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 uses the same EDI parsing pipeline built for a 509,000-claim institutional environment. Health-system-grade rigor applied to your remittances.
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.