadership accomplishments $40 million healthcare revenue stream In a prior executive role, Melissa oversaw a $40 million healthcare revenue stream, connecting revenue cycle operations with financial performance and organizational priorities. This represents executive responsibility at a previous employer, not revenue generated by an M&R engagement. 36-person revenue cycle team Melissa led a 36-person revenue cycle team, with responsibility for workflows, performance management and operational accountability. This is a prior leadership accomplishment, not an M&R staffing or client result. Billing transitions and preventive controls Melissa led a transition from outsourced billing to an internal function, developed executive reporting and preventive controls, and applied automation to eligibility, claims and payment reconciliation. Jeffery’s multi-site operations experience adds a complementary perspective on consistency, productivity and accountability during growth and change. M&R consulting experience and capabilities Coding and documentation compliance Our consulting experience includes coding and documentation audits and provider education across behavioral health, OB/GYN, critical care, neuropsychology and therapy services. We connect findings with documentation support, coding accuracy and practical corrective action. Payer strategy and reimbursement We translate complex Medicare, Medicaid and commercial payer requirements into operational guidance. Multi-state policy research helps identify gaps between payer rules, documentation and billing workflows. Denial prevention, automation and workflow improvement We examine financial patterns alongside upstream coding, eligibility, documentation and operating controls. Recommendations address recurring causes, claim edits, exceptions and handoffs, with appropriate human oversight. Fractional leadership and operational improvement M&R offers fractional and interim revenue cycle leadership for transitions, growth and operational challenges. Our combined leadership perspective helps align revenue integrity recommendations with staffing, workflows, operating priorities and executive oversight. From evidence to an executive roadmap The $15,000 M&R Revenue Integrity Assessment is a defined 4–6 week engagement. Its Revenue Integrity Blueprint connects documented opportunities and root causes with prioritized recommendations and a 90-day action plan. Opportunities are identified as validated, calculated or estimated; implementation and financial results depend on the organization’s circumstances. The $40 million and 36-person figures describe Melissa’s prior executive responsibilities. We do not present those figures as Jeffery’s accomplishments or M&R engagement results. No unverified growth metrics, confidential client identities or unapproved testimonials are included.
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