What does medical practice consulting include?
Medical practice consulting covers the business side of running a practice. For a new practice, that means entity and NPI setup, credentialing and payer enrollment, billing system and workflow design, and fee schedule and coding setup. For an established practice, it means staff training, provider documentation training, chart audits, and defending against payer audits and recoupments. MMSM guides physicians and other healthcare providers through all of it, so the practice gets paid correctly from day one and keeps what it earns.
Consulting for every stage of a practice
Most practices don’t struggle because the medicine is wrong. They struggle because the business side was set up wrong, or was never revisited. Credentialing started too late, the billing system was an afterthought, staff were never trained on the payers they bill, and nobody looked at a chart until a payer did. MMSM has helped physicians and other providers launch, run, and protect practices since 1984. Whether you’re opening your doors or have been open for twenty years, we bring that experience to your practice.
Staff training, provider training, and chart audits
This is the work we’re known for, and few firms offer it.
- Billing staff training: we train your front desk and billing staff on eligibility, charge capture, coding, and the payer rules that drive your denials, so problems stop at the source.
- Provider documentation training: carriers are actively auditing higher-level office visits and taking money back when the note doesn’t support the level billed. We teach physicians, nurse practitioners, and PAs to document what they did, so visits are coded correctly and hold up under review.
- Chart audits: a proactive review of your charts against what was billed, before a payer does it for you. You see what’s at risk, what’s being left on the table, and exactly what to change.
- Audit defense: when a payer proposes a recoupment, we review the charts and make the case on your behalf. In one recent case, our chart audit cut a Michigan payer’s proposed recoupment by roughly two-thirds.
Launch a new practice that’s profitable from day one
What we help you put in place
- A clear startup roadmap: the right tasks, in the right order, on a realistic timeline
- A clean billing foundation: entity, NPIs, and tax ID set up to bill correctly
- Early credentialing and enrollment so you’re in-network when you open
- Billing systems and workflows designed to scale, not to be replaced in a year
- Fee schedule and coding setup that protects your margins from day one
- Trained staff and providers who bill and document correctly from the first visit
One partner, all the way through
The real advantage of starting with MMSM is continuity. The team that designs your revenue cycle is the team that runs it: your billing, credentialing, and enrollment all under one roof, with no costly handoffs.
Planning a new practice, training your team, or facing a payer audit? Book a free consultation or call (517) 485-0001.
What's included
- Staff and provider training: billing staff training and provider documentation training that holds up to payer review.
- Chart audits and audit defense: proactive coding audits, plus representation when a payer proposes a recoupment.
- Startup roadmap with the right tasks in the right order.
- Entity, NPI & tax ID setup guidance to build a clean billing foundation.
- Credentialing & payer enrollment started early so you can bill on day one.
- Billing system & workflow design that scales as you grow.
- Fee schedule, coding & charge capture setup for healthy margins.
- Ongoing revenue cycle management once your doors are open.
