Case studies

Results that hold up

Anonymized studies from client work, each in the same shape: the challenge, the approach, and the measured impact. Where a figure is modeled, small-sample, or a target, the study says so.

By the numbers

The portfolio, in aggregate

175K+
Diagnosis and procedure codes in an auditable taxonomy
~95%
Weighted E&M accuracy, clinician ground truth
165M+
Hospital price records benchmarked
~7M
Medicare episodes modeled for bundled payment
26 → 10
Days month-end close, scoped target
180+
Hospitals of PI experience on the team

Aggregated across the studies below. Some figures are modeled, small-sample, or targets, and are phrased that way in the detail.

The studies

Nine engagements, one discipline

Each study is written to show the work, not the client. Litigation and privileged engagements are never written up publicly; counsel can request a method briefing.

Revenue Cycle & Denial Prevention

From 69.6% to a Defensible E&M Coding Engine: Separating the LLM's Reading from the Rules That Decide

A venture-backed clinical-documentation AI company (orthopedics).

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Accounting & Close Automation

A Configuration-Driven Physician Compensation Engine, Built as a Vertical Slice

A fast-growing orthopedic management services organization (about 180 physicians, 51 clinics).

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Capability spotlight

Operational Performance Improvement: a capability now on the team

Mid-market and rural / nonprofit health systems

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Value-Based Care & Risk Economics

Sizing Bundled-Payment Opportunity Across 3,000 Hospitals from a 5% Claims Sample

A value-based-care navigation company launching around CMS mandatory bundled-payment programs.

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Enterprise AI Enablement & Research

A No-Copy PHI Cloud Environment That Cleared AI Governance and Funded Research Through Year 3

A national hospital system (180+ hospitals) with a longstanding academic research partnership.

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Healthcare Data & Code Infrastructure

A Build-Time AI, Run-Time Determinism Engine for Healthcare Code Classification

Signal Forward internal capability, reused across healthcare client engagements.

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Healthcare Data & Code Infrastructure

A National Hospital Price-Transparency Benchmark, Built on Deterministic Rules and Audit-Ready Controls

A benefits-analytics company serving 250k-plus employers.

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Healthcare Data & Code Infrastructure

Resolving Physicians to Employers: NPI Entity Resolution and Frozen Reference Tables

An early-stage health-data startup (a physician career-intelligence platform).

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Healthcare Data & Code Infrastructure

A Deterministic Provider-Targeting Engine for Cash-Pay Prescriber Acquisition

A compound-pharmacy platform (cash-pay GLP-1 and HRT).

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