The payer behavior, denial trends, and coding patterns I advise on are things I'm working with in real claims data this week — not lessons from a case study from five years ago.
Founder, Conduit RCM · Director of Revenue Cycle, Heritage Valley Health System
I've spent 10+ years in healthcare revenue cycle — as an operator, an analyst, and a consultant — and the problem I keep encountering is the same everywhere: independent physician practices are leaving significant money on the table in denied claims, and most of them don't have the bandwidth to systematically get it back.
By day I lead revenue cycle operations for Heritage Valley Health System, a two-hospital system in western Pennsylvania, where I oversee billing, denial management, payer contracting, charge capture compliance, and RCM analytics for a 42-person team managing $137M in accounts receivable.
Conduit RCM applies that same analytical infrastructure — the same EDI parsing, denial classification, and appeal strategy that I use at the health system level — to independent physician practices where the office manager is also doing the billing.
What I bring that most consultants don't: I'm still active. The payer behavior I advise on is the same payer behavior I'm negotiating with this week. The CARC codes I generate appeals for are the same ones I'm tracking in our denial dashboard today. You're getting current expertise, not archived knowledge.
Work with me →I'm not advising from old case studies. I work with payer remittances, denial classifications, and appeal strategies every week in an active health system environment.
Our denial analysis engine automatically detects practice specialty, applies specialty-calibrated benchmarks from 7 years of real ERA data, and flags recurring denial patterns — built on the same EDI pipeline used for a 509,000-claim institutional environment.
You work directly with the person doing the analysis. No account managers, no offshore teams, no handoffs. What you pay covers the work.
UHC's 90-day timely filing window. UMR casino plan variation. HPN auth for every surgical procedure. The nuances that generic vendors don't know.