Built for Medical Groups & Physician Practices

You Built Your Practice to Heal. AI Handles the Rest.

Conscious Accounting combines healthcare-specific CPA expertise with real-time AI to give medical groups the revenue cycle visibility, payer contract intelligence, and financial clarity to grow their practice — without drowning in billing complexity and compliance risk.

Medical Groups Served

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Years Combined Experience

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Client Retention Rate

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AI Financial Monitoring

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Payer Contract Analysis & Optimization

Clinical Trial Budget Monitoring

Revenue Cycle Monitoring & Denial Tracking

Physician Compensation & RVU Reporting

HIPAA-Compliant Financial Infrastructure

Payer Contract Analysis & Optimization

Revenue Cycle Monitoring & Denial Tracking

Physician Compensation & RVU Reportingt

HIPAA-Compliant Financial Infrastructure

Integrated with the systems pharma companies rely on

EPIC

ATHENAHEALTH

KAREO

QUICKBOOKS

SAGE INTACCT

DRCHRONO

// The Problem

Medical Groups Are Running a Business With No Financial Visibility

You spent a decade becoming a physician. Nobody trained you to manage payer contracts, track denial rates by CPT code, or interpret an aging AR report. Most accounting firms haven’t either.

01 — REVENUE CYCLE

You're Losing Revenue You Already Earned and Don't Know It

Denied claims, underpayments, timely filing violations, and unbilled encounters quietly drain 8–15% of collectible revenue from the average medical group. Without real-time visibility into your revenue cycle, you’re not running a practice — you’re running a leaky bucket.

02 — PAYER CONTRACTS

Your Payer Contracts Are Paying You Less Than You Negotiated

Most medical groups have never validated whether their EHR is actually applying contracted rates correctly. Systematic payer underpayments averaging 3–7% go undetected for years because nobody is auditing remittance data against contract terms — and payers count on that.

03 — PHYSICIAN COMP

Physician Compensation Feels Like a Black Box That Causes Conflict

wRVU-based compensation models sound straightforward until you’re reconciling productivity data from three different systems, explaining attribution discrepancies to your partners, and managing the tension between equal pay and fair pay in a multi-specialty group.

04 — MULTI-LOCATION

Adding Locations Adds Chaos Faster Than It Adds Revenue

Every new location brings new overhead structures, separate billing flows, and independent AR aging reports that nobody is consolidating. Without a unified financial view across locations, your highest-performing site is subsidizing your worst without anyone knowing which is which.

05 — COMPLIANCE

Your Practice Is One Audit Away From a Serious Problem

Medicaid and Medicare audits, Stark Law compliance, HIPAA financial record requirements, and proper documentation of physician employment agreements — healthcare compliance isn’t a checkbox. It’s a minefield that most general CPAs have never navigated.

06 — GROWTH

You're Making Practice-Defining Decisions Without Financial Models

Adding a partner, bringing on an NP, opening a new service line, buying out a retiring physician — these decisions get made on instinct because nobody has built a financial model around your actual practice economics. A wrong call at this stage costs years of income.

// The Platform

AI That Understands How Practices Actually Make Money

We pair healthcare-specific CPA expertise with an always-on AI layer that monitors your revenue cycle, flags payer underpayments, tracks physician productivity, and keeps your practice financially healthy — so you can stay clinically focused.

⚡ Always On

Real-Time Practice Intelligence Dashboard

Your practice’s live financial pulse — collections by payer, denial rate by CPT code, AR aging by provider, and physician productivity vs. compensation targets — updated in real time. Connected directly to your EHR and practice management system. Know your financial health as well as you know your patients’ health.

Practice Intelligence Dashboard

Net Collection Rate (MTD)

97.4% ✓

Claim Denial Rate (30 days)

6.2% ⚠ Above target

AR Over 90 Days

14.1% — Trending Up

wRVU Productivity vs. Budget

103% — On track ✓

BlueCross Contractual Adj. Variance

-$18,400 underpaid ⚠

AI Alert: 47 claims approaching timely filing

Action required within 8 days

Revenue Protection

R&D Cost Tracking by Program & Trial

Our AI reconciles every remittance against your contracted rates by payer, plan, and CPT code — identifying systematic underpayments before they compound. Most medical groups we onboard discover underpayments averaging $60K– $200K per year that their billing team missed. We recover it and prevent recurrence.

Unified View

Multi-Location Financial Consolidation

We consolidate revenue, expenses, and profitability across every location into a single financial view — showing you which sites are driving growth, which are dragging margins, and exactly what it would take to bring your underperformers to par. Stop subsidizing locations you can’t see clearly.

Transparency

Physician Compensation & wRVU Intelligence

We build and maintain a real-time compensation dashboard that maps every physician’s wRVU production, attributed encounters, and compensation earned against their agreement — updated monthly. When a partner questions their paycheck, you have the answer in one click, not a two-week reconciliation exercise.

Risk Management

Healthcare Compliance & Audit Readiness

We maintain your financial records to the standard that survives Medicaid audits, Stark Law scrutiny, and Medicare RAC reviews — including proper documentation of physician compensation arrangements, HIPAA-compliant financial record management, and annual compliance reviews built into your monthly workflow.

// How It Works

Embedded in Your Finance Function in 30 Days

We learn your pipeline. We build your infrastructure. You focus on the science.

Pipeline Discovery

We map your payer mix, CPT code distribution, compensation model, location structure, and billing workflow — then build a financial intelligence framework around your actual practice, not a generic medical template.

Financial Health Audit

We review your AR aging, denial patterns, payer contract compliance, and tax position — and deliver a practice financial health score with specific revenue recovery opportunities before you pay us a single dollar.

AI Integration

We connect your EHR, practice management system, and billing platform to our intelligence layer. Real-time dashboards, denial alerts, payer audit reports, and physician productivity tracking go live within 30 days.

Ongoing Partnership

Monthly close support, payer contract renegotiation analysis, physician compensation reporting, compliance reviews, and a team that understands medical group economics — for the full life of your practice.

// The Team

Healthcare-Fluent. Financially Precise.

Our team combines CPAs, healthcare financial specialists, revenue cycle experts, and technology engineers who understand the unique financial architecture of medical groups — from solo practices to large multi-specialty groups.

Nicole Butler-Davis

Founder & Lead CPA

CPA with 20+ years of experience including deep healthcare practice financial advisory. Expert in physician compensation modeling, payer contract strategy, multi-entity medical group structures, and healthcare-specific tax planning for physician- owned practices.

Matt Heim

Director of AI & Technology

Led financial systems integrations at medical groups from solo practices to 50-physician multispecialty organizations. Expert in connecting Epic, Athenahealth, Kareo, and DrChrono data to real- time financial intelligence platforms. Has built wRVU reconciliation and payer audit systems for groups across 12 specialties.

JW D.

Wealth Management

15 years specializing in healthcare revenue cycle optimization, payer contract auditing, and CMS compliance. Has recovered over $8M in payer underpayments for medical group clients. Expert in Stark Law financial arrangement documentation, Medicare RAC audit defense, and Medicaid billing compliance.

Alix M., CPA

Tax Team Lead

Former Big 4 healthcare advisory practice leader. Expert in physician group financial modeling, practice valuation for partnership buy-ins and acquisitions, MSO structure design, and financial strategy for groups navigating PE partnership, DSO affiliation, or independent growth.

// How We Compare

The FDA Has Standards. So Do We.

Conscious Accounting

Local CPA

Big 4 / Regional

Real-time payer underpayment detection & recovery

Billing only

Physician wRVU & compensation real-time reporting

Multi-location profitability consolidation

Basic only

Stark Law & CMS compliance documentation

Rarely

Payer contract analysis & renegotiation support

Partial

Practice valuation & buy-in / buy-out modeling