What we solve, and how we deliver
The practice areas we go deep in, and the engagement models we deliver them through. Every one runs on the same craft: AI you can audit, models you can defend.
The decisions that carry the most risk
Each one automated with deterministic, auditable models we build for you, rather than a black box.
Revenue Cycle & Denial Prevention
Deterministic coding and denial-prevention models that lower cost-to-collect and recover revenue. Built so a CFO can underwrite the savings and an auditor can trust them.
Accounting & Close Automation
Deterministic, auditable automation for the finance back office: physician compensation, the close, and management reporting. Every dollar reconciles to source, built for teams burned by black-box automation.
Operational Performance Improvement
Lean process engineering, labor and productivity, workforce management, and throughput, led by a performance-improvement leader who built these programs across 180+ hospitals, and accelerated with AI and analytics.
Value-Based Care & Risk Economics
CMS bundled-payment (TEAMs, CJR-X), ACO, and risk-contract economics, modeled from claims with a deterministic risk and acuity engine (HCC, MS-DRG, and service-line classification) that sizes opportunity, risk-adjusts fairly, and targets the right partners.
Secure AI Enablement
HIPAA-eligible cloud AI inside your own walls, with authorized-view, no-copy access, so your team adopts modern AI without stalling in security and compliance review. The same approach at any team size.
Litigation & Fraud Analytics
Privilege-grade forensic analytics for outside counsel, with defensible, reproducible methods engineered to withstand a Daubert challenge.
Ways to work with us
Every engagement is principal-led, with senior people on the work.
Advisory Services
Principal-led strategy without a full-time hire. Fractional leadership or focused consulting sprints on the decisions that matter most.
- Fractional leadership (1-3 days/week)
- Consulting sprints (3-4 weeks)
- Strategy, roadmaps, and KPI frameworks
- AI strategy and opportunity sizing
Delivery Services
AI-accelerated, team-based execution and transformation with SLAs and principal oversight. Senior people do the work, no junior hand-offs.
- Deterministic models and pipelines
- Dashboards and reporting
- Ad-hoc analysis with SLAs
- Transformation programs
AI Governance & Compliance
Deploy AI responsibly: compliance readiness, model risk management, and the governance language that clears review committees.
- SOC 2 Type II readiness
- HIPAA-compliant AI deployment
- Model risk management
- Governance frameworks
AI Strategy Workshop
New to AI, or not sure where to start? A fixed-scope, fixed-price workshop that identifies and prioritizes your AI opportunities, separates fund-now operational analytics from longer-horizon innovation, and gives leadership a governance and ROI story to act on. A low-commitment way in that can feed any practice area. Ask about a workshop →
However you engage, validation and transfer happen in the open. Every model we build ships with Provenance, the audit surface your team operates and owns, and reporting work ships as Signal Forward Insights, computed from your source data rather than vendor rollups.
Tell us the decision, we'll recommend the approach
Tell us about the decision you need to automate, and who has to be able to trust it.
Book a free consultation