Independent Healthcare Operations Consulting

The trained eye your
healthcare operations
have been missing.

Most operational problems in healthcare aren't mysteries. The data is there. The patterns are visible. What's missing is the combination of clinical knowledge, experience on every side of the table, and strategic clarity to act on what the numbers are actually saying.

Book a 30-minute consultation See what we do
Firm Deep Optic Consulting, LLC
Credentials RHIA · CPMA · CPC · COC
Experience 17+ years

We've seen your claims
from every side of the desk.

Most consultants only know what they've seen from inside a single practice. Our founder spent 17+ years building the tools and writing the rules that major RCM companies, payers, and auditors use to process your claims. That inside perspective, of how edits get written, denials get coded, and reimbursements get calculated, is what Deep Optic brings directly to your organization.

When you work with Deep Optic, you aren't hiring a billing vendor. You're hiring someone who has lived every side of the equation (provider, payer, auditor, and RCM) and brings that full 360° perspective to the table with you.

  • Vice President, Performance Management
    R1 RCM · AI Lab (2024–2026)
  • Senior Director, Data Insights
    Zelis (2020–2024)
  • Senior Auditor, Team Lead
    Cotiviti Healthcare (2015–2019)
  • Fraud Analyst & Claims Coding Specialist
    Verisk Health (2010–2015)
  • Code-Based Reimbursement Analyst
    Intermountain Health (2009–2010)
  • Firefighter & EMT
    Multiple agencies (2002–2018)

The numbers
behind the approach.

$12M+
Additional annual revenue captured for clients
$3M+
Contract-negotiated fee-for-service increases secured
$50K
In overlooked daily charges identified for a single client
60+
Custom billing edits built, reducing claim errors system-wide
19 days
Eliminated unnecessary days through process redesign
30%
Productivity improvement through root cause analysis
100%
Acceptance rate for white papers resolving client-vendor billing friction
17+
Years inside the firms that shape how healthcare claims get paid

Built for how healthcare actually works.

Every engagement starts with a clear question: what's actually happening, what's it costing you, and what's the fastest way to fix it. Six focused service lines, scoped to your organization's size and urgency.

01
Revenue Cycle Audit
Comprehensive claim, denial, and underpayment analysis. We identify where dollars are leaking, why, and the dollar value of recovering each category. Typical first engagement.

A prioritized, dollar-quantified map of where your revenue is leaking, and the fastest path to stopping it.

Who this is for
  • Practices seeing margin compression without a clear cause
  • Hospitals and health systems with rising denial or AR aging
  • Leadership teams who suspect issues but can't quantify them
What's included
  • Claim-level and denial-pattern analysis across your top payers
  • Underpayment review against contracted rates
  • Coding benchmark comparison to national standards
  • Written findings with dollar impact per issue
  • Prioritized recovery and prevention roadmap
02
Underpayment Recovery
Systematic review of paid claims against contracted rates. Recover funds you've already earned but weren't fully paid for. Fee tied to recovery.

Most practices are underpaid on 3–7% of paid claims without realizing it. We find those dollars and recover them.

Who this is for
  • Practices and health systems with multi-payer contract portfolios
  • Organizations that haven't systematically audited paid claims in 12+ months
  • Revenue cycle teams overwhelmed by current volume
What's included
  • Contract-rate reconciliation against actual payments received
  • Identification of systematic underpayment patterns by payer
  • Appeals and recovery on confirmed underpayments
  • Recommendations to prevent recurrence going forward
  • Reporting on recovered dollars and root causes
03
Denial Management & Prevention
Root-cause analysis of denial patterns, payer-specific edit recommendations, and appeals strategy. Built on firsthand knowledge of how payer edits are written.

Most denial strategies chase individual claims. We fix the upstream patterns so the denials stop coming in the first place.

Who this is for
  • Organizations with denial rates above industry benchmarks
  • Teams stuck in a cycle of appealing the same denial types
  • Leaders who want prevention, not just recovery
What's included
  • Denial pattern analysis segmented by payer, service line, and reason code
  • Upstream edit recommendations tuned to your payer mix
  • Documentation and workflow fixes at the root cause
  • Appeals strategy for recoverable denials
  • KPI dashboard to monitor prevention effectiveness
04
Coding & Compliance Review
CPC, COC, CPMA, and RHIA-backed documentation review. Identify under-coding, upcoding risks, and modifier misuse before auditors do.

Coding issues cost practices in two directions: lost revenue from under-coding and compliance exposure from over-coding. We catch both.

Who this is for
  • Practices facing payer audits, TPE reviews, or RAC inquiries
  • Organizations that haven't had an independent coding audit recently
  • Teams expanding services, specialties, or adding new providers
What's included
  • Sample-based chart review against documentation guidelines
  • Modifier usage audit for common compliance risks
  • Identification of under-coded services leaving revenue on the table
  • Provider-specific findings and education recommendations
  • Pre-audit readiness for practices under review
05
Payer Contract Strategy
Contract analysis, rate benchmarking, and negotiation preparation. We've helped clients secure $3M+ in fee-for-service increases.

Payer contracts are negotiated on asymmetric information. We level the field by showing you exactly what your rates should be.

Who this is for
  • Practices approaching contract renewal windows
  • Organizations that haven't benchmarked payer rates in 2+ years
  • Leaders preparing for payer consolidation or network changes
What's included
  • Full review of current contract terms and fee schedules
  • Rate benchmarking against regional and national data
  • Identification of contract language working against you
  • Negotiation strategy and target rate modeling
  • Support through active negotiations if desired
06
Custom Analytics & Reporting
Real-time dashboards and KPI governance built to your operational realities. Executive-ready reporting that makes decisions faster.

Most reporting answers yesterday's questions. We build tools that surface today's problems in time to fix them.

Who this is for
  • Organizations drowning in data but short on actionable insight
  • Leadership teams relying on monthly reports when daily visibility is needed
  • Practices scaling or integrating new systems, specialties, or locations
What's included
  • Custom dashboard design tuned to your KPIs and decision rhythms
  • Daily audit tools that catch issues upstream, before claims go out
  • Executive and operational reporting views
  • KPI and SLA governance framework
  • Integration with Epic, Cerner, and other major EMR systems

Boutique by design.
Not by accident.

01

You work directly with our founder.

No account managers, no handoffs to junior staff, no offshore call centers. Every engagement is led personally by a credentialed healthcare executive (RHIA, CPMA, CPC, COC) with 17+ years of inside experience.

02

Deliberately limited capacity.

We take on a small number of active engagements at a time. That's how we guarantee response times in hours, not days, and the depth of analysis that actually moves numbers.

03

Flexible engagement models.

Percent-of-recovery, flat-fee projects, monthly retainers, or hourly strategic consulting. We scope to fit your urgency and risk tolerance, not the other way around.

$12M in additional revenue,
found in plain sight.

Client Type
Hospital & Multi-Provider Group
Engagement
Revenue Cycle Improvement
Duration
6 months
Additional Annual Revenue
$12,000,000+
Daily Charges Recovered
$50,000
Reimbursement Lift
+10%

The Problem

The client had a revenue cycle that looked healthy on the surface: claims going out, money coming in, denial rates in a defensible range. But margins weren't where leadership expected them to be, and no one could definitively say why.

The Approach

We started where most audits do: diving deep into the data. Through that trained eye, we found metadata in the health record that wasn't translating to the bill, resulting in lost revenue from missing charges. By building a customized daily audit tool, we caught billing errors upstream before claims ever left the building. The result compounded: $50,000 in previously overlooked daily charges surfaced within weeks, and the tool kept catching more.

The Result

Reimbursement increased 10% in-year, which translated to more than $12M in additional annual revenue. Training updates lifted quality compliance 15%, and advanced analytics integration improved reporting accuracy by 20% with a 15% ROI boost inside three months. The patterns were always there. It just took the right eye to see them.

Before we talk numbers.

Who do you typically work with?
+
We serve medical practices of all sizes, hospitals, health systems, and healthcare technology or payer organizations. Our common thread isn't specialty, it's leadership teams who know something is off in their operations and want a credentialed outside voice to tell them what, why, and what to do about it.
How are engagements priced?
+
We work in four models depending on scope and risk tolerance: percent-of-recovery (common for underpayment work), flat-fee project engagements (common for audits and contract analysis), monthly retainers (common for ongoing strategy and analytics), and hourly strategic consulting. Most clients start with a fixed-fee audit, then move into whichever model fits their priorities.
What's the typical first engagement?
+
A revenue cycle audit. It gives you a prioritized, dollar-quantified view of where your practice is losing money, the speed at which each category can be recovered, and whether the fix is a process change, a coding intervention, a payer conversation, or a systems upgrade. You walk away with decisions you can make regardless of whether we do further work together.
How fast do you move?
+
Because engagements are personal and capacity is deliberately small, we typically begin within 1–2 weeks of contract execution. Audit findings are usually delivered within 30 days of project kickoff. Recovery work compounds from there.
Are you HIPAA compliant?
+
Yes. All engagements operate under executed Business Associate Agreements, with HIPAA-compliant data handling, encrypted transmission, and access controls. Detailed security protocols are available on request as part of the procurement process.
What if we already have a billing company?
+
Most of our clients do. We're a consulting layer, not a billing replacement. In many engagements, we work alongside an existing billing vendor, often uncovering gaps in their work that translate directly to recovered revenue for you without changing vendors.

A note on how we engage.

What we will do
  • Engage exclusively under signed agreements, including BAAs where PHI is involved
  • Communicate from our verified domain
  • Use encrypted channels for any data transmission
  • Provide written scope, deliverables, and pricing before any work begins
What we will never do
  • Request EHR, system, or administrator credentials outside a signed engagement
  • Ask for wire transfers, gift cards, or payments via unusual methods
  • Contact you from free email domains (gmail.com, yahoo.com, etc.) representing Deep Optic
  • Solicit work through cold phone calls or unsolicited attachments

If you receive a communication claiming to be from Deep Optic Consulting and anything feels off, verify directly:

(385) 645-1930  ·  support@deepopticconsult.com

30 minutes.
No cost. No pressure.

Tell us what you're seeing in your operations. We'll tell you, candidly, whether we can help, and how we'd approach it if we took the work on.

Book your consultation