Who We Help
M&R supports healthcare leaders navigating complex reimbursement, coding, compliance and operational decisions.
Behavioral Health & Substance Use Disorder OrganizationsConnect documentation, coding and payer requirements across therapy, psychiatry and specialized behavioral health services. We help interpret state-specific Medicaid and commercial policies, investigate denial patterns, validate preventive claim edits and strengthen revenue cycle workflows. Relevant experience includes behavioral health executive revenue cycle leadership and multi-state payer-policy research.
OB/GYN & Women’s Health PracticesReview professional coding, E/M levels, modifier 25, procedure bundling and documentation supporting reimbursement. We help translate maternity and payer requirements into provider education, practical templates and follow-up review plans. Relevant consulting experience includes OB/GYN coding and documentation audits and provider education.
Primary Care OrganizationsAddress eligibility, E/M documentation, chronic-care program billing requirements, payer variation and upstream controls that reduce preventable billing problems. Our work connects operational workflows with coding and payer-rule interpretation; we scope recommendations to the organization’s services and payer mix.
Multispecialty Physician GroupsUnderstand variation across specialties, locations and payers without relying on denial rates alone. We assess coding and documentation patterns, payment and write-off trends, vendor accountability and reporting. Our experience includes multi-state, multi-specialty consulting and leadership of large revenue cycle operations.
Specialty Practices & Surgical GroupsExamine complex professional and hospital coding, medical necessity, time-based services, E/M levels, modifiers and bundling. Relevant work includes critical care compliance reviews, neuropsychology and therapy audits, and surgical coding review planning. We distinguish completed work from work still in progress and do not promise results before review.
Healthcare Technology & Revenue Cycle OrganizationsTurn payer policies into testable billing rules, claim edits and exception workflows. We support multi-state behavioral health payer-rule research, automation validation, billing vendor oversight and system or operating-model transitions. The aim is to strengthen reimbursement logic and preventive controls before scaling automation.
Start with a defined assessmentThe $15,000 M&R Revenue Integrity Assessment is a 4–6 week engagement that connects financial, coding, payer and operational findings to a prioritized 90-day action plan.
Behavioral Health & Substance Use Disorder OrganizationsConnect documentation, coding and payer requirements across therapy, psychiatry and specialized behavioral health services. We help interpret state-specific Medicaid and commercial policies, investigate denial patterns, validate preventive claim edits and strengthen revenue cycle workflows. Relevant experience includes behavioral health executive revenue cycle leadership and multi-state payer-policy research.
OB/GYN & Women’s Health PracticesReview professional coding, E/M levels, modifier 25, procedure bundling and documentation supporting reimbursement. We help translate maternity and payer requirements into provider education, practical templates and follow-up review plans. Relevant consulting experience includes OB/GYN coding and documentation audits and provider education.
Primary Care OrganizationsAddress eligibility, E/M documentation, chronic-care program billing requirements, payer variation and upstream controls that reduce preventable billing problems. Our work connects operational workflows with coding and payer-rule interpretation; we scope recommendations to the organization’s services and payer mix.
Multispecialty Physician GroupsUnderstand variation across specialties, locations and payers without relying on denial rates alone. We assess coding and documentation patterns, payment and write-off trends, vendor accountability and reporting. Our experience includes multi-state, multi-specialty consulting and leadership of large revenue cycle operations.
Specialty Practices & Surgical GroupsExamine complex professional and hospital coding, medical necessity, time-based services, E/M levels, modifiers and bundling. Relevant work includes critical care compliance reviews, neuropsychology and therapy audits, and surgical coding review planning. We distinguish completed work from work still in progress and do not promise results before review.
Healthcare Technology & Revenue Cycle OrganizationsTurn payer policies into testable billing rules, claim edits and exception workflows. We support multi-state behavioral health payer-rule research, automation validation, billing vendor oversight and system or operating-model transitions. The aim is to strengthen reimbursement logic and preventive controls before scaling automation.
Start with a defined assessmentThe $15,000 M&R Revenue Integrity Assessment is a 4–6 week engagement that connects financial, coding, payer and operational findings to a prioritized 90-day action plan.