Your Medicare Panel Is Larger Than Your Medicare Revenue. Let's Close the Gap.
Most independent specialty practices with a significant Medicare panel are operating CCM and RPM programs below capacity — or not at all. The result isn't a billing error. It's a structural gap between the care your team is already coordinating and the reimbursement your practice has earned for it. When care coordination is properly documented and billed, practices can serve more complex patients with confidence — and recover the revenue that reflects the work they're already doing. The Medicare Growth Optimizer™ closes that gap in six weeks.
What You Receive
- A complete Medicare revenue gap analysis specific to your specialty, panel size, and market — not a generic industry benchmark, but a model built from your actual panel composition, so every number reflects your practice, not an average one.
- CCM and RPM program assessment — a clear picture of what's currently running, what's missing, and what's recoverable, so you know exactly which piece of the puzzle is costing you the most.
- A chronic care documentation review with specific coding opportunities identified — down to the code level, so your billing team has a concrete checklist instead of a vague direction.
- Quantified revenue projections across conservative, mid-range, and optimistic scenarios — so you can plan around a realistic number, not a best-case fantasy.
- A 90-day action plan organized into 30-day implementation phases — sequenced so your team always knows the next concrete step, never left staring at a strategy deck with no starting point.
Why This Works
This isn't a generic billing audit. It's the same rigor Fortune 500 health systems use to manage complex chronic care programs — resized for an independent practice's budget and timeline. We map your actual panel data against current CMS reimbursement rules for CCM and RPM, then translate that gap into a sequenced plan your existing staff can execute without new hires, new software, or a new EHR. Most practices are surprised not by how big the gap is, but by how straightforward it is to close once it's actually mapped out.
How It Works
Weeks 1–2: Discovery
Practice intake, panel analysis, and review of current CCM/RPM program status.
Weeks 3–4: Gap Analysis
Identify specific revenue gaps, documentation opportunities, and coding optimization.
Weeks 5–6: Delivery
90-day action plan, revenue projections, and implementation priorities presented to your team.
Who This Is For
The Medicare Growth Optimizer™ is designed for independent specialty practices with a 40% or higher Medicare panel that are not yet running a structured CCM or RPM program — or that have a program in place but suspect it's underperforming. Cardiology, pulmonology, rheumatology, nephrology, orthopedic, and other chronic-disease-focused specialties are typically the strongest candidates. If your practice is already coordinating care for complex Medicare patients, there is almost certainly recoverable revenue on the table.
Medicare Growth Optimizer™ Snapshot
Not ready for the full six-week engagement? The MGO Snapshot delivers a condensed, 2–3 week review — a structured summary of your practice's CCM/RPM standing and a clear set of next-step actions your team can start on immediately. It doesn't include the full gap analysis, quantified revenue projections, or documentation review of the complete engagement — it's built for practices that want direction and momentum fast, before committing to the full program.
Investment
Every engagement is scoped to the practice — reach out to discuss investment for the full Medicare Growth Optimizer™ or the Snapshot option. Senior-led. Virtually delivered. No long-term dependency after delivery.
Practices that identify their Medicare gaps early tend to recover them faster.
If you'd like to understand what your practice's opportunity looks like before committing to a full engagement, start with the free Medicare Revenue Opportunity Scan.